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Psychiatric Nurses' Knowledge and Practice Barriers to Administering Long-Acting Injectable (LAI) Antipsychotics in
Yao-Yu Lin1, Wen-Li Hou2,3, Mei-Ling Lin4
1Department of Nursing, Tsaotun Psychiatric Center, Ministry of Health and Welfare, Nantou 542, Taiwan.
Healthcare (Basel, Switzerland)
|June 28, 2023
Summary
Psychiatric nurses need more training on long-acting injectable antipsychotic (LAI) administration. Many nurses show a knowledge-practice gap and lack confidence in using preferred injection sites, impacting patient safety.
Area of Science:
- Psychiatry
- Nursing Practice
- Pharmacology
Background:
- Long-acting injectable antipsychotics (LAIs) are crucial for managing chronic psychiatric conditions.
- Proper administration technique and site selection are vital to prevent patient harm.
- Understanding nurses' knowledge and practice is essential for optimizing LAI therapy.
Purpose of the Study:
- To assess psychiatric nurses' knowledge, practice, and barriers regarding LAI administration.
- To identify specific areas for improvement in LAI injection techniques and site selection.
- To inform the development of targeted educational interventions for nurses.
Main Methods:
- A mixed-method study involving 269 psychiatric nurses from three public hospitals in Taiwan.
- Self-report questionnaires assessed knowledge, practice, and demographic factors.
- Qualitative analysis of 20 nurses' experiences with preferred injection sites.
Main Results:
- Female and older nurses demonstrated higher LAI knowledge scores.
- The dorsogluteal (DG) site was most commonly used, with 57.6% employing the Z-track method.
- A significant gap exists between nurses' LAI knowledge and practice, with a need for more confidence and training in ventrogluteal site use.
Conclusions:
- Current LAI administration practices among psychiatric nurses indicate a need for enhanced training.
- Addressing the knowledge-practice gap and improving confidence in alternative injection sites are critical.
- Continued education is essential to ensure safe and effective LAI delivery.
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