Nursing Advocacy and Long Acting Injectables to Reduce High Readmission Rates: Quality Initiative
| Autor: | Marsha Snyder, Bernard Vonderhaar |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Time Factors Patient Advocacy Audit Nurse's Role Patient Readmission Injections Medication Adherence Academic detailing Nursing Chart Secondary Prevention Humans Medicine Nurse education Medical prescription Psychiatry business.industry Admission rate Quality Improvement Hospitalization Long acting Schizophrenia Female Pshychiatric Mental Health business Antipsychotic Agents Schizophrenia spectrum |
| Zdroj: | Journal of the American Psychiatric Nurses Association. 26:389-393 |
| ISSN: | 1532-5725 1078-3903 |
| Popis: | INTRODUCTION: Nonadherence to medications for schizophrenia relates to frequent readmissions. Long-acting injectable (LAI) medications are shown to increase adherence and reduce admissions. AIMS: (1) Identify frequent readmissions to psychiatry. (2) Improve nursing advocacy for patients appropriate for LAIs through in-service. METHODS: Chart audits were employed for data collection. Academic detailing and dashboards were used for voluntary nursing education. The chart audit spanned 90 days pre and post in-service. All admissions to psychiatry were screened; patients with readmissions under 30 days (with the same admitting diagnosis), a schizophrenia spectrum diagnosis, and nonadherent with oral antipsychotics were included. Results: Forty-four patients met criteria and amassed 49 frequent readmissions. For inclusion criteria, the admission rate decreased by 53% and LAI prescriptions increased by 9%. Three patients from the first audit group and one from the second were initiated on LAIs. CONCLUSIONS: Attitudes toward LAIs may be improving based on RN advocacy and collaboration. |
| Databáze: | OpenAIRE |
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