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Psychiatric Nurse Practitioner

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https://www.readbyqxmd.com/read/30427821/drug-drug-interactions-ddis-in-psychiatric-practice-part-2-strategies-to-minimize-adverse-outcomes-from-unintended-ddis
#1
Sheldon H Preskorn
This column is the second in a series exploring drug-drug interactions (DDIs) with a special emphasis on psychiatric medications. The first column in this series discussed why patients being treated with psychiatric medications are at increased risk for taking multiple medications and thus experiencing DDIs and how to recognize such DDIs, and strategies for avoiding them. This second column in the series discusses strategies for minimizing adverse outcomes from such unintended DDIs. Given the huge and rapidly increasing number of available prescription and over-the-counter medications as well as nutritional supplements, the author recommends that all prescribers develop a personal formulary of ∼30 drugs that they use in everyday practice and with which they are intimately familiar...
September 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/30387682/telehealth-in-psychiatric-nursing-education-lessons-from-the-field
#2
R Lee Tyson, Susan Brammer, Diana McIntosh
BACKGROUND: This article summarizes the experiences that a Midwest college of nursing had when telepsychiatry was introduced for psychiatric-mental health post-master's nurse practitioner students to use in a clinical internship. AIMS: Implications for nurse practitioner educators will be identified, and recommendations for future research will be explored. METHOD: Described are the following: (1) policies and procedures the institution considered, (2) challenges that were encountered by faculty and students, and (3) strategies and limitations of these strategies defining best practice, what didactic content should be taught, and how clinical placements needed to be structured...
November 2, 2018: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/30376390/thinking-outside-the-box-are-we-ready-for-teleprecepting-to-expand-training-and-practice-venues
#3
Deborah S Johnson
A significant challenge related to nurse practitioner (NP) training is the shortage of clinical sites with qualified faculty to precept NP interns. The problem is compounded in rural communities with provider shortages, restricting their opportunities to train (and potentially recruit) new APRNs. Consequently, these underserved communities have difficulty accessing specialty providers, such as Psychiatric Mental Health Nurse Practitioners (PMHNPs). Combined with geographic distance from urban communities and generally lower pay, many rural and/or remote communities struggle with the disparity in contrast to more populated regions...
October 30, 2018: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/30365509/what-causes-medication-administration-errors-in-a-mental-health-hospital-a-qualitative-study-with-nursing-staff
#4
Richard N Keers, Madalena Plácido, Karen Bennett, Kristen Clayton, Petra Brown, Darren M Ashcroft
OBJECTIVE: Medication administration errors (MAEs) are a common risk to patient safety in mental health hospitals, but an absence of in-depth studies to understand the underlying causes of these errors limits the development of effective remedial interventions. This study aimed to investigate the causes of MAEs affecting inpatients in a mental health National Health Service (NHS) hospital in the North West of England. METHODS: Registered and student mental health nurses working in inpatient psychiatric units were identified using a combination of direct advertisement and incident reports and invited to participate in semi-structured interviews utilising the critical incident technique...
2018: PloS One
https://www.readbyqxmd.com/read/30136625/a-stepped-collaborative-perinatal-depression-model
#5
Mary M Rock
BACKGROUND: Perinatal depression (PD) screening has been defined for decades, but treatment remains ill-defined, with few mental health (MH) providers helping depressed women during this delicate time. The nurse practitioner (NP) is in a position to help women through PD with the use of a collaborative treatment model. AIMS: This DNP (doctor of nursing practice) inquiry investigated a stepped collaborative care model (CCM) to see whether the PD model improved time from referral to evaluation and decreased depression scores over a 6-month treatment period for women who came to an NP MH practice...
August 23, 2018: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/30029754/practice-characteristics-of-nurse-practitioners-in-mental-health-and-psychiatric-settings
#6
Emily B Jones
To explore the practice characteristics of nurse practitioners in mental health and psychiatric settings, descriptive statistics and multivariable logistic regression models were constructed with weighted data from the 2012 National Sample Survey of Nurse Practitioners. The 5.6% of nurse practitioners in mental health and psychiatric settings were less likely to have hospital admitting privileges and more likely to practice without a physician on-site, to have their own billing number, and to have a DEA number...
August 2018: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/29968148/providing-mental-health-services-in-the-primary-care-setting-the-experiences-and-perceptions-of-general-practitioners-at-a-new-york-city-clinic
#7
Issa Papiss Bagayogo, Katharina Turcios-Wiswe, Kanako Taku, Lauren Peccoralo, Craig L Katz
Mental illness is a significant cause of disability worldwide, including here in the United States. Given the shortage of trained mental health professionals, a significant portion of patients needing care are managed in the primary care setting. Accountable Care Organizations (ACOs), for example, are seeking to improve the quality of care for this vulnerable population, but many are facing significant challenges relating to integration of new services. We sought to elucidate barriers faced by primary care practitioners (PCPs)-physicians, physician trainees and nurse practitioners-at a New York primary care clinic, which impede delivery of optimal care to those suffering from mental illness...
December 2018: Psychiatric Quarterly
https://www.readbyqxmd.com/read/29943582/a-model-to-facilitate-the-mental-health-of-psychiatric-nurses-in-a-forensic-unit-to-manage-mental-health-care-users-hostile-behaviour-constructively
#8
Tebogo Tema, Marie Poggenpoel, Chris Myburgh
BACKGROUND:  Hostile behaviour by mental health care users (MHCUs) is prevalent in forensic units in South Africa, and this causes service providers distress and burnout. Psychiatric nurses (PNs) find it difficult to render quality care to MHCUs who are threatening them and also challenging their authority in a forensic unit. Forensic mental health care practitioners may be challenged to engage authentically with MHCUs who constitute a risk to their personal safety or who have committed acts the practitioner finds morally disturbing...
June 13, 2018: Curationis
https://www.readbyqxmd.com/read/29942266/prescription-and-underprescription-of-clozapine-in-dutch-ambulatory-care
#9
Yvonne C van der Zalm, Fabian Termorshuizen, Peter F Schulte, Jan P Bogers, Machteld Marcelis, Iris E Sommer, Jean Paul Selten
Purpose: To our knowledge, no study has examined in a structured way the extent of underprescription of clozapine in ambulatory patients with Non-Affective Psychotic Disorder (NAPD). In the Netherlands, psychiatric care for such patients is provided by Flexible Assertive Community Treatment (FACT) teams and by early intervention teams. In 20 FACT teams and 3 early intervention teams we assessed the proportion of patients who: use clozapine (type 1 patients), previously used this drug (type 2), have an unfulfilled indication for this drug, by type of indication (type 3), or were at least markedly psychotic, but had not yet received two adequate treatments with other antipsychotic drugs (type 4)...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29859050/the-development-and-evaluation-of-a-computerized-decision-aid-for-the-treatment-of-psychotic-disorders
#10
Magda Tasma, Lukas O Roebroek, Edith J Liemburg, Henderikus Knegtering, Philippe A Delespaul, Albert Boonstra, Marte Swart, Stynke Castelein
BACKGROUND: Routinely monitoring of symptoms and medical needs can improve the diagnostics and treatment of medical problems, including psychiatric. However, several studies show that few clinicians use Routine Outcome Monitoring (ROM) in their daily work. We describe the development and first evaluation of a ROM based computerized clinical decision aid, Treatment-E-Assist (TREAT) for the treatment of psychotic disorders. The goal is to generate personalized treatment recommendations, based on international guidelines combined with outcomes of mental and physical health acquired through ROM...
June 1, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29779548/utilization-and-economic-contribution-of-psychiatric-mental-health-nurse-practitioners-in-public-behavioral-health-services
#11
Susan A Chapman, Bethany J Phoenix, Talia E Hahn, Deborah C Strod
INTRODUCTION: Expanded insurance coverage through the Affordable Care Act and parity in behavioral health coverage have increased demand for services. Yet there is a persistent shortage in the behavioral health workforce. Psychiatric Mental Health Nurse Practitioners (PMHNPs) may be part of the solution to shortages but are not yet fully utilized. The purpose of this study was to describe how PMHNPs are utilized, identify barriers to full utilization, and assess PMHNPs' economic contribution in public behavioral health systems...
June 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29779543/geographic-variation-in-the-supply-of-selected-behavioral-health-providers
#12
C Holly A Andrilla, Davis G Patterson, Lisa A Garberson, Cynthia Coulthard, Eric H Larson
INTRODUCTION: In 2015, an estimated 43.4 million Americans aged 18 and older suffered from a behavioral health issue. Accurate estimates of the number of psychiatrists, psychologists, and psychiatric nurse practitioners are needed as demand for behavioral health care grows. METHODS: The National Plan and Provider Enumeration System National Provider Identifier data (October 2015) was used to examine the supply of psychiatrists, psychologists, and psychiatric nurse practitioners...
June 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29734920/the-role-of-working-alliance-in-attainment-of-personal-goals-and-improvement-in-quality-of-life-during-psychiatric-rehabilitation
#13
Sarita A Sanches, Jooske T van Busschbach, Harry W C Michon, Jaap van Weeghel, Wilma E Swildens
OBJECTIVE: A key aspect of psychiatric rehabilitation is supporting individuals with serious mental illness in reaching personal goals. This study aimed to investigate whether various aspects of the working alliance predict successful goal attainment and whether goal attainment improves subjective quality of life, independent of the rehabilitation approach used. METHODS: Secondary analyses were conducted of data from a Dutch randomized clinical trial on goal attainment by individuals supported with the Boston University approach to psychiatric rehabilitation (N=80) or a generic approach (N=76)...
August 1, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29708023/textbook-descriptions-of-people-with-psychosis-some-ethical-aspects
#14
Terje Emil Fredwall, Inger Beate Larsen
BACKGROUND: Textbooks are central for the education of professionals in the health field and a resource for practitioners already in the field. OBJECTIVES: This article focuses on how 12 textbooks in psychiatric nursing and psychiatry, published in Norway between 1877 and 2012, describe and present people with psychosis. RESEARCH DESIGN: We used qualitative content analysis. Ethical considerations: The topic is published textbooks, made available to be read by students, teachers and professionals, and no ethical approval was required...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29511988/a-descriptive-analysis-of-a-community-clinic-providing-hepatitis-c-treatment-to-poor-and-uninsured-patients
#15
Omar T Sims, Pamela A Melton, Shaonin Ji
This study describes clinical characteristics of poor and uninsured patients living with hepatitis C virus (HCV) who received care from a multidisciplinary HCV clinic, reports treatment completion and cure rates, and estimates the cost of HCV medications provided at no cost to uninsured patients. A retrospective chart review was performed and identified 69 uninsured HCV patients who received medical care at Mercy Health Center, a small non-profit community clinic, between January 2008 and March 2015. Three-fourths of the patients were unemployed, a third had multiple HCV exposures, nearly half acquired HCV due to illicit drug use, and more than half had active psychiatric disorders...
August 2018: Journal of Community Health
https://www.readbyqxmd.com/read/29420100/innovative-clinical-training-site-for-psychiatric-mental-health-nurse-practitioner-students-elementary-school-based-group-therapy-manuscript-id-umhn-2017-0143
#16
Grace Hubbard, Cheryl L Woods-Giscombe, Ashley Hageman, Nyanyiwa Vimba
The aim of this clinical training site innovation is to develop accessible pediatric mental health clinical training sites for psychiatric mental health nurse practitioner (PMHNP) students. Mental health services in school settings provide treatment in the child's community and create opportunities for innovation and collaboration with teachers, school counselors, and school psychologists. School settings provide opportunities for early recognition of anxiety symptoms and accessible treatment that can help close the gap in clinical training sites for this population...
April 2018: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/29409553/diagnostic-errors-in-paediatric-cardiac-intensive-care
#17
MULTICENTER STUDY
Priya N Bhat, John M Costello, Ranjit Aiyagari, Paul J Sharek, Claudia A Algaze, Mjaye L Mazwi, Stephen J Roth, Andrew Y Shin
IntroductionDiagnostic errors cause significant patient harm and increase costs. Data characterising such errors in the paediatric cardiac intensive care population are limited. We sought to understand the perceived frequency and types of diagnostic errors in the paediatric cardiac ICU. METHODS: Paediatric cardiac ICU practitioners including attending and trainee physicians, nurse practitioners, physician assistants, and registered nurses at three North American tertiary cardiac centres were surveyed between October 2014 and January 2015...
May 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29369765/shrinking-the-psychiatrist-shortage
#18
Charlotte Huff
Demand for mental health services outstrips the supply of psychiatrists. Aggravating the situation: Many psychiatrists don't take insurance. Nurse practitioners and physician assistants are beginning to fill the gap.
January 2018: Managed Care
https://www.readbyqxmd.com/read/29357722/improving-adherence-to-atypical-antipsychotic-agent-screening-guidelines-in-pediatric-patients-a-quality-improvement-project-within-an-integrated-community-mental-health-setting
#19
Elishia L Featherston, Sharolyn Dihigo, Richard E Gilder
BACKGROUND: Approximately 14% to 20% of children and adolescents have a mental health problem. Atypical antipsychotic agents are used to treat behavioral, emotional, and mental health problems in children and adolescents. A discrepancy between best practices and actual practices exists. OBJECTIVE: The purpose of this quality improvement project was to increase adherence above baseline, through implementation of a checklist, to recommended screening guidelines in children, ages 4 to 18, prescribed atypical antipsychotic agents over 12 weeks...
July 2018: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/29084290/exploring-differences-in-healthcare-utilization-of-prisoners-in-the-canton-of-vaud-switzerland
#20
Karine Moschetti, Véra Zabrodina, Pierre Stadelmann, Tenzin Wangmo, Alberto Holly, Jean-Blaise Wasserfallen, Bernice S Elger, Bruno Gravier
Prison healthcare is an important public health concern given the increasing healthcare needs of a growing and aging prison population, which accumulates vulnerability factors and suffers from higher disease prevalence than the general population. This study identifies the key factors associated with outpatient general practitioner (GP), nursing or psychiatric healthcare utilization (HCU) within prisons. Cross-sectional data systematically collected by the prison medical staff were obtained for a sample of 1664 adult prisoners of the Canton of Vaud, Switzerland, for the year 2011...
2017: PloS One
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