Kelly A. Carlson, PhD, PMHNP-BC, CNE, McLean Hospital, Belmont, MA, USA; Regis College, Weston, MA, USA.
Corey E. Potter, MA, BSN, LMHC, RN, McLean Hospital, Belmont, MA, USA; Northeastern University, Boston, MA, USA.
J Am Psychiatr Nurses Assoc. 2022 Jan-Feb;28(1):68-75. doi: 10.1177/10783903211028635. Epub 2021 Jul 1.
In nursing education and practice, we prepare nurses on topics such as patient care, pathophysiology, pharmacology, nursing leadership, and nursing competencies. Unfortunately, we may be missing the mark when it comes to integrating these topics and applying them to situations that arise in health care such as medication misuse. Nurses work intimately with patients and can recognize potential medication misuse by reviewing medication regimens and assessing necessity of PRN patient requests. In cases where nurses suspect misuse, they may or may not feel comfortable addressing these concerns with other members of the health care team.
Study aims were to assess the baseline of whether nurses are comfortable with their level of skill to recognize potential patient medication misuse and to assess nurses' comfortability with communicating these concerns with other nurses, providers, and patients.
This survey study was designed to obtain practical information about nurses understanding of misused and diverted prescription medications and level of comfort with expressing concerns about the use of central nervous system depressants to inform education, practice, and research. Three-hundred and fifty nurses at one hospital were invited to participate in an anonymous REDCap survey.
Thirty-five percent of the surveyed nurses returned the survey. Responding nurses were more comfortable sharing their own knowledge and the need for more education on the topic than they were discussing interdisciplinary communication.
Empowering nurses to communicate this knowledge with others on the health care team has major public health implications to reduce the negative outcomes of misused medications.
在护理教育和实践中,我们会教导护士们患者护理、病理生理学、药理学、护理领导力和护理能力等方面的知识。然而,在将这些知识整合并应用于医疗保健中出现的情况(如药物滥用)时,我们可能还存在不足之处。护士与患者密切合作,通过审查药物治疗方案并评估 PRN 患者请求的必要性,能够识别潜在的药物滥用问题。如果护士怀疑存在滥用问题,他们可能会或可能不会与医疗保健团队的其他成员讨论这些问题。
本研究旨在评估护士识别潜在患者药物滥用问题的技能水平以及与其他护士、医疗服务提供者和患者沟通这些问题的舒适度的基线情况。
本调查研究旨在获取有关护士对滥用和转移处方药物的理解以及对表达对中枢神经系统抑制剂使用的担忧的舒适度的实际信息,以为教育、实践和研究提供信息。一家医院的 350 名护士受邀参与了这项匿名的 REDCap 调查。
参与调查的护士中,有 35%的人返回了问卷。与讨论跨学科沟通相比,回复护士更愿意分享自己的知识和对该主题进行更多教育的需求。
使护士能够与医疗保健团队的其他人交流这些知识,对于减少药物滥用的不良后果具有重要的公共卫生意义。