Knowledge of antipsychotic medication and their side effects among psychiatric nurses at a tertiary hospital in Lesotho

Authors

DOI:

https://doi.org/10.25159/2958-3918/14085

Keywords:

nurses, knowledge, antipsychotics, side effects, psychiatry, Lesotho

Abstract

Factors that impede the physical health monitoring of patients with severe mental illness are multidimensional, and healthcare providers’ knowledge and expertise regarding antipsychotic medication and side effects remain key determinants of the frequency and quality of screening a patient shall be subjected to. This challenge transcends the monitoring of patients treated with antipsychotics, where scholars have determined a lack of knowledge about screening for adverse effects, resulting in poor clinical assessments among patients prescribed antipsychotics. This study aimed to describe nurses’ knowledge regarding antipsychotic medications and their side effects at the psychiatric hospital in Lesotho. To guide the research process, a quantitative, non-experimental, descriptive approach was employed with 40 nurses out of 44 nurses as respondents, who were selected using convenience sampling, and respondents rated their knowledge regarding the side effects of antipsychotic medication using a Likert scale on a structured research questionnaire. The data were collected using a self-administered questionnaire, analysed using SPSS (version 28), and displayed using tables, frequencies, standard deviations, and means. This study's female respondents comprised 30 (75.0%) and 10 (25.0%) males. The mean age was 39.05 (SD 8.9), with eight years of psychiatry experience. A total of 29 (72.0%) had sufficient antipsychotic knowledge (t = 36.38, df = 39, p < .000), 31 (78.3%) and had adequate knowledge of the side effects of antipsychotic drugs (t = 34.00375, df = 39, p < .000). In conclusion, this study reveals a positive trend in nursing knowledge about antipsychotic medications and associated side effects, highlighting the importance of ongoing professional development to maintain and enhance this expertise.

References

Abdulhaq, B., Dardas, L.A. and Sami, O. (2021). Monitoring for the metabolic side effects of second‐generation antipsychotic medications: Psychiatrists’ views and practices. Perspectives in Psychiatric Care, 57(3), 1237–1243. https://doi.org/10.1111/ppc.12679 DOI: https://doi.org/10.1111/ppc.12679

Ali, R.A., Jalal, Z. and Paudyal, V. (2020). Barriers to monitoring and management of cardiovascular and metabolic health of patients prescribed antipsychotic drugs: a systematic review. BMC Psychiatry, 20(1), 1–15. https://doi.org/10.1186/s12888-020-02990-6 DOI: https://doi.org/10.1186/s12888-020-02990-6

Al-Salhee, A.M.S. and Al-Ameri, M.H.I. (2019). Impact of education program regarding antipsychotics-related side effects upon knowledge of nurses working in psychiatric teaching hospitals of Baghdad City. Indian Journal of Forensic Medicine and Toxicology, 13(1), 281. https://doi.org/10.5958/0973-9130.2019.00056.2 DOI: https://doi.org/10.5958/0973-9130.2019.00056.2

Appleby, N.J., Temple-Smith, M.J., Stacey, M.A., Bailey, D.L., Deveny, E.M. and Pirotta, M. (2016). General practitioners’ knowledge and management of dry mouth — A qualitative study. Australian Family Physician, 45(12), 902–906.

Australian Medicine Handbook. (2015). Australian Medicines Handbook. Adelaide: Australian Medicines Handbook Pty Ltd.

Begum, F., Mutsatsa, S., Gul, N., Thomas, B. and Flood, C. (2020). Antipsychotic medication side effects knowledge amongst registered mental health nurses in England: A national survey. Journal of Psychiatric and Mental Health Nursing, 27(5), 521–532. https://doi.org/10.1111/jpm.12600 DOI: https://doi.org/10.1111/jpm.12600

Bolton, P.S., Knight, M. and Kopeski, L.M. (2016). Metabolic syndrome: psychiatric–mental health nurses' knowledge of risks and care practices. Journal of Psychosocial Nursing and Mental Health Services, 54(11), 44–53. https://doi.org/10.3928/02793695-20161026-01 DOI: https://doi.org/10.3928/02793695-20161026-01

Brink, H., Van der Walt, C. and Van Rensburg, G. (2018). Fundamentals of research methodology for health care professionals. Juta and Company Ltd.

Cooper, R.E., Hanratty, É., Morant, N. and Moncrieff, J. (2019). Mental health professionals’ views and experiences of antipsychotic reduction and discontinuation. PLoS One, 14(6), e0218711. https://doi.org/10.1371/journal.pone.0218711 DOI: https://doi.org/10.1371/journal.pone.0218711

Curtis J, Henry C, Watkins A. (2011). Metabolic abnormalities in an early psychosis service: A retrospective, naturalistic cross-sectional study. Early Intervention in Psychiatry, 5: 108–114. https://doi.org/10.1111/j.1751-7893.2011.00262.x DOI: https://doi.org/10.1111/j.1751-7893.2011.00262.x

de Mey, L., Çömlekçi, C., de Reuver, F., van Waard, I., van Gool, R., Scheerman, J.F. and van Meijel, B. (2016). Oral hygiene in patients with severe mental illness: A pilot study on the collaboration between oral hygienists and mental health nurses. Perspectives in Psychiatric Care, 52(3), 194–200. https://doi.org/10.1111/ppc.12117 DOI: https://doi.org/10.1111/ppc.12117

Eita, L.H., (2019). Impact of psychoeducation intervention regarding Neuroleptic Malignant Syndrome (NMS) on psychiatric nurses' knowledge. International Journal of Neurological Nursing, 5(2), 9–16.

Gallagher, S. and Bouchard, L. (2023). Nurse practitioner educational preparation and confidence related to managing antipsychotic medications and associated drug-induced movement disorders. Journal of the American Association of Nurse Practitioners. https://doi.org/10.1097/JXX.0000000000000899 DOI: https://doi.org/10.1097/JXX.0000000000000899

Grove, S.K., Burns, N. and Gray, J. (2021). The practice of nursing research: Appraisal, synthesis, and generation of evidence. Elsevier Health Sciences.

James, B.O., Omoaregba, J.O., Okonoda, K.M., Otefe, E.U. and Patel, M.X. (2012). The knowledge and attitudes of psychiatrists towards antipsychotic long-acting injections in Nigeria. Therapeutic Advances in Psychopharmacology, 2(5), 169–177. https://doi.org/10.1177/2045125312453158 DOI: https://doi.org/10.1177/2045125312453158

Lally, J. and MacCabe, J.H. (2015). Antipsychotic medication in schizophrenia: a review. British Medical Bulletin, 114(1), 169–179. https://doi.org/10.1093/bmb/ldv017 DOI: https://doi.org/10.1093/bmb/ldv017

Mangurian, C., Giwa, F., Shumway, M. et al. (2013). Primary care providers’ views on metabolic monitoring of outpatients taking antipsychotic medication. Psychiatric Services, 64, 597–599. https://doi.org/10.1176/appi.ps.002542012 DOI: https://doi.org/10.1176/appi.ps.002542012

Mitchell AJ, Vancampfort D, De Herdt A, Yu W, De Hert M. (2013). Is the prevalence of metabolic syndrome and metabolic abnormalities increased in early schizophrenia? A comparative meta-analysis of first episode, untreated and treated patients. Schizophr Bull, pp. 295–305. https://doi.org/10.1093/schbul/sbs082 https://doi.org/10.1093/schbul/sbr148 DOI: https://doi.org/10.1093/schbul/sbs082

Moncrieff, J. (2015). Antipsychotic maintenance treatment: time to rethink? PLoS Medicine, 12(8), e1001861. https://doi.org/10.1371/journal.pmed.1001861 DOI: https://doi.org/10.1371/journal.pmed.1001861

Mwebe, H. (2017). Physical health monitoring in mental health settings: a study exploring mental health nurses’ views of their role. Journal of Clinical Nursing, 26(19-20), 3067–3078. https://doi.org/10.1111/jocn.13653 DOI: https://doi.org/10.1111/jocn.13653

Nash, A., Kingstone, T., Farooq, S., Tunmore, J. and Chew-Graham, C.A. (2021). Switching antipsychotics to support the physical health of people with severe mental illness: a qualitative study of healthcare professionals’ perspectives. BMJ Open, 11(2), e042497. https://doi.org/10.1136/bmjopen-2020-042497 DOI: https://doi.org/10.1136/bmjopen-2020-042497

Polit, D. and Beck, C. (2020). Essentials of nursing research: Appraising evidence for nursing practice. Lippincott Williams & Wilkins.

Rathobei, L.M., Nyangu, I. and Dube, M. (2021). Nurses’ perceptions regarding types of aggressive behaviour displayed by patients in a selected psychiatric hospital in Lesotho. Africa Journal of Nursing and Midwifery, 23(1), 14–pages. https://doi.org/10.25159/2520-5293/8325 DOI: https://doi.org/10.25159/2520-5293/8325

Rodday, A.M., Parsons, S.K., Mankiw, C., Correll, C.U., Robb, A.S., Zima, B.T., Saunders, T.S. and Leslie, L.K. (2015). Child and adolescent psychiatrists' reported monitoring behaviors for second-generation antipsychotics. Journal of Child and Adolescent Psychopharmacology, 25(4), 351–361. https://doi.org/10.1089/cap.2014.0156 DOI: https://doi.org/10.1089/cap.2014.0156

Royal College of Psychiatrists. (2014). Report of the second round of the National Audit of Schizophrenia (NAS).

Sanjeevi, S. and Cocoman, A. (2020). Mental health nurses' knowledge of Clozapine. Issues in Mental Health Nursing, 42(3), 291–298. https://doi.org/10.1080/01612840.2020.1789786 DOI: https://doi.org/10.1080/01612840.2020.1789786

Soerensen, A. L., Lisby, M., Nielsen, L. P., Poulsen, B. K., & Mainz, J. (2013). The medication process in a psychiatric hospital: Are errors a potential threat to patient safety? Risk Management and Healthcare Policy, 6, 23–31. https://doi.org/10.2147/RMHP.S47723 DOI: https://doi.org/10.2147/RMHP.S47723

South African College of Applied Psychology- Allers. (2019). The shocking state of mental health in South Africa in 2019.

Vincent-Höper, S., Stein, M., Nienhaus, A. and Schablon, A. (2020). Workplace aggression and burnout in nursing—the moderating role of follow-up counseling. International Journal of Environmental Research and Public Health, 17(9), 3152. https://doi.org/10.3390/ijerph17093152 DOI: https://doi.org/10.3390/ijerph17093152

Walsh, K.A., Byrne, S., McSharry, J., Browne, J., Irving, K., Hurley, E., Rochford-Brennan, H., Geoghegan, C., Presseau, J. and Timmons, S. (2021). Developing a complex intervention targeting antipsychotic prescribing to nursing home residents with dementia. HRB Open Research, p. 4. https://doi.org/10.12688/hrbopenres.13228.1 DOI: https://doi.org/10.12688/hrbopenres.13228.1

Wauters, M., Azermai, M., Perehudoff, K., Versluys, K.A.R.E.N., Steeman, E. and Petrovic, M. (2016). Development and validation of the Psychotropic Education and Knowledge (PEAK) test on psychotropic drugs for nurses in an acute geriatric care setting. European Geriatric Medicine, 7 (2), 135–141. https://doi.org/10.1016/j.eurger.2016.02.002 DOI: https://doi.org/10.1016/j.eurger.2016.02.002

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Published

2023-10-26

How to Cite

Matete, Relebohile Paulus, and Libuseng Moureen Rathobei. 2023. “Knowledge of Antipsychotic Medication and Their Side Effects Among Psychiatric Nurses at a Tertiary Hospital in Lesotho”. New Voices in Psychology 13:13 pages. https://doi.org/10.25159/2958-3918/14085.

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Articles
Received 2023-07-09
Accepted 2023-09-26
Published 2023-10-26