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Bridging the clinical-research gap through nursing collaboration

N J Jaretz1, S K Rosenbloom

  • 1Commonwealth Research Center, Massachusetts Mental Health Center, Boston 02115.

Archives of Psychiatric Nursing
|October 1, 1994
PubMed
Summary

Managing research in psychiatric units is challenging. This study highlights nursing collaboration to bridge clinical and research needs, especially for treatment-resistant psychotic patients before clozapine trials.

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Area of Science:

  • Psychiatry
  • Clinical Research
  • Nursing

Background:

  • Conducting research on clinical psychiatric units poses significant challenges for both research and clinical staff.
  • These challenges are amplified when the unit is not specifically designed or dedicated to research activities.
  • Managing patients, particularly those with complex conditions, within a research protocol requires careful consideration.

Purpose of the Study:

  • To describe an initiative aimed at integrating clinical and research demands within a psychiatric unit.
  • To focus on the specific challenges of managing treatment-resistant psychotic patients in a neuroleptic-free state prior to clozapine administration.
  • To emphasize the importance of applying research methodologies to the research process itself.

Main Methods:

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  • Nursing collaboration was employed to bridge the gap between clinical care and research requirements.
  • The study focused on a specific patient population: treatment-resistant psychotic patients.
  • A key aspect involved managing patients in a neuroleptic-free state before initiating clozapine treatment.

Main Results:

  • The collaborative nursing approach facilitated the management of research protocols within a non-dedicated clinical psychiatric unit.
  • Effective strategies were developed for handling treatment-resistant psychotic patients requiring a neuroleptic-free period.
  • The study demonstrated the feasibility of conducting complex psychiatric research in a challenging clinical environment.

Conclusions:

  • Nursing collaboration is crucial for overcoming obstacles in psychiatric clinical research.
  • Applying research methods to the research process enhances efficiency and success.
  • The findings support the integration of research activities into routine clinical psychiatric care through interdisciplinary teamwork.