Abstract：
OBJECTIVE: Clinical use of psychotropic medications involves diverse risks, addressable by nursing interventions. The research had a dual purpose: developing an \"Evidence-Based Medication Therapy Management Guideline\" and a \"Medication Administration-Tracking Chart\" and evaluating their use through an evaluative case study.
METHODS: Evidence-based guideline and chart development and evaluative case study. Initially, Evidence-Based Medication Therapy Management Guideline and Medication Administration Tracking Chart for managing medication in a psychiatric unit were developed. Subsequently, their efficacy was evaluated in a case study involving 10 participating nurses used in the psychiatric unit with 123-bed of a training and research hospital in Turkey. Data was collected through personal forms, interviews, medication charts, and researcher observations, and the analysis employed Merriam\'s case study method.
RESULTS: Three themes (inception, implementation, termination, and sustainers) and 12 sub-themes emerged. Nurses stated that the research tools filled their information gaps, enhancing the medication therapy management process\'s effectiveness and safety, improving nursing care quality and continuity, and benefiting patient outcomes. Nurses expressed a desire to consistently use the tools in the unit and provided suggestions.
CONCLUSIONS: Nurses highlighted the tools\' potential to enhance medication safety, psychiatric care, and patient outcomes. However, their stance on using evidence-based tools revealed an approach/avoidance conflict, balancing benefits and barriers. Experience emerged as a hindrance in embracing evidence-based clinical tools. This study is among the first to comprehensively develop evidence-based medication management guideline and administration-tracking chart for psychiatric nurses globally and in our country. Routine use of the tools is expected to enhance nurses\' expertise in psychotropic medication management, leading to improved patient outcomes in medication-related aspects.
METHODS: Evidence-based guideline and chart development and evaluative case study. Initially, Evidence-Based Medication Therapy Management Guideline and Medication Administration Tracking Chart for managing medication in a psychiatric unit were developed. Subsequently, their efficacy was evaluated in a case study involving 10 participating nurses used in the psychiatric unit with 123-bed of a training and research hospital in Turkey. Data was collected through personal forms, interviews, medication charts, and researcher observations, and the analysis employed Merriam\'s case study method.
RESULTS: Three themes (inception, implementation, termination, and sustainers) and 12 sub-themes emerged. Nurses stated that the research tools filled their information gaps, enhancing the medication therapy management process\'s effectiveness and safety, improving nursing care quality and continuity, and benefiting patient outcomes. Nurses expressed a desire to consistently use the tools in the unit and provided suggestions.
CONCLUSIONS: Nurses highlighted the tools\' potential to enhance medication safety, psychiatric care, and patient outcomes. However, their stance on using evidence-based tools revealed an approach/avoidance conflict, balancing benefits and barriers. Experience emerged as a hindrance in embracing evidence-based clinical tools. This study is among the first to comprehensively develop evidence-based medication management guideline and administration-tracking chart for psychiatric nurses globally and in our country. Routine use of the tools is expected to enhance nurses\' expertise in psychotropic medication management, leading to improved patient outcomes in medication-related aspects.
摘要：
目的：精神药物的临床使用涉及多种风险，可通过护理干预来解决。该研究有双重目的：制定“循证药物治疗管理指南”和“药物管理跟踪图表”，并通过评估性案例研究评估其使用情况。
方法：循证指南和图表开发以及评估案例研究。最初，开发了用于在精神科管理药物的循证药物治疗管理指南和药物管理跟踪图表。随后，在一项案例研究中评估了他们的疗效,该研究涉及10名参与护士,这些护士在土耳其一家培训和研究医院拥有123张床位的精神科使用.数据是通过个人形式收集的，采访,用药图表,和研究人员的观察，分析采用了梅里亚姆的案例研究方法。
结果：三个主题(开始，实施，终止,和维持者)和12个子主题出现了。护士表示，研究工具填补了他们的信息空白，提高药物治疗管理过程的有效性和安全性，提高护理质量和连续性，并使患者受益。护士表示希望始终如一地使用该单元中的工具并提供建议。
结论：护士强调了提高用药安全性的潜在工具，精神病治疗,和患者结果。然而,他们使用循证工具的立场揭示了一种方法/避免冲突，平衡利益和障碍。经验成为接受循证临床工具的障碍。这项研究是在全球和我国率先全面制定针对精神科护士的循证用药管理指南和管理跟踪图的研究之一。这些工具的常规使用有望提高护士在精神药物管理方面的专业知识，导致改善患者在药物相关方面的结果。
方法：循证指南和图表开发以及评估案例研究。最初，开发了用于在精神科管理药物的循证药物治疗管理指南和药物管理跟踪图表。随后，在一项案例研究中评估了他们的疗效,该研究涉及10名参与护士,这些护士在土耳其一家培训和研究医院拥有123张床位的精神科使用.数据是通过个人形式收集的，采访,用药图表,和研究人员的观察，分析采用了梅里亚姆的案例研究方法。
结果：三个主题(开始，实施，终止,和维持者)和12个子主题出现了。护士表示，研究工具填补了他们的信息空白，提高药物治疗管理过程的有效性和安全性，提高护理质量和连续性，并使患者受益。护士表示希望始终如一地使用该单元中的工具并提供建议。
结论：护士强调了提高用药安全性的潜在工具，精神病治疗,和患者结果。然而,他们使用循证工具的立场揭示了一种方法/避免冲突，平衡利益和障碍。经验成为接受循证临床工具的障碍。这项研究是在全球和我国率先全面制定针对精神科护士的循证用药管理指南和管理跟踪图的研究之一。这些工具的常规使用有望提高护士在精神药物管理方面的专业知识，导致改善患者在药物相关方面的结果。
