Download the Free Unbound MEDLINE PubMed App to your smartphone or tablet.
Available for iPhone, iPad, iPod touch, and Android.
Journal of psychosocial nursing and mental health services [journal]
- Atypical antipsychotics are not all alike: side effects and risk assessment. [Journal Article]
- J Psychosoc Nurs Ment Health Serv 2014 Sep; 52(9):13-5.
Atypical antipsychotic drugs are not all alike with respect to their pharmacologies, therapeutic uses, and side eff ects, although many clinicians lump them together and do not distinguish among them. Risk assessment for the potential use of a drug, such as aripiprazole (Abilify), should not focus on any particular adverse effect, but rather should consider risk assessment in a broader context. Specifically, what are the alternatives, and what are their inherent risk profiles? What is the risk of no treatment? Side eff ects commonly associated with a particular drug or class of drugs can also occur with other drugs. For any drug prescribed for any reason, prescribers should document discussion about common and potentially serious adverse effects, as well as document clinical monitoring. Alternative treatments and their inherent risks, along with the risks of not taking medication for a particular condition, should also be discussed with patients and documented.
- Acknowledging the grief process of parents with children with mental illness. response. [Comment, Letter]
- J Psychosoc Nurs Ment Health Serv 2014 Sep; 52(9):5.
- Evaluation of Fall Risk Assessment Tools for Psychiatric Patient Fall Prevention: A Comparative Study. [JOURNAL ARTICLE]
- J Psychosoc Nurs Ment Health Serv 2014 Oct 28.:1-6.
The Hendrich II Fall Risk Model(™) (Hendrich II) is used to determine patient fall risks. However, the WilsonSims Fall Risk Assessment Tool (WSFRAT) is more specific to psychiatric patients. The current study tested the Hendrich II and WSFRAT simultaneously to determine which tool was the most predictive for patient falls in a psychiatric population. Fall risk assessments using the Hendrich II and WSFRAT tools were completed through discharge. Fall risk assessment scores, medications, and falls data were documented. Fifty patients who met eligibility criteria generated 319 observations; of the 50 patients, two (4%) experienced falls. Sensitivity was 100% for the Hendrich II and WSFRAT, with all patients properly categorized as high risk for falling. Both assessments had similar specificity (Hendrich II = 67.8%; WSFRAT = 63.1%). Both tools have similar specificity; thus, additional research is warranted. [Journal of Psychosocial Nursing and Mental Health Services, xx(x), xx-xx.].
- Reducing Seclusion and Restraint Use in Inpatient Settings: A Phenomenological Study of State Psychiatric Hospital Leader and Staff Experiences. [JOURNAL ARTICLE]
- J Psychosoc Nurs Ment Health Serv 2014 Oct 15.:1-8.
The current study explored and described the experiences of individuals who either directed or participated in successfully reducing the use of restraint and seclusion (R/S) in two inpatient public mental health hospitals. A phenomenological methodology was used to capture the lived experiences of 21 study participants, including senior leaders, middle managers, and direct care staff, who were interviewed as key informants. Thirty-two themes were extracted and subsequently synthesized into five "meaning themes." The five meaning themes yielded six significant findings: (a) critical roles of leadership and staff in successful R/S reduction projects; (b) ability of leaders and staff to change their beliefs and behaviors; (c) ability of leaders and staff to build a shared vision that was critical to the reduction of R/S use in inpatient settings; (d) identification and resolution of key challenges staff and leaders experienced in reduction efforts; (e) use of a solid performance improvement lens to direct changes in practices; and (f) important lessons learned. [Journal of Psychosocial Nursing and Mental Health Services, xx(x), xx-xx.].
- Multinational Experiences in Reducing and Preventing the Use of Restraint and Seclusion. [JOURNAL ARTICLE]
- J Psychosoc Nurs Ment Health Serv 2014 Oct 15.:1-8.
Restraint and seclusion (R/S) have been used in many countries and across service sectors for centuries. With the recent and increasing recognition of the harm associated with these procedures, efforts have been made to reduce and prevent R/S. Following a scathing media exposé in 1998 and congressional scrutiny, the United States began a national effort to reduce and prevent R/S use. With federal impetus and funding, an evidence-based practice, the Six Core Strategies(©) to Prevent Conflict, Violence and the Use of Seclusion and Restraint, was developed. This model was widely and successfully implemented in a number of U.S. states and is being adopted by other countries, including Finland, Australia, and the United Kingdom. Recently, the first cluster randomized controlled study of the Six Core Strategies in Finland provided the first evidence-based data of the safety and effectiveness of a coercion prevention methodology. Preliminary findings of some of the international efforts are discussed in the current article. Reduction in R/S use and other positive outcomes are also reported. [Journal of Psychosocial Nursing and Mental Health Services, xx(x), xx-xx.].
- CNE Quiz. [Journal Article]
- J Psychosoc Nurs Ment Health Serv 2014 Oct 1; 52(10):60-1.
- Hearing distressing voices clinical simulation: "life changing" experiences of psychiatric-mental health nursing students. [Journal Article]
- J Psychosoc Nurs Ment Health Serv 2014 Oct 1; 52(10):42-51.
The purpose of the current qualitative study was to investigate the experience of baccalaureate nursing (BSN) students with the clinical simulation of hearing distressing voices and derive themes from the written reflective data of students' evaluative statements. A purposive convenience sample of BSN students (N = 74) was recruited from two nursing cohorts at a private, religiously affiliated university BSN program in the northeastern United States. Student reflections on three evaluation questions of the simulation experience were analyzed using constant comparison as per naturalistic inquiry methodology. Themes emerged from each of the three questions related to students' experiences of hearing the simulated voices. Findings support the value of this simulation as a means to promote both active and affective learning in BSN students as they enter psychiatric-mental health clinical rotations. [Journal of Psychosocial Nursing and Mental Health Services, 52(10), 42-51.].
- How to Obtain Contact Hours by Reading Articles in this Issue. [Journal Article]
- J Psychosoc Nurs Ment Health Serv 2014 Oct 1; 52(10):33.
- Sleep problems in children: an overlooked factor in evaluating behavior. [Journal Article]
- J Psychosoc Nurs Ment Health Serv 2014 Oct 1; 52(10):27-32.
Sleep disturbance is a problem for many children; however, it remains an underevaluated factor when assessing behavior. The purpose of the current article is to explore sleep problems in children, as well as the effects that disrupted sleep patterns have on child behavior. The authors recommend strategies to guide the assessment of sleep and improve children's sleep quality. [Journal of Psychosocial Nursing and Mental Health Services, 52 (10), 27-32.].
- Suvorexant: a novel therapy for the treatment of insomnia. [Journal Article]
- J Psychosoc Nurs Ment Health Serv 2014 Oct 1; 52(10):23-6.
Suvorexant is a pharmacologically novel dual antagonist of orexin receptors OX1R and OX2R, which has an effect that promotes sleep by reducing arousal and wakefulness. Its approval for the treatment of insomnia was based on three clinical trials that found it to be efficacious and relatively well tolerated. Somnolence, headache, and dry mouth are the most common side effects. Because suvorexant has unique effects on arousal systems and rapid eye movement (REM) sleep, it is contraindicated in patients with narcolepsy, and its use should be avoided or closely monitored in patients at risk for REM sleep behavior disorder, depression, or delirium. [Journal of Psychosocial Nursing and Mental Health Services, 52(10), 23-26.].