Use of Psychotropic “Pro Re Nata” Medications by Patients Attending the Outpatient Clinic in a Hospital: A Qualitative Exploration
Open Access
- 23 July 2021
- journal article
- research article
- Published by Frontiers Media SA in Frontiers in Medicine
Abstract
Introduction: Administration of psychotropic pro re nata (PRN) medications is influenced by diverse factors such as legal use of PRN medications, the attitude of patients, personal bias, and stigma toward such medication use. While PRN prescriptions increase the efficiency of care and encourage patients to participate in self-care, the use of psychotropic PRN medications by outpatients has raised concerns about its risks of harm, especially for the outpatients. This study explored the use of psychotropic PRN medications by patients attending the outpatient clinic in a hospital. Methods: Qualitative in-depth interviews were conducted. Purposeful sampling was done to achieve cases with enriched information. Participants were chosen regardless of their ethnicity and were selected using the database and patient records in the clinic. Patients 18 years of age prescribed PRN psychotropic medications attending outpatient clinics in a hospital were included. Vulnerable patients (e.g., pregnant ladies, prisoners, cognitively impaired individual, AIDS/HIV subjects, and terminally ill subjects) were excluded. Results: This study revealed the patients' perspectives and experiences on self-management of psychotropic PRN medications. The themes that emerged were clustered as education and background, knowledge on psychotropic medications, frequency of medication intake, underuse of medication, the overdose of medication, side effects concern, source of information, and personal experience. Conclusions: Patients' understanding of medication, inappropriate medication use, cues to action, and use of alternatives are the factors that affected the self-management of psychotropic PRN medications by the patients.Funding Information
- International Medical University (MPP 1/2019 (07))
This publication has 30 references indexed in Scilit:
- PRN Medicines Optimization and Nurse EducationPharmacy, 2020
- PRN Medicines Management for Psychotropic Medicines in Long-Term Care Settings: A Systematic ReviewPharmacy, 2019
- Mixed Methods Analysis of Youth Attitudes and Self-efficacy regarding Psychotropic Medication in Residential TreatmentResidential Treatment For Children & Youth, 2019
- The Administration of Pro re nata Medication by Mental Health Nurses: A Thematic AnalysisIssues in Mental Health Nursing, 2019
- Self-Management Strategies for Stress and Anxiety Used by Nontreatment Seeking Veteran Primary Care PatientsMilitary Medicine, 2017
- A study of the use of sedative PRN medication in patients at a secure hospitalThe Journal of Forensic Psychiatry & Psychology, 2014
- The administration of psychotropic PRN medication in Scottish psychiatric intensive care unitsJournal of Psychiatric Intensive Care, 2014
- Service users' experiences of 'as needed' psychotropic medications in acute mental healthcare settingsJournal of Advanced Nursing, 2006
- Self-management of psychiatric symptoms using over-the-counter (OTC) psychopharmacology: The S-DTM therapeutic model – Self-diagnosis, self-treatment, self-monitoringMedical Hypotheses, 2005
- Reasons for admission and their implications for the nature of acute inpatient psychiatric nursingJournal of Psychiatric and Mental Health Nursing, 2005