Australian mental health nurses’ perspectives about the identification and management of antipsychotic medication side effects: a cross-sectional survey

Morrison, Paul, Stomski, Norman J. and Meehan, Tom (2016) Australian mental health nurses’ perspectives about the identification and management of antipsychotic medication side effects: a cross-sectional survey. Journal of Mental Health, 27 1: 1-7. doi:10.1080/09638237.2016.1222060


Author Morrison, Paul
Stomski, Norman J.
Meehan, Tom
Title Australian mental health nurses’ perspectives about the identification and management of antipsychotic medication side effects: a cross-sectional survey
Journal name Journal of Mental Health   Check publisher's open access policy
ISSN 1360-0567
0963-8237
Publication date 2016-09-26
Sub-type Article (original research)
DOI 10.1080/09638237.2016.1222060
Open Access Status Not yet assessed
Volume 27
Issue 1
Start page 1
End page 7
Total pages 7
Place of publication Abingdon, Oxon, United Kingdom
Publisher Routledge
Language eng
Subject 2738 Psychiatry and Mental health
Abstract Background: Currently, little is known about mental health nurses’ management of antipsychotic medication side effects. Aims: This study examined how Australian mental health nurses’ attitudes and service processes influence the assessment of antipsychotic medication side effects. Methods: Participants were included if they were registered nurses in Australian mental health settings. An online questionnaire was distributed via email. Multivariate logistic regression was used to examine associations between attitudes and awareness, and use of antipsychotic medication assessment tools. Results: Only one quarter of the respondents were currently using a tool. In cases where the service had a clear system for agreeing responsibility about monitoring consumers between primary and secondary care, respondents were three times more likely to still be using one or more tool. When the service had reliable systems in place to remind staff that side effect assessments were due, respondents were five times more likely to continue using assessment tools. Conclusion: Australian mental nurses are not routinely using antipsychotic medication side effect assessment tools. The routine use of assessment tools would improve if systems were implemented to enhance their use.
Formatted abstract
Background: Currently, little is known about mental health nurses’ management of antipsychotic medication side effects.

Aims: This study examined how Australian mental health nurses’ attitudes and service processes influence the assessment of antipsychotic medication side effects.

Methods: Participants were included if they were registered nurses in Australian mental health settings. An online questionnaire was distributed via email. Multivariate logistic regression was used to examine associations between attitudes and awareness, and use of antipsychotic medication assessment tools.

Results: Only one quarter of the respondents were currently using a tool. In cases where the service had a clear system for agreeing responsibility about monitoring consumers between primary and secondary care, respondents were three times more likely to still be using one or more tool. When the service had reliable systems in place to remind staff that side effect assessments were due, respondents were five times more likely to continue using assessment tools.

Conclusion: Australian mental nurses are not routinely using antipsychotic medication side effect assessment tools. The routine use of assessment tools would improve if systems were implemented to enhance their use.
Keyword Antipsychotic medication
Assessment tool
Mental health
Nursing
Survey
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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