Jacobs Eve P, Mkhize Sipho W
School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Health SA. 2021 Dec 6;26:1678. doi: 10.4102/hsag.v26i0.1678. eCollection 2021.
Nurse prescribing has become a global and transformational practice to ensure the achieving of optimal health outcomes, including advanced psychiatric nurses. Despite the transformational practice globally, South Africa seems to lag behind because nurses do not have permission to prescribe medication.
To describe the experiences of advanced psychiatric nurses regarding the need to prescribe medication treatment in KwaZulu-Natal.
The study took place in three mental healthcare institutions in KwaZulu-Natal in inpatient units.
The qualitative, descriptive design was used to collect the experiences of advanced psychiatric nurses in KwaZulu-Natal regarding the need for prescriptive authority. Six focus group interviews were conducted to gather information. The seven steps of Colaizzi's method were used to analyze the data.
The study found two primary themes and two sub-themes. The findings highlighted the necessity for advanced psychiatric nurse role recognition and prescribing. Insufficient use of skilled psychiatric nurses caused delays in addressing mental health patients in emergencies.
The two themes, prescribing role of advanced psychiatric nurses and role recognition, revealed that granting advanced psychiatric nurses' autonomy to prescribe remained a challenge. Advanced psychiatric nurses are expected to provide high-quality care, but they are limited in their abilities. Because advanced psychiatric nurses are not used to prescribe in KwaZulu-Natal, they rely on psychiatrists to manage psychotic patients.
The evaluation of policies and procedures that guide advanced psychiatric nurses in prescribing psychotropic medications.
护士开处方已成为一种全球范围内的变革性实践,以确保实现最佳健康结果,包括高级精神科护士。尽管这是一种全球范围内的变革性实践,但南非似乎落后了,因为护士没有开处方的许可。
描述夸祖鲁-纳塔尔省高级精神科护士对药物治疗处方需求的经历。
该研究在夸祖鲁-纳塔尔省的三个精神卫生保健机构的住院部进行。
采用定性描述性设计来收集夸祖鲁-纳塔尔省高级精神科护士对处方权需求的经历。进行了六次焦点小组访谈以收集信息。使用科莱齐方法的七个步骤来分析数据。
该研究发现了两个主要主题和两个子主题。研究结果强调了高级精神科护士角色认可和开处方的必要性。熟练精神科护士的使用不足导致在紧急情况下处理精神卫生患者出现延误。
高级精神科护士的开处方角色和角色认可这两个主题表明,给予高级精神科护士开处方的自主权仍然是一个挑战。高级精神科护士期望提供高质量护理,但他们的能力有限。由于夸祖鲁-纳塔尔省的高级精神科护士不参与开处方,他们依赖精神科医生来管理精神病患者。
对指导高级精神科护士开具精神药物处方的政策和程序进行评估。