A comparison between independent nurse prescribing and patient group directions in the safety and appropriateness of medication provision in United Kingdom sexual health services: A mixed methods study

Black, Adam; Gage, Heather; Norton, Christine; Franklin, Bryony Dean; Murrells, Trevor; Courtenay, Molly

doi:10.1016/j.ijnurstu.2020.103590

Cited by 9 publications

(13 citation statements)

References 35 publications

(65 reference statements)

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“…Overall, 713 of 743 (96.0%) of all nurse prescriber medication decisions were considered safe, as were 927 of 939 (98.7%) of patient group directions decisions (Fisher's Exact, p = .55). For more details see Black et al (2020).…”

Section: Results/findingsmentioning

confidence: 99%

“…Slightly higher error rates per consultation were recorded by nurse prescribers (1.18) than by nurses using patient group directions (1.03), but errors were predominantly judged minor and often attributed to documentation omissions. No patients were known to have been harmed from any errors identified (further details Black et al, 2020). One strength of this study is that it explored medication errors for patients who did not receive medications, that is, potential of under‐prescribing, whilst other large prescribing studies focus specifically on circumstances in which medication was provided (Avery et al, 2012; Dornan et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

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Independent nurse medication provision: A mixed method study assessing impact on patients' experience, processes, and costs in sexual health clinics

Black

Courtenay

Norton

et al. 2021

Journal of Advanced Nursing

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Background: Local services in the United Kingdom National Health Service enable autonomous provision of medication by nurses, supporting individual nurses to gain prescribing qualifications or by introducing local patient group directions.Aim: To compare nurse prescribing and patient group directions about clinic processes, patients' experiences, and costs from the perspectives of providers, nurses, and patients.

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Section: Results/findingsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Independent nurse medication provision: A mixed method study assessing impact on patients' experience, processes, and costs in sexual health clinics

Black

Courtenay

Norton

et al. 2021

Journal of Advanced Nursing

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“…There is evidence that expanding health care worker scopes of practice to encompass prescribing and administering restricted medicines improves access to and quality of care, particularly for rural or other underserved populations (94,209,(232)(233)(234)(235)(236)(237)(238)(239)(240)(241)(242)(243)(244)(245)(246). The role of regulators includes setting the necessary competencies, accrediting training programs, monitoring compliance with standards for safe use of medicines and dealing with registrants breaching accepted practice standards (6,247).…”

Section: Regulation Of Scopes Of Practicementioning

confidence: 99%

Design, operation and strengthening of health practitioner regulation systems: A rapid integrative review

Leslie

Bourgeault

Carlton

et al. 2022

Preprint

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Background: In addition to promoting patient safety, health practitioner regulation (HPR) systems are increasingly recognized as playing an important role in supporting health workforce availability, accessibility, quality, and sustainability. This review aimed to identify the evidence on the design, delivery and effectiveness of HPR systems to inform policy decisions by policymakers and regulators. Methods: A rapid review approach was adopted to conduct an integrative analysis of literature published between 2010 and 2021. Fourteen databases were searched according to a standardized strategy. Data were extracted and synthesized through an integrative approach and categorized according to a modified Donabedian framework. Results We identified 410 academic and 426 grey literature sources. Key themes included HPR structures (regulatory governance systems, regulatory institutions, and system linkages), processes (registration and monitoring of continuing competence of practitioners, accreditation of entry-to-practice education programs, regulating scopes of practice, managing complaints and discipline, and regulating traditional and complementary medicine) and outcomes (impact of HPR structures and processes on health system and workforce outcomes). More evidence was found on HPR structures and processes than outcomes, though over 99% of studies were descriptive (and evidence, accordingly, of very low certainty). Synthesis was constrained by the lack of common terminology. Discussion: Trends on regulatory structures and processes emerged from this analysis. The evidence base limitations, particularly on HPR outcomes, warrant caution in the interpretation, generalizability, and applicability of these findings. Standardized terminology and more evidence on regulatory outcomes (on both workforce and health systems) could inform decisions on regulatory design and implementation.

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“…The advantages of nurse pharmaceutical care are that they allow for more rapid prescription availability, more patient options for access, higher e cacy of patient service, and more e cient utilization of nurses' training and education [5]. Within the a number of European nations, psychiatric/mental health nurses have taken active roles in PC for a number of years [6,7].…”

Section: Introductionmentioning

confidence: 99%

“…Yang found that medication prescriptions by nurses and doctors were essentially identical in regard to content and frequency [18]. Furthermore, when appraising the outcomes of medication, such as the observation of adverse events, side effects, and client and family education, nurse prescribers were able to offer their patients more time and acuity than their medical counterparts [5].…”

Section: Introductionmentioning

confidence: 99%

Mental Health Nurses’ Perceptions of Providing Pharmaceutical Care in Saudi Arabia

Alhamidi

Alyousef

2022

Preprint

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Purpose To investigate caring roles in nurse pharmaceutical care and to offer an initial report of psychiatric/mental health nurses’ experiences of psychiatric pharmaceutical care. Methods This study used a qualitative exploratory focus group discussion with nine experienced psychiatric nurses. Inductive data were gathered using open-ended probes and theoretical sampling and were analyzed to yield themes and subthemes. Results Principal themes and subthemes emerged from the data analyzed. These themes illuminated nurses’ experiences with respect to the use of pharmaceutical medication in the mental health setting, including (i) nurses’ responsibilities for psychiatric pharmaceutical medications, (ii) experiences in multi-disciplinary teams, (iii) nurses’ knowledge and education regarding medication, and (iv) barriers faced by psychiatric nurses during practice. Conclusion Nurses involved in pharmaceutical care need additional training, interprofessional collaboration, and clearly codified parameters to guide their professional practice in this aspect of care. Working with medication is an important role of mental health nurses. However, little attention has focused on these nurses’ perspectives on where the responsibility lies for preparing nurses for safe, competent medication management of their patients.

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A comparison between independent nurse prescribing and patient group directions in the safety and appropriateness of medication provision in United Kingdom sexual health services: A mixed methods study

Abstract: A comparison between independent nurse prescribing and patient group directions in the safety and appropriateness of medication provision in United Kingdom sexual health services: a mixed methods study,

Cited by 9 publications

References 35 publications

Independent nurse medication provision: A mixed method study assessing impact on patients' experience, processes, and costs in sexual health clinics

Independent nurse medication provision: A mixed method study assessing impact on patients' experience, processes, and costs in sexual health clinics

Design, operation and strengthening of health practitioner regulation systems: A rapid integrative review

Mental Health Nurses’ Perceptions of Providing Pharmaceutical Care in Saudi Arabia

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