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Developing evidence-based medication therapy management tools for psychiatric nurses: An evaluative qualitative case

Melisa Bulut1, Çiğdem Yüksel2

  • 1Department of Mental Health and Psychiatric Nursing, Faculty of Health Sciences, Bolu Abant Izzet Baysal University Turkey, Bolu, Turkey.

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|July 3, 2024
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Summary

New evidence-based tools for psychiatric nurses improve psychotropic medication management, enhancing patient safety and care quality. Despite initial hesitations, nurses found the guideline and chart beneficial for their practice.

Keywords:
case studyevidence‐based nursingmedication managementpractice guidelinepsychiatric nursingpsychotropic drugsqualitative

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Area of Science:

  • Nursing
  • Psychiatric Nursing
  • Pharmacology

Background:

  • Psychotropic medication use in clinical settings presents significant risks.
  • Effective nursing interventions are crucial for mitigating these risks.
  • A need exists for structured tools to support evidence-based medication management in psychiatric care.

Purpose of the Study:

  • To develop an Evidence-Based Medication Therapy Management Guideline.
  • To create a Medication Administration-Tracking Chart for psychiatric units.
  • To evaluate the utility and impact of these tools through a case study.

Main Methods:

  • Development of an Evidence-Based Medication Therapy Management Guideline and a Medication Administration-Tracking Chart.
  • An evaluative case study involving 10 nurses in a 123-bed psychiatric unit.
  • Data collection via personal forms, interviews, medication charts, and researcher observations; analysis using Merriam's case study method.

Main Results:

  • Development of three themes and 12 sub-themes related to tool implementation.
  • Nurses reported that the tools addressed information gaps, improving medication therapy management effectiveness and safety.
  • Participants noted enhanced nursing care quality, continuity, and positive patient outcomes, expressing a desire for consistent tool use.

Conclusions:

  • The developed tools hold significant potential for enhancing medication safety and psychiatric patient care.
  • Nurses exhibited an approach/avoidance conflict regarding evidence-based tools, influenced by experience.
  • Routine implementation is expected to bolster nurses' expertise in psychotropic medication management, improving patient outcomes.