Psychiatric Nurses’ Knowledge and Practice Barriers to Administering Long-Acting Injectable (LAI) Antipsychotics in Taiwan: A Mixed-Methods Study

Long-acting antipsychotic injections require that psychiatric nurses choose the proper injection site and technique to avoid harming patients. This research conducted a mixed-method study to examine the long-acting injectable antipsychotic (LAI) knowledge, practice, and administrative barriers in a...

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Main Authors: Yao-Yu Lin, Wen-Li Hou, Mei-Ling Lin
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/12/1670
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author Yao-Yu Lin
Wen-Li Hou
Mei-Ling Lin
author_facet Yao-Yu Lin
Wen-Li Hou
Mei-Ling Lin
author_sort Yao-Yu Lin
collection DOAJ
description Long-acting antipsychotic injections require that psychiatric nurses choose the proper injection site and technique to avoid harming patients. This research conducted a mixed-method study to examine the long-acting injectable antipsychotic (LAI) knowledge, practice, and administrative barriers in a sample of 269 psychiatric nurses from 3 public psychiatric hospitals in Taiwan. Self-report questionnaires showed female nurses exhibiting higher scores and older nurses demonstrating more knowledge. The dorsogluteal (DG) site was the most widely used for injections, with 57.6% of nurses using the Z-track method. Qualitative data analysis was performed on 20 psychiatric nurses who chose the DG site as their preferred injection site. There were two key themes. The first was a gap between the nurses’ knowledge of LAI administration and their actual practice. The second needed more confidence and training in using the ventrogluteal injection site. These results highlight the need for continued education and training to improve LAI practice among psychiatric nurses.
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spelling doaj.art-44ede5a4e0c24603bbb0e2741c7b762b2023-11-18T10:37:30ZengMDPI AGHealthcare2227-90322023-06-011112167010.3390/healthcare11121670Psychiatric Nurses’ Knowledge and Practice Barriers to Administering Long-Acting Injectable (LAI) Antipsychotics in Taiwan: A Mixed-Methods StudyYao-Yu Lin0Wen-Li Hou1Mei-Ling Lin2Department of Nursing, Tsaotun Psychiatric Center, Ministry of Health and Welfare, Nantou 542, TaiwanCollege of Nursing, Kaohsiung Medical University, Kaohsiung 807, TaiwanDepartment of Nursing, HungKuang University, Taichung 433, TaiwanLong-acting antipsychotic injections require that psychiatric nurses choose the proper injection site and technique to avoid harming patients. This research conducted a mixed-method study to examine the long-acting injectable antipsychotic (LAI) knowledge, practice, and administrative barriers in a sample of 269 psychiatric nurses from 3 public psychiatric hospitals in Taiwan. Self-report questionnaires showed female nurses exhibiting higher scores and older nurses demonstrating more knowledge. The dorsogluteal (DG) site was the most widely used for injections, with 57.6% of nurses using the Z-track method. Qualitative data analysis was performed on 20 psychiatric nurses who chose the DG site as their preferred injection site. There were two key themes. The first was a gap between the nurses’ knowledge of LAI administration and their actual practice. The second needed more confidence and training in using the ventrogluteal injection site. These results highlight the need for continued education and training to improve LAI practice among psychiatric nurses.https://www.mdpi.com/2227-9032/11/12/1670long-acting antipsychoticsinjectionpsychiatric nurses
spellingShingle Yao-Yu Lin
Wen-Li Hou
Mei-Ling Lin
Psychiatric Nurses’ Knowledge and Practice Barriers to Administering Long-Acting Injectable (LAI) Antipsychotics in Taiwan: A Mixed-Methods Study
Healthcare
long-acting antipsychotics
injection
psychiatric nurses
title Psychiatric Nurses’ Knowledge and Practice Barriers to Administering Long-Acting Injectable (LAI) Antipsychotics in Taiwan: A Mixed-Methods Study
title_full Psychiatric Nurses’ Knowledge and Practice Barriers to Administering Long-Acting Injectable (LAI) Antipsychotics in Taiwan: A Mixed-Methods Study
title_fullStr Psychiatric Nurses’ Knowledge and Practice Barriers to Administering Long-Acting Injectable (LAI) Antipsychotics in Taiwan: A Mixed-Methods Study
title_full_unstemmed Psychiatric Nurses’ Knowledge and Practice Barriers to Administering Long-Acting Injectable (LAI) Antipsychotics in Taiwan: A Mixed-Methods Study
title_short Psychiatric Nurses’ Knowledge and Practice Barriers to Administering Long-Acting Injectable (LAI) Antipsychotics in Taiwan: A Mixed-Methods Study
title_sort psychiatric nurses knowledge and practice barriers to administering long acting injectable lai antipsychotics in taiwan a mixed methods study
topic long-acting antipsychotics
injection
psychiatric nurses
url https://www.mdpi.com/2227-9032/11/12/1670
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