Psychiatric Deprescribing: A Narrative Review.

IF 1.5 4区 医学 Q3 NURSING Journal of the American Psychiatric Nurses Association Pub Date : 2024-07-01 Epub Date: 2023-07-01 DOI:10.1177/10783903231185353
Shari L Harding, Kerri A Ellis, John Boisseau, Victor Petreca
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Abstract

Objective: Psychiatric deprescribing is an intervention where psychiatric medications are reduced or discontinued with the goal to improve health and reduce unnecessary risks. The purpose of this study was to synthesize the literature related to psychiatric deprescribing to discuss practice and research implications.

Methods: A structured search of the literature was conducted from May to September 2022, yielding 29 articles meeting inclusion criteria. Articles were reviewed and synthesized.

Results: Psychiatric deprescribing is a complex process with many potential facilitators and barriers. The extant literature provides insight into current gaps in knowledge and implications for clinical practice and research.

Conclusions: In current clinical practice, psychiatric deprescribing is a priority but there are significant barriers. Several areas of future research could be pursued to better support evidence-based practice in this area.

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精神科开药不足:叙述性评论。
目的:精神科去处方化是一种减少或停用精神科药物的干预措施,目的是改善健康状况并减少不必要的风险。本研究旨在综述与精神科去处方化相关的文献,以探讨实践和研究意义:方法:2022 年 5 月至 9 月对文献进行了结构化检索,共检索到 29 篇符合纳入标准的文章。对文章进行了审查和综合:结果:取消精神科处方是一个复杂的过程,有许多潜在的促进因素和障碍。现有文献为临床实践和研究提供了目前的知识缺口和意义:结论:在当前的临床实践中,精神科取消处方是一个优先事项,但也存在重大障碍。为了更好地支持该领域的循证实践,未来可在多个领域开展研究。
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来源期刊
CiteScore
5.30
自引率
0.00%
发文量
65
期刊介绍: The Journal of the American Psychiatric Nurses Association (JAPNA) is a peer-reviewed bi-monthly journal publishing up-to-date information to promote psychiatric nursing, improve mental health care for culturally diverse individuals, families, groups, and communities, as well as shape health care policy for the delivery of mental health services. JAPNA publishes both clinical and research articles relevant to psychiatric nursing. This journal is a member of the Committee on Publication Ethics (COPE).
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