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Bayot i Escardívol R, Mateo-Viladomat E, Galbany-Estragués P, Vilar-Pont M, Calderó i Solé MA, Mora-López G, Flores-Montoya R, Vicente-Belis M, Escoda-Geli N, Molina-Nadal A, Canet-Vélez O, Jodar-Solà G. Implementation of Nurse Prescriptions throughout the Public Health System in Catalonia (2021-2022). Healthcare (Basel) 2024; 12:1232. [PMID: 38921348 PMCID: PMC11204069 DOI: 10.3390/healthcare12121232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2024] [Revised: 06/10/2024] [Accepted: 06/17/2024] [Indexed: 06/27/2024] Open
Abstract
BACKGROUND Nurses in Catalonia have always prescribed health advice, health products, and medication in line with the professional competency of the discipline. Legislation about nurse prescriptions and the implementation of nurse prescribing varies widely among different countries. This article reports data regarding nurse prescribing in Catalonia in 2021 and 2022. METHODS This retrospective longitudinal study analyzed data from all care-providing units in Catalonia's integrated public health system. RESULTS The number of nurse prescriptions increased from 139,435 in 2021 to 573,822 in 2022, and the number of nurses issuing prescriptions increased from 3604 in 2021 to 5563 in 2022. The proportion of prescriptions for different products was similar in the two years analyzed. Prescriptions for medication increased by 7.5% in 2022. CONCLUSIONS Nurse prescribing is a recent advance in Catalonia. Despite some difficulties in rollout, the data indicate that this practice is becoming consolidated, as in other European countries.
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Affiliation(s)
- Rosa Bayot i Escardívol
- Official College of Nurses of Barcelona, 08019 Barcelona, Spain; (R.B.i.E.); (E.M.-V.); (P.G.-E.); (G.J.-S.)
| | - Enric Mateo-Viladomat
- Official College of Nurses of Barcelona, 08019 Barcelona, Spain; (R.B.i.E.); (E.M.-V.); (P.G.-E.); (G.J.-S.)
| | - Paola Galbany-Estragués
- Official College of Nurses of Barcelona, 08019 Barcelona, Spain; (R.B.i.E.); (E.M.-V.); (P.G.-E.); (G.J.-S.)
- Department of Fundamental and Clinical Nursing, Faculty of Nursing, University of Barcelona, 08907 L’Hospitalet de Llobregat, Spain
| | | | | | | | - Raquel Flores-Montoya
- Catalan Health Service (CatSalut), Catalan Department of Health, 08028 Barcelona, Spain; (R.F.-M.); (M.V.-B.); (N.E.-G.); (A.M.-N.)
| | - Montse Vicente-Belis
- Catalan Health Service (CatSalut), Catalan Department of Health, 08028 Barcelona, Spain; (R.F.-M.); (M.V.-B.); (N.E.-G.); (A.M.-N.)
| | - Núria Escoda-Geli
- Catalan Health Service (CatSalut), Catalan Department of Health, 08028 Barcelona, Spain; (R.F.-M.); (M.V.-B.); (N.E.-G.); (A.M.-N.)
| | - Andrea Molina-Nadal
- Catalan Health Service (CatSalut), Catalan Department of Health, 08028 Barcelona, Spain; (R.F.-M.); (M.V.-B.); (N.E.-G.); (A.M.-N.)
| | - Olga Canet-Vélez
- Official College of Nurses of Barcelona, 08019 Barcelona, Spain; (R.B.i.E.); (E.M.-V.); (P.G.-E.); (G.J.-S.)
- Global Health, Gender and Society (GHenderS), Blanquerna School of Health Sciences, Ramon Llull University, 08025 Barcelona, Spain
| | - Glòria Jodar-Solà
- Official College of Nurses of Barcelona, 08019 Barcelona, Spain; (R.B.i.E.); (E.M.-V.); (P.G.-E.); (G.J.-S.)
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Zhao FY, Kennedy GA, Gilbert J, Conduit R, Xu P, Yue LP, Zhang WJ, Wang YM, Ho YS, Fu QQ, Zheng Z. Career Considerations in Nurse-Led Traditional Chinese Medicine Clinics: a Two-Center Qualitative Study. Risk Manag Healthc Policy 2024; 17:1533-1546. [PMID: 38882054 PMCID: PMC11179660 DOI: 10.2147/rmhp.s465663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2024] [Accepted: 05/28/2024] [Indexed: 06/18/2024] Open
Abstract
Background Growing demand exists for high-quality Traditional Chinese Medicine (TCM) care, particularly through Nurse-led TCM clinics (TCM-NLCs). Nurses with extensive experience in TCM departments represent a potential workforce for this healthcare model. This qualitative study aims to investigate the willingness of these candidates to engage in TCM-NLCs, with a specific focus on their main concerns and apprehensions when facing new challenges. Methods Individual semi-structured face to face interviews were conducted with senior nurses from two TCM hospitals in Shanghai. Each participant had a minimum of three years of work experience in a TCM related department. Conventional qualitative content analysis was utilized. Results Fourteen participants were interviewed and data saturation was achieved. Nurses exhibited strong interest in practicing in TCM-NLCs. They believed that such innovative TCM nursing service model not only extends nursing role, provides greater empowerment and opportunities for professional development but also meets patients' diverse healthcare needs, reduces reliance on other healthcare providers such as doctors, and increases hospital revenue. However, challenges such as deficiencies in evidence-based TCM nursing education, the absence of standardized practice guidelines, and limited prescriptive privileges were identified as primary obstacles to engaging in TCM-NLCs practice, potentially undermining the specialization of this advanced nursing practice model. Conclusion Although the nurses interviewed were highly motivated, they generally lacked confidence to practice independently in TCM-NLCs. A pressing priority is to address their concerns by providing appropriate resources as well as education and policy support to enhance their competency and ensure their practice autonomy, therefore building a more qualified pool of professionals for advanced TCM nursing practice.
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Affiliation(s)
- Fei-Yi Zhao
- Department of Nursing, School of International Medical Technology, Shanghai Sanda University, Shanghai, 201209, People's Republic of China
- Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200071, People's Republic of China
| | - Gerard A Kennedy
- Institute of Health and Wellbeing, Federation University, Mount Helen, VIC, 3353, Australia
- School of Health and Biomedical Sciences, RMIT University, Bundoora, VIC, 3083, Australia
- Institute for Breathing and Sleep, Austin Health, Heidelberg, VIC, 3084, Australia
| | - Julia Gilbert
- Institute of Health and Wellbeing, Federation University, Mount Helen, VIC, 3353, Australia
| | - Russell Conduit
- School of Health and Biomedical Sciences, RMIT University, Bundoora, VIC, 3083, Australia
| | - Peijie Xu
- School of Computing Technologies, RMIT University, Melbourne, VIC, 3000, Australia
| | - Li-Ping Yue
- Department of Nursing, School of International Medical Technology, Shanghai Sanda University, Shanghai, 201209, People's Republic of China
| | - Wen-Jing Zhang
- Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200071, People's Republic of China
| | - Yan-Mei Wang
- Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200071, People's Republic of China
| | - Yuen-Shan Ho
- School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, People's Republic of China
| | - Qiang-Qiang Fu
- Yangpu Hospital, School of Medicine, Tongji University, Shanghai, 200090, People's Republic of China
| | - Zhen Zheng
- School of Health and Biomedical Sciences, RMIT University, Bundoora, VIC, 3083, Australia
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Seck F, Masot O, Carey N, Roca J, Botigué T, Paraíso Pueyo E, Lavedán Santamaría A. Nurses' perceived barriers and facilitators to the implementation of nurse prescribing: Delphi study and focus group. J Adv Nurs 2024; 80:2106-2120. [PMID: 37909547 DOI: 10.1111/jan.15936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Revised: 09/11/2023] [Accepted: 10/18/2023] [Indexed: 11/03/2023]
Abstract
AIM To obtain consensus on barriers and facilitators to nurse prescribing following its recent introduction in Spain. DESIGN A three round online Delphi survey and focus group. METHODS An exploratory method was used with three consecutive rounds of questionnaires based on anonymity and feedback, and a focus group. The study was carried out with primary care, specialized care, socio-health care and manager nurses. RESULTS On the basis of the Delphi study that was conducted, a list of 15 barriers and 18 facilitators of nurse prescribing was obtained. However, no general consensus was found with respect to the prioritization of these barriers/facilitators. The analysis of the results of the focus group confirmed the information obtained from the Delphi study. The main barriers highlighted were dependence on the figure of the physician, insufficient training in pharmacology, a lack of institutional support and the limited list of products that could be prescribed. The key facilitators were academic knowledge and ongoing training and education, independence in the functions and responsibilities of the nursing profession, adaptation to new roles and autonomy in the case of chronic care processes. CONCLUSION Nurses were generally positive about the introduction of nurse prescribing. The commitment of nurses to training and their accreditation as prescribers (internal forces) and health policy and nursing management (external forces) play a fundamental role in supporting the basis of nurse prescribing and ensuring that it is developed with the identified support resources, such as staff training and the provision of the materials necessary for its proper implementation, all with the aim of guaranteeing quality healthcare. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE Strong models of nurse prescribing are being considered globally to address population needs. The results can help the future implementation of non-medical independent prescribing and provide guidance to the government and society on the interventions that can be used to consolidate it. IMPACT What problem did the study address? By 2027, the world's population will receive more than 4.5 trillion doses of medicine each year. However, the WHO estimates a projected shortfall of 10 million health workers by 2030. Inadequacies with traditional physician-led care systems mean that new approaches are imperative to maintain patient access to prescription medicines, with NP being a key element in this regard. In Catalonia (Spain), the accreditation process for nurses as prescribers was implemented in 2021. It is therefore of vital importance to question and consult the nurses themselves, the main promoters of the process, to find out their perceptions and thus be able to take them into consideration in the implementation process. What were the main findings? A total of 15 barriers and 17 facilitators were identified. The main perceived barriers are dependence on the figure of the physician, insufficient training in pharmacology during undergraduate studies and a lack of institutional support. The main perceived facilitators are academic knowledge and ongoing education and training, independence in nursing functions and responsibilities, and adaptation to new roles and tasks. Where and on whom will the research have an impact? These results can contribute to improving NP implementation in Spain and serve as a reference for other countries, especially where NP education and training have only recently been instigated or are in the planning process. REPORTING METHOD Standards for reporting qualitative research: a synthesis of recommendations. SRQR. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.
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Affiliation(s)
- Faty Seck
- Internal Medicine Service, Santa Maria University Hospital, Lleida, Spain
- Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain
- Department of Pulmonology, Biomedical Research Institute, Lleida, Spain
| | - Olga Masot
- Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain
- Health Care Research Group (GRECS), Biomedical Research Institute of Lleida, Lleida, Spain
- Health Education, Nursing, Sustainability and Innovation Research Group (GREISI), University of Lleida, Lleida, Spain
| | - Nicola Carey
- Department of Nursing and Midwifery, University of the Highlands and Islands, Inverness, UK
| | - Judith Roca
- Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain
- Health Care Research Group (GRECS), Biomedical Research Institute of Lleida, Lleida, Spain
- Health Education, Nursing, Sustainability and Innovation Research Group (GREISI), University of Lleida, Lleida, Spain
| | - Teresa Botigué
- Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain
- Health Care Research Group (GRECS), Biomedical Research Institute of Lleida, Lleida, Spain
- Health Education, Nursing, Sustainability and Innovation Research Group (GREISI), University of Lleida, Lleida, Spain
| | - Elena Paraíso Pueyo
- Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain
- Health Care Research Group (GRECS), Biomedical Research Institute of Lleida, Lleida, Spain
| | - Ana Lavedán Santamaría
- Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain
- Health Care Research Group (GRECS), Biomedical Research Institute of Lleida, Lleida, Spain
- Health Education, Nursing, Sustainability and Innovation Research Group (GREISI), University of Lleida, Lleida, Spain
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Ross Deveau S, Plowright C, Dawson D. Non-medical prescribing in critical care: A mixed methods study. Intensive Crit Care Nurs 2024:103704. [PMID: 38644107 DOI: 10.1016/j.iccn.2024.103704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2024] [Revised: 03/30/2024] [Accepted: 04/03/2024] [Indexed: 04/23/2024]
Abstract
BACKGROUND Little is known about non-medical prescribers in critical care in the United Kingdom. In 2007, a small survey identified few non-medical prescribers; however, in the intervening years, there have been many changes to the Medicine Act 1968. It is likely that prescribing within the non-medical workforce in critical care has changed significantly. AIM/S This survey aimed to explore the breadth and diversity of prescribing practices of non-medical prescribers working within the wider critical care environment in the United Kingdom. METHOD Data were collected via an online questionnaire adapted from the 2007 version and distributed by the BACCN to their members between 26th October 2021 and 19th November 2021. Freedom of Information requests were made to the Nursing and Midwifery Council, The Health and Care Professions Council and the General Pharmaceutical Council to understand the number of non-medical prescribers. RESULTS The survey elicited 259 responses; 105 respondents identified themselves as non-medical prescribers, and 57 used Patient Group Directions only. In the ICU/HDU, 75 respondents identified as non-medical prescribers, with an additional 45 using Patient Group Directions. CONCLUSION Since the last survey, there has been a large increase in the number and representation across all professional groups identifying as a non-medical prescriber and/or utilising patient group directions across critical care. Many staff responded to this survey who were neither NMPs nor utilising PGDs; of these, a large proportion were interested in taking on this additional responsibility. IMPLICATIONS FOR PRACTICE Many people working within critical care are interested in becoming non-medical prescribers. Assists with understanding characteristics of those working as non-medical prescribers within critical care. Shows variations in practice in respect to PGDs, authorising of blood products and prescribing.
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Affiliation(s)
- Simon Ross Deveau
- Torbay and South Devon NHS Foundation Trust, Torquay, United Kingdom.
| | | | - Deborah Dawson
- Royal Hospital for Neurodisability, London, United Kingdom
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Dunn J, Pryor C. Non-medical prescribing in nursing: the history and evolution of independent and supplementary prescribing. BRITISH JOURNAL OF NURSING (MARK ALLEN PUBLISHING) 2023; 32:1004-1008. [PMID: 37938995 DOI: 10.12968/bjon.2023.32.20.1004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/10/2023]
Abstract
Non-medical prescribing has been shown to be beneficial to both service users and practitioners spanning all care sectors. Nurse prescribing has developed significantly in its short existence, and is set to continue to push the boundaries of practice as the role and education of nurses changes and adapts to current population healthcare needs. This article details the origins and evolution of non-medical prescribing, the variety of annotations found on the Nursing and Midwifery Council (NMC) register involved and how these affect nursing practice, as well as the expansion of roles. It also discusses supervision and assessment requirements in line with the NMC standards for prescribing programmes, and the Royal Pharmaceutical Society competence framework.
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Affiliation(s)
- Joanne Dunn
- Lecturer, Non-Medical Prescribing Module Lead, Northumbria University
| | - Claire Pryor
- Lecturer, Non-Medical Prescribing Module Lead, Northumbria University
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Canet-Vélez O, Jodar-Solà G, Martín-Royo J, Mateo E, Casañas R, Galbany-Estragués P. Experiences of Spanish nurses in the rollout of nurse prescribing: a qualitative study. Front Public Health 2023; 11:1163492. [PMID: 37250085 PMCID: PMC10213503 DOI: 10.3389/fpubh.2023.1163492] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Accepted: 04/12/2023] [Indexed: 05/31/2023] Open
Abstract
Introduction Nurse prescribing has legal recognition in Spain, after a long regulatory process, with confusing, changing legislation that does not fully coincide with the reality of nurses' practice. There is currently no research available on how nurses have experienced the rollout of nurse prescribing. The objective of this study is to describe the experiences of nurses in the rollout of nurse prescribing in the province of Barcelona, Spain. Method A descriptive qualitative study with intentional sampling was carried out between March 2021 and July 2022. The data were collected through semi-structured individual interviews and discussion groups. The participants were 24 nurses working in the province of Barcelona who were accredited in nurse prescribing or involved in the rollout of nurse prescribing. The data were analyzed using thematic analysis, following Braun and Clark. The COREQ checklist was used to report findings. Results We describe nurses' responses on the following themes: internal and external barriers; strategies to support nurse prescribing in the initial rollout and proposals for improvement; and factors linked to nurses' satisfaction. Discussion The regulatory process has provided a safety framework for nurse prescribing. Strategies are needed for its comprehensive development and its acceptance among the public. The findings give visibility to nurse prescribing internationally.
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Affiliation(s)
- Olga Canet-Vélez
- Col·legi Oficial d'Infermeres i Infermers de Barcelona, Barcelona, Spain
- Global Health, Gender and Society Research Group, Facultat de Ciències de la Salut Blanquerna, Universitat Ramon Llull, Barcelona, Spain
| | - Gloria Jodar-Solà
- Col·legi Oficial d'Infermeres i Infermers de Barcelona, Barcelona, Spain
- Equipo Atención Primaria Sant Andreu de la Barca, Direcció d'Atenció Primària Metropolitana Sud, Institut Català de la Salut, Sant Andreu de la Barca, Spain
| | - Jaume Martín-Royo
- Unitat Bàsica de Prevenció, Gerència Territorial de Barcelona, Institut Català de la Salut, Barcelona, Spain
- Unitat de Suport a la Recerca Barcelona Ciutat, Fundació Institut Universitari per a la Recerca a L'Atenció Primària de Salut Jordi Gol i Gorina, Barcelona, Spain
| | - Enric Mateo
- Col·legi Oficial d'Infermeres i Infermers de Barcelona, Barcelona, Spain
- Castelldefels Atenció Primària, Consorci Castelldefels Agents de Salut, Castelldefels, Spain
| | - Rocio Casañas
- Global Health, Gender and Society Research Group, Facultat de Ciències de la Salut Blanquerna, Universitat Ramon Llull, Barcelona, Spain
| | - Paola Galbany-Estragués
- Col·legi Oficial d'Infermeres i Infermers de Barcelona, Barcelona, Spain
- Department of Fundamental and Medical-Surgical Nursing, School of Nursing. University of Barcelona, Barcelona, Spain
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Barrott L, Wiseman T, Tsianakas V, Czuber-Dochan W. Nurse and pharmacist systemic anti-cancer therapy review clinics and their impact on patient experience and care: A systematic review. J Adv Nurs 2023; 79:442-453. [PMID: 36448339 PMCID: PMC10100432 DOI: 10.1111/jan.15512] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2022] [Revised: 10/25/2022] [Accepted: 11/08/2022] [Indexed: 12/05/2022]
Abstract
AIM To review the evidence of how nurse and pharmacist roles have been incorporated into the management of patients undergoing systemic anti-cancer therapy (SACT) services and their impact on patient experience and care provision. DESIGN Systematic Review. DATA SOURCES Seven databases were searched on 10 April 2022. REVIEW METHODS Research studies that met defined inclusion criteria were included. Quantitative findings were converted into textual descriptions and combined with qualitative results for thematic analysis. Data were categorized and aggregated into themes. Heterogeneity of studies meant meta-analysis was not possible. RESULTS Fifteen papers were included. Three main themes were identified: advanced clinical practice (ACP) SACT service development; ACP skills and qualifications; and the impact of ACP SACT services on patient care and outcomes. There is a variation in tasks undertaken by nurses and pharmacists and role integration is restricted by limited physician engagement. Role titles used and skills and qualifications acquired differ and professional autonomy is variable. Qualitative studies were limited. CONCLUSION Evidence of how nursing and pharmacist ACP roles are implemented, what skills are essential and how roles are impacting patient experience and outcomes is limited. More research is required to explore patient and physician experience of, and satisfaction with multi-professional care, alongside further evaluation of clinical delivery models.
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Affiliation(s)
- Lisa Barrott
- University Hospitals Sussex NHS Foundation Trust, Worthing, UK.,Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK
| | - Theresa Wiseman
- Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.,The Royal Marsden NHS Foundation Trust, London, UK
| | - Vicki Tsianakas
- Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK
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Fox A, Crawford‐Williams F, Ria J, Lynda C, Debra T, Patsy Y, Lisa N, Chan RJ. Is the Australian nursing workforce ready to embrace prescribing under supervision? A cross-sectional survey. J Adv Nurs 2022; 78:4082-4091. [PMID: 35855569 PMCID: PMC9796876 DOI: 10.1111/jan.15367] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2022] [Revised: 04/29/2022] [Accepted: 07/05/2022] [Indexed: 01/07/2023]
Abstract
AIM The aim was to explore nurses' preparedness to expand their practice to prescribe medicines under a supervision model. DESIGN This was a cross-sectional study. METHODS A convenience sample of Australian nurses recruited from memberships of State-based Nursing and Midwifery Unions and professional bodies from diverse care settings. Nurses undertook an online researcher-constructed survey between March and July 2021 to identify current prescribing practices, motivations for undertaking education in prescribing and perceived barriers to implementation of nurse prescribing under supervision. Data related to demographics, nursing experience and barriers to becoming a prescriber were analysed descriptively. Logistic regression was used to model nursing experience variables with desire to become a prescriber. RESULTS A total of 4424 nurses participated with the majority (n = 3645, 82%) reporting they were highly likely to expand their practice to prescribe medicines under supervision. The main motivations to prescribe were to enhance patient care and job satisfaction. Nurses were more likely to want to prescribe if they had <10 years experience (95% CI = 0.3-0.5, p < 0.001), held a bachelor's degree (95% CI = 1.3-2.2, p < 0.001) or higher qualification (95% CI = 1.8-2.9, p < 0.001). Most reported lack of acknowledgement of increased responsibility and workloads (n = 4098, 93%), and insufficient organizational support (n = 4197, 95%) may prevent uptake of nurse prescribing. CONCLUSIONS Most Australian nurses demonstrated their preparedness to embrace the role of prescribing under supervision. The perceived barriers identified in this study can inform future implementation of this expanded nursing role. IMPACT The Nursing and Midwifery Board of Australia has proposed a standard of practice to enable nurses to prescribe under supervision. Models of nurse prescribing are being considered globally to address population needs. Successful adoption of this practice is dependent on aspects such as key personnel's acceptance of the initiative. The workforce readiness and barriers highlighted in this study can inform implementation at policy and organizational levels.
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Affiliation(s)
- Amanda Fox
- Centre for Healthcare TransformationQueensland University of TechnologyBrisbaneQueenslandAustralia,School of Nursing, Faculty of HealthQueensland University of TechnologyBrisbaneQueenslandAustralia,Redcliffe HospitalRedcliffeQueenslandAustralia
| | - Fiona Crawford‐Williams
- Caring Futures Institute, College of Nursing and Health SciencesFlinders UniversityAdelaideSouth AustraliaAustralia,Cancer and Palliative Care Outcomes Centre, School of NursingQueensland University of TechnologyBrisbaneQueenslandAustralia
| | - Joseph Ria
- Caring Futures Institute, College of Nursing and Health SciencesFlinders UniversityAdelaideSouth AustraliaAustralia,Cancer and Palliative Care Outcomes Centre, School of NursingQueensland University of TechnologyBrisbaneQueenslandAustralia
| | - Cardiff Lynda
- School of Clinical Sciences, Faculty of HealthQueensland University of TechnologyBrisbaneQueenslandAustralia
| | - Thoms Debra
- School of Nursing, Faculty of HealthQueensland University of TechnologyBrisbaneQueenslandAustralia
| | - Yates Patsy
- Centre for Healthcare TransformationQueensland University of TechnologyBrisbaneQueenslandAustralia,Cancer and Palliative Care Outcomes Centre, School of NursingQueensland University of TechnologyBrisbaneQueenslandAustralia
| | - Nissen Lisa
- Centre for Healthcare TransformationQueensland University of TechnologyBrisbaneQueenslandAustralia,School of Clinical Sciences, Faculty of HealthQueensland University of TechnologyBrisbaneQueenslandAustralia
| | - Raymond Javan Chan
- Caring Futures Institute, College of Nursing and Health SciencesFlinders UniversityAdelaideSouth AustraliaAustralia,Cancer and Palliative Care Outcomes Centre, School of NursingQueensland University of TechnologyBrisbaneQueenslandAustralia
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