ORCID Profile
0000-0001-9985-9875
Current Organisation
University of Leeds
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Publisher: Wiley
Date: 15-05-2009
Publisher: Informa UK Limited
Date: 17-01-2022
DOI: 10.1080/09638237.2021.2022633
Abstract: Dysphagia and choking are highly prevalent in adults with mental health conditions. However, there is scant research considering the personal experience of dysphagia for this population. To understand the evidence-base for strategies to involve the patient in recognition, assessment and treatment of mealtime difficulties. This integrative review synthesised the literature on the experience of dysphagia in patients with mental health conditions. Patient consultation led to co-designed search terms and eligibility criteria for a systematic search of five scientific databases following Prisma guidance. Quality assessment of the eligible studies and reflexive thematic analysis were completed. 31 studies were included for review. These included case reports, literature reviews and cross-sectional studies. Quality of evidence was weak and no intervention studies were identified. There was scant detail regarding the personal experience of dysphagia or choking. Themes identified related to biomedical perspectives, influencing factors presented without context, and decision-making led by clinicians. Guidance on mental healthcare calls attention to under-diagnosis of physical co-morbidities and advocates patient inclusion. However, the patient voice in this population is rarely described regarding dysphagia. Further inclusive research is indicated to explore the impact of dysphagia and choking, and implications for interventions and outcome measures.
Publisher: Wiley
Date: 05-05-2010
Publisher: Wiley
Date: 05-2009
DOI: 10.1111/J.1365-2648.2008.04957.X
Abstract: This paper is a report of a study exploring the medical and nursing decision-making process associated with the prescription and administration of 'as needed' psychotropic medication. The administration of 'as needed' psychotropic medications is a relatively autonomous component of a nurse's role, allowing for the capacity to administer psychotropic medications rapidly in acute situations or at the request of a patient. From the research evidence available to date, it is very difficult to determine how doctors and nurses make decisions about the prescription and administration of 'as needed' psychotropic medications. A qualitative exploratory-descriptive study was undertaken to explore nurses and doctors decision-making surrounding the administration of pro re nata or 'as needed' psychotropic medications. Nineteen medical and nursing staff from three mental healthcare sites (acute, secure and rehabilitation) in Australia participated in semi-structured interviews in 2006. Thematic content analysis of the transcripts was conducted independently by two members of the research team and then merged to form the final themes. Four themes were identified in the data: decision-making processes factors which influenced the administration and prescription of 'as needed' medication in idual protocols and improving practice. In-service education should be developed for mental health nurses on psychotropic medications and 'as needed' medications, and on the appropriate use of 'as needed' medications as a behaviour management strategy. Further, an extensive review of 'as needed' medication prescription and administration compared to best practice guidelines is needed.
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for John Baker.