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Papers by Kim Capp

Research paper thumbnail of Administration of 'as needed' psychotropic medication: A retrospective study

International Journal of Mental Health Nursing, 2003

Mental health nurses are increasingly encouraged to discuss and document the outcomes of their nu... more Mental health nurses are increasingly encouraged to discuss and document the outcomes of their nursing practice in order to maximize the care that they offer clients. One frequent function performed by mental health nurses working in inpatient units is the administration of 'as required' (PRN) psychotropic medications. However, according to the literature, this important aspect of nursing practice has been poorly explored and studies that have been undertaken demonstrate that nursing documentation of PRN medication administration is often inadequate. This study presents the results of a descriptive study examining the administration of PRN psychotropic medication at a secure acute inpatient mental health unit attached to a regional hospital in Australia. Of major concern is the findings of inadequate or no documentation regarding PRN administration. In 41% of cases the results of the PRN administration was not documented in the nursing progress notes, in 38.6% of entries it was not possible to identify who initiated the request for medication and in 9.1% of cases no reason was given for the administration of PRN medication.

Research paper thumbnail of Two-Year Follow-Up of a Community Gatekeeper Suicide Prevention Program in an Aboriginal Community

Australian Journal of Rehabilitation Counseling, 2007

Few studies report long term follow-up of community gatekeeper training programs that aim to faci... more Few studies report long term follow-up of community gatekeeper training programs that aim to facilitate helpseeking for suicide and there are none in Aboriginal communities. This study aimed to determine long term effects of the Shoalhaven Aboriginal Suicide Prevention Program (SASPP), which used community gatekeeper training as its primary strategy. Following consultation with the Aboriginal community, a brief questionnaire and semi-structured interview was completed by 40 participants who attended a community gatekeeper workshop 2 years earlier. Fifteen of the 40 participants stated that they had helped someone at risk of suicide over the 2-year follow-up period. Intentions to help and confidence to identify someone at risk of suicide remained high. A significant relationship was found between intentions to help prior to the workshop and whether participants had actually helped someone at risk of suicide. Correlations suggested a link between intentions to help, and subsequent help provision. However, it is unclear whether workshop attendance contributed to this effect. Future prevention programs need to be customised to specific Aboriginal communities to reduce barriers to helpseeking behaviour.

Research paper thumbnail of Suicide prevention in Aboriginal communities: application of community gatekeeper training

Australian and New Zealand Journal of Public Health, 2001

Objective: Concern over the high rate of suicide among Aboriginal people on the south coast of NS... more Objective: Concern over the high rate of suicide among Aboriginal people on the south coast of NSW led to the development of a project aimed at preventing youth suicide in the Aboriginal communities of the Shoalhaven. This paper describes the development, implementation and evaluation of the project.

Research paper thumbnail of Administration of 'as needed' psychotropic medication: A retrospective study

International Journal of Mental Health Nursing, 2003

Mental health nurses are increasingly encouraged to discuss and document the outcomes of their nu... more Mental health nurses are increasingly encouraged to discuss and document the outcomes of their nursing practice in order to maximize the care that they offer clients. One frequent function performed by mental health nurses working in inpatient units is the administration of 'as required' (PRN) psychotropic medications. However, according to the literature, this important aspect of nursing practice has been poorly explored and studies that have been undertaken demonstrate that nursing documentation of PRN medication administration is often inadequate. This study presents the results of a descriptive study examining the administration of PRN psychotropic medication at a secure acute inpatient mental health unit attached to a regional hospital in Australia. Of major concern is the findings of inadequate or no documentation regarding PRN administration. In 41% of cases the results of the PRN administration was not documented in the nursing progress notes, in 38.6% of entries it was not possible to identify who initiated the request for medication and in 9.1% of cases no reason was given for the administration of PRN medication.

FIG. 1: Time of administration and number of medications  A major concern that arises from the present study is the inadequate documentation and the paucity of documen.- tation by nurses administering PRN psychotropic medica. tion to clients. In 9% of administrations of PRN medicatior nurses documented no reason for administration. Thi:

Research paper thumbnail of Administration of 'as needed' psychotropic medication: A retrospective study

International Journal of Mental Health Nursing, 2003

Mental health nurses are increasingly encouraged to discuss and document the outcomes of their nu... more Mental health nurses are increasingly encouraged to discuss and document the outcomes of their nursing practice in order to maximize the care that they offer clients. One frequent function performed by mental health nurses working in inpatient units is the administration of 'as required' (PRN) psychotropic medications. However, according to the literature, this important aspect of nursing practice has been poorly explored and studies that have been undertaken demonstrate that nursing documentation of PRN medication administration is often inadequate. This study presents the results of a descriptive study examining the administration of PRN psychotropic medication at a secure acute inpatient mental health unit attached to a regional hospital in Australia. Of major concern is the findings of inadequate or no documentation regarding PRN administration. In 41% of cases the results of the PRN administration was not documented in the nursing progress notes, in 38.6% of entries it was not possible to identify who initiated the request for medication and in 9.1% of cases no reason was given for the administration of PRN medication.

Research paper thumbnail of Two-Year Follow-Up of a Community Gatekeeper Suicide Prevention Program in an Aboriginal Community

Australian Journal of Rehabilitation Counseling, 2007

Few studies report long term follow-up of community gatekeeper training programs that aim to faci... more Few studies report long term follow-up of community gatekeeper training programs that aim to facilitate helpseeking for suicide and there are none in Aboriginal communities. This study aimed to determine long term effects of the Shoalhaven Aboriginal Suicide Prevention Program (SASPP), which used community gatekeeper training as its primary strategy. Following consultation with the Aboriginal community, a brief questionnaire and semi-structured interview was completed by 40 participants who attended a community gatekeeper workshop 2 years earlier. Fifteen of the 40 participants stated that they had helped someone at risk of suicide over the 2-year follow-up period. Intentions to help and confidence to identify someone at risk of suicide remained high. A significant relationship was found between intentions to help prior to the workshop and whether participants had actually helped someone at risk of suicide. Correlations suggested a link between intentions to help, and subsequent help provision. However, it is unclear whether workshop attendance contributed to this effect. Future prevention programs need to be customised to specific Aboriginal communities to reduce barriers to helpseeking behaviour.

Research paper thumbnail of Suicide prevention in Aboriginal communities: application of community gatekeeper training

Australian and New Zealand Journal of Public Health, 2001

Objective: Concern over the high rate of suicide among Aboriginal people on the south coast of NS... more Objective: Concern over the high rate of suicide among Aboriginal people on the south coast of NSW led to the development of a project aimed at preventing youth suicide in the Aboriginal communities of the Shoalhaven. This paper describes the development, implementation and evaluation of the project.

Research paper thumbnail of Administration of 'as needed' psychotropic medication: A retrospective study

International Journal of Mental Health Nursing, 2003

Mental health nurses are increasingly encouraged to discuss and document the outcomes of their nu... more Mental health nurses are increasingly encouraged to discuss and document the outcomes of their nursing practice in order to maximize the care that they offer clients. One frequent function performed by mental health nurses working in inpatient units is the administration of 'as required' (PRN) psychotropic medications. However, according to the literature, this important aspect of nursing practice has been poorly explored and studies that have been undertaken demonstrate that nursing documentation of PRN medication administration is often inadequate. This study presents the results of a descriptive study examining the administration of PRN psychotropic medication at a secure acute inpatient mental health unit attached to a regional hospital in Australia. Of major concern is the findings of inadequate or no documentation regarding PRN administration. In 41% of cases the results of the PRN administration was not documented in the nursing progress notes, in 38.6% of entries it was not possible to identify who initiated the request for medication and in 9.1% of cases no reason was given for the administration of PRN medication.

FIG. 1: Time of administration and number of medications  A major concern that arises from the present study is the inadequate documentation and the paucity of documen.- tation by nurses administering PRN psychotropic medica. tion to clients. In 9% of administrations of PRN medicatior nurses documented no reason for administration. Thi:

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