An overview of developments in nurse prescribing in the UK

Courtenay, Molly

doi:10.7748/ns.2018.e11078

Cited by 25 publications

(16 citation statements)

References 25 publications

(28 reference statements)

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“…A report of specialist diabetes services in 2007 found that 49% of hospital DSNs are involved in prescribing [18]. That is compared to the estimated 5% of the total United Kingdom nursing workforce in 2016 qualified as nurse independent or supplementary prescribers [36]. However, the necessity of DSNs to prescribe has been contested.…”

Section: Resultsmentioning

confidence: 99%

Does the Diabetes Specialist Nursing workforce impact the experiences and outcomes of people with diabetes? A hermeneutic review of the evidence

Lawler

Trevatt²,

Elliot³

et al. 2019

Hum Resour Health

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Objectives The aim of the hermeneutic review was to identify and clarify the mechanisms by which the Diabetes Specialist Nursing workforce affect the outcomes of diabetes patients, with a focus on those in the United Kingdom. A clarification of diabetes specialist nurses’ work is necessary in understanding and improving diabetes inpatient care. Design The design is a hermeneutic evidence review and was part of a wider evaluation of Diabetes Inpatient Specialist Nurses for which the evidence was sourced. The literature search was limited to specialist nursing workforce caring for adults with diabetes. In order to gain global understanding of the impact of specialist nursing in diabetes, worldwide literature was included. Methods A hermeneutic literature review of 45 publications was carried out, which included citation analysis. Relevant literature was identified from 1990 to 2018. Results Evidence suggests that Diabetes Specialist Nurses educate patients and other healthcare professionals as well as delivering direct care. The outcomes of these actions include a reduced patient length of stay in hospital, reduced inpatient harms and complications, and improved patient satisfaction. Additionally, they are cost-effective. Conclusions The Diabetes Specialist Nursing workforce is essential in diabetes care, particularly in hospital settings. They improve patient experience and outcomes. Electronic supplementary material The online version of this article (10.1186/s12960-019-0401-5) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Does the Diabetes Specialist Nursing workforce impact the experiences and outcomes of people with diabetes? A hermeneutic review of the evidence

Lawler

Trevatt²,

Elliot³

et al. 2019

Hum Resour Health

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“…Although the number of nurse IPs is much greater than pharmacist IPs, they only represent 5% of the nursing workforce, 35 while pharmacist IPs represent 7% of the pharmacist profession. 36 The fact that there are more nurse IPs than other professions is in line with the findings of other studies that have investigated the implementation of non-medical prescribing in England 33 37 and Wales.…”

Section: Discussionmentioning

confidence: 99%

Prescribing trends over time by non-medical independent prescribers in primary care settings across Wales (2011–2018): a secondary database analysis

et al. 2020

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IntroductionAs of 2015, as part of the implementation of the Welsh Government primary care plan and primary care clusters, the Welsh Government has encouraged non-medical healthcare professionals working in primary care to train as independent prescribers (IPs).ObjectivesThis research aimed to identify the number of NMIPs in primary care in Wales and describe their prescribing trend of items between 2011 and 2018, in order to compare their prescribing pattern before and after the implementation of primary care clusters for Wales.DesignRetrospective secondary data analysis and interrupted time series analysis in order to compare prescribing by non-medical independent prescribers (NMIPs) preimplementation and postimplementation of primary care clusters across Wales.ResultsOver the study period, 600 NMIPs (nurses n=474 and pharmacists n=104) had prescribed at least one item. The number of nurse IPs increased by 108% and pharmacists by 325% (pharmacists had the largest increase between July 2015 and March 2018). The number of items prescribed by NMIPs increased over time by an average of 1380 per month (95% CI 904 to 1855, p<0.001) after the implementation of primary care clusters compared with 496 (95% CI 445 to 548, p<0.001) prior its implementation. Approximately one-third of the items prescribed by NMIPs was within Betsi Cadwaladr University Health Board (HB) with only 4% in Powys Teaching HB.ConclusionThe number of NMIPs and their volume of prescribing in primary care in Wales has increased following the implementation of primary care clusters in 2015. This suggests that the Government’s recommendations of using NMIPs in primary care have been implemented. Future studies should focus on efficiency and quality of prescribing by NMIPs in primary care.

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“…In terms of nurse education and practice, undergraduate education in the UK has been incorporated into the pharmacology curriculum (Page & McKinney, 2007). The Nursing and Midwifery Council (NMC) requires nurses applying for prescription authority to have a bachelor's degree (Courtenay, 2018) and at least 3 years of clinical experience (Prydderch, 2019). British nurses have been able to prescribe medicine and have experienced various complicated circumstances over the past 28 years with relatively mature experience.…”

Section: Discussionmentioning

confidence: 99%

Gastroenterology nurse prescribing in China: A Delphi method

Han

XiaoYue

Zhu

et al. 2020

Journal of Advanced Nursing

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Aim This study aims to identify and reach a consensus among experts on the specific gastroenterology drugs that a gastroenterology nurse may be able to prescribe. Design This study employs a modified Delphi design to reach a consensus among medical and nursing experts about the gastroenterology system drugs that nurses may prescribe medication. Method From August 2019–November 2019, a two‐round study, consisting of 26 medical and nursing experts, was conducted using the Delphi method. IBM SPSS Ver. 22 and descriptive statistical software were used to analyse the results of the consultations. Results A total of 37 drugs across nine categories are identified as relevant to Chinese nurses working in gastroenterology departments. Among them, four drugs are generally prescribed independently, 24 tend to be prescribed collaboratively and nine are prescribed either independently, or in collaboration with others. Conclusions This list is a fundamental and dependable instrument for identifying the gastroenterology drugs that could possibly be prescribed by gastroenterology nurses in China. The research results have important guiding significance for the formulation and implementation of relevant policies for nurses to prescribe medicines. Impact Nurse prescribing has become a global trend and is slowly gaining attention in China under the development strategy of ‘Healthy China’. As such, this list will give some reference for policy formulation and implementation of future nurse prescribing in mainland China.

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An overview of developments in nurse prescribing in the UK

Cited by 25 publications

References 25 publications

Does the Diabetes Specialist Nursing workforce impact the experiences and outcomes of people with diabetes? A hermeneutic review of the evidence

Does the Diabetes Specialist Nursing workforce impact the experiences and outcomes of people with diabetes? A hermeneutic review of the evidence

Prescribing trends over time by non-medical independent prescribers in primary care settings across Wales (2011–2018): a secondary database analysis

Gastroenterology nurse prescribing in China: A Delphi method

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