Premium
Multidisciplinary, Nurse‐Led Psychiatric Consultation in Nursing Homes: A Pilot Study in Clinical Practice
Author(s) -
Koekkoek Bauke,
Baarsen Carlijn,
Steenbeek Mirella
Publication year - 2016
Publication title -
perspectives in psychiatric care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.538
H-Index - 35
eISSN - 1744-6163
pISSN - 0031-5990
DOI - 10.1111/ppc.12120
Subject(s) - medicine , psychiatry , anxiety , depression (economics) , nursing , multidisciplinary approach , aggression , intervention (counseling) , nursing homes , family medicine , social science , sociology , economics , macroeconomics
Purpose To determine the effects of multidisciplinary, nurse‐led psychiatric consultation on behavioral problems of nursing home residents. Residents often suffer from psychiatric symptoms, while staff psychiatric expertise varies. Design and Methods A pre‐post study was conducted in seven homes using the Neuropsychiatric Inventory Nursing Home version ( NPI ‐ NH ). Findings In 71 consultations during 18 months, 56–75% of residents suffered from agitation/aggression, depression, anxiety, and disinhibition. Post‐intervention ( n = 54), frequency, and severity of psychiatric symptoms were significantly and clinically meaningfully reduced. Also, staff suffered from less work stress. Practice Implications Nurse‐led psychiatric consultation is valuable to both nursing home residents and staff.