PMID- 16594944
OWN - NLM
STAT- MEDLINE
DCOM- 20060606
LR  - 20151119
IS  - 1323-1316 (Print)
IS  - 1323-1316 (Linking)
VI  - 60
IP  - 2
DP  - 2006 Apr
TI  - Nurses' collaboration with physicians in managing medication improves patient 
      outcome in acute psychiatric care.
PG  - 196-203
AB  - The aim of the present paper was to examine the impact of nurses' collaboration 
      with physicians in medication management on patient outcome in acute psychiatric 
      care. Data for 143 patients with schizophrenia were assessed based on information 
      given by nurses and physicians in charge. Twenty-two patients were defined as a 
      collaborative group when physicians changed medication after receiving reports 
      that nurses perceived the necessity to change. A control group was formed from 
      the 50 patients when nurses perceived the necessity to change medication but did 
      not tell physicians, or nurses advised of the necessity to physicians but 
      medication was not changed. Physicians retrospectively evaluated patients' social 
      functioning and acceptance of medication at admission and discharge. Social 
      functioning was measured by Global Assessment of Functioning (GAF), and 
      acceptance of medication by a single item using Japanese version of Schedule for 
      Assessment of Insight (SAI-J). Changes in the scores from admission to discharge 
      on GAF and acceptance of medication were defined as outcome measures. Nurses 
      recognized the necessity to change medication for patients with frequent 
      aggressive behavior and younger age. Compared with the control group, the 
      collaborative group had less instruction for use of drugs, and more perceived 
      necessity to decrease the current dose or the number of drugs because of stable 
      symptoms. The collaborative group demonstrated significantly greater improvement 
      in social functioning. The collaborative group improved acceptance of medication, 
      although there were no significant differences between the two groups. Nurses' 
      collaboration with physicians in medication management improved patient outcome 
      in acute psychiatric care.
FAU - Nakanishi, Miharu
AU  - Nakanishi M
AD  - Department of Social Psychiatry, National Institute of Mental Health, National 
      Center of Neurology and Psychiatry, Tokyo, Japan. mnakanishi-tky@umin.ac.jp
FAU - Koyama, Asuka
AU  - Koyama A
FAU - Ito, Hiroto
AU  - Ito H
FAU - Kurita, Hiroshi
AU  - Kurita H
FAU - Higuchi, Teruhiko
AU  - Higuchi T
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - Australia
TA  - Psychiatry Clin Neurosci
JT  - Psychiatry and clinical neurosciences
JID - 9513551
SB  - IM
MH  - Acute Disease
MH  - Adult
MH  - *Cooperative Behavior
MH  - Drug Therapy/*methods
MH  - Female
MH  - Humans
MH  - Male
MH  - Patient Compliance
MH  - *Physician-Nurse Relations
MH  - Schizophrenia/*drug therapy
MH  - Social Behavior
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
EDAT- 2006/04/06 09:00
MHDA- 2006/06/07 09:00
CRDT- 2006/04/06 09:00
PHST- 2006/04/06 09:00 [pubmed]
PHST- 2006/06/07 09:00 [medline]
PHST- 2006/04/06 09:00 [entrez]
AID - PCN [pii]
AID - 10.1111/j.1440-1819.2006.01486.x [doi]
PST - ppublish
SO  - Psychiatry Clin Neurosci. 2006 Apr;60(2):196-203. doi: 
      10.1111/j.1440-1819.2006.01486.x.