Benefits of nurse prescribing for patients in pain: nurses’ views

Stenner, Karen; Courtenay, Molly

doi:10.1111/j.1365-2648.2008.04644.x

Cited by 61 publications

(74 citation statements)

References 22 publications

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“…This left 13 articles for reading of full texts. Of these, five papers did not meet the aim [15, 21–24], another two were not conducted within general practice settings [25, 26], and one was not about task delegation [27]. The remaining five articles were read thoroughly to appraise them according to the quality criteria.…”

Section: Resultsmentioning

confidence: 99%

Relations between task delegation and job satisfaction in general practice: a systematic literature review

Riisgaard

Nexøe

et al. 2016

BMC Fam Pract

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BackgroundIt has for years been discussed whether practice staff should be involved in patient care in general practice to a higher extent. The research concerning task delegation within general practice is generally increasing, but the literature focusing on its influence on general practitioners' and their staff’s job satisfaction appears to be sparse even though job satisfaction is acknowledged as an important factor associated with both patient satisfaction and medical quality of care. Therefore, the overall aim of this study was 1) to review the current research on the relation between task delegation and general practitioners' and their staff’s job satisfaction and, additionally, 2) to review the evidence of possible explanations for this relation.MethodsA systematic literature review. We searched the four databases PubMed, Cinahl, Embase, and Scopus systematically. The immediate relevance of the retrieved articles was evaluated by title and abstract by the first author, and papers that seemed to meet the aim of the review were then fully read by first author and last author independently judging the eligibility of content.ResultsWe included four studies in the review. They explored views and attitudes of the staff, encompassing nurses as well as practice managers. Only one of the included studies also explored general practitioners' views and attitudes, hence making it impossible to establish any syntheses on this relation. According to the studies, the staff’s overall attitude towards task delegation was positive and led to increased job satisfaction, probably because task delegation comprised a high degree of work autonomy.ConclusionsThe few studies included in our review suggest that task delegation within general practice may be seen by the staff as an overall positive issue contributing to their job satisfaction, primarily due to perceived autonomy in the work. However, because of the small sample size comprising only qualitative studies, and due to the heterogeneity of these studies, we cannot draw unambiguous conclusions although we point towards tendencies.

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Section: Resultsmentioning

confidence: 99%

Relations between task delegation and job satisfaction in general practice: a systematic literature review

Riisgaard

Nexøe

et al. 2016

BMC Fam Pract

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Section: Introductionmentioning

confidence: 99%

“…On the whole, they have been found to have positive views about the initiative [13-16]. Although early surveys suggested that some nurses were anxious about obtaining sufficient knowledge and skills to carry out prescribing [17], practicing non medical prescribers report gaining greater confidence and knowledge of medicine management through prescribing, as well as greater job satisfaction and increased credibility with other professionals [16,18]. In addition, despite some of the negative commentary voiced by the medical profession [4], those studies which have sought the views of NHS doctors on nurse prescribing have found that they are broadly supportive of the initiative if the nurse prescribers are well qualified and experienced, and aware of their own limitations and of the context in which they are prescribing [15,18].…”

Section: Introductionmentioning

confidence: 99%

A comparison of the clinical effectiveness and costs of mental health nurse supplementary prescribing and independent medical prescribing: a post-test control group study

Norman

Coster

McCrone

et al. 2010

BMC Health Serv Res

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BackgroundSupplementary prescribing for mental health nurses was first introduced in the UK in 2003. Since then, a number of studies have reported stakeholders' perceptions of the success of the initiative. However, there has been little experimental research conducted into its effectiveness. This paper reports findings from the first known study to compare the cost and clinical impact of mental health nurse supplementary prescribing to independent medical prescribing.MethodsA post-test control group experimental design was used to compare the treatment costs, clinical outcomes and satisfaction of patients in receipt of mental health nurse supplementary prescribing with a matched group of patients in receipt of independent prescribing from consultant psychiatrists. The sample comprised 45 patients in receipt of mental health nurse supplementary prescribing for a minimum of six months and a matched group (by age, gender, diagnosis, and chronicity) of patients prescribed for by psychiatrists.ResultsThere were no significant differences between patients in the nurse supplementary prescribers' group and the independent prescribers' group in terms of medication adherence, health status, side effects, and satisfaction with overall care. Total costs per patient for service use were £803 higher for the nurse prescribers' group but this difference was not significant (95% confidence interval -£1341 to £3020).ConclusionsNo significant differences were found between the health and social outcomes of patients in the mental health nurse supplementary prescribers' group, and those prescribed for by the independent medical prescribers. The cost appraisal also showed that there was no significant difference in the costs of the two types of prescribing, although the pattern of resources used differed between patients in the two prescriber groups. The results suggest that mental health nurse supplementary prescribers can deliver similar health benefits to patients as consultant psychiatrists without any significant difference in patients' service utilisation costs.

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“…Courtenay et al (2007) reported that 277 out of 868 (32%) non-medical prescribers stated that CPD was inaccessible. Difficulties in gaining support at an appropriate level for the practitioner as well as a lack of funding have been cited as barriers to undertaking CPD by nurses involved in the treatment of acute and chronic pain (Stenner & Courtenay, 2008). Unfortunately, in times of austerity, education budgets are often the first area to be considered in planned cost saving measures (Waite & Keenan…”

Section: Accepted M Manuscript Cpd mentioning

confidence: 99%

“…It has long been established that unprotected learning time in the workplace can be a significant barrier (Stenner & Courtenay, 2008;Barriball & While, 1996). Indeed, this may explain why e-learning is perceived by doctors as being so advantageous.…”

Section: Accepted M Manuscriptmentioning

confidence: 99%

Continuing professional development needs of nursing and allied health professionals with responsibility for prescribing

Weglicki¹,

Reynolds²,

Rivers³

2015

Nurse Education Today

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Benefits of nurse prescribing for patients in pain: nurses’ views

Abstract: AimThis paper is a report of a study exploring nurses' views on the benefits of adopting the role of prescribing for patients with acute and chronic pain.

Cited by 61 publications

References 22 publications

Relations between task delegation and job satisfaction in general practice: a systematic literature review

Relations between task delegation and job satisfaction in general practice: a systematic literature review

A comparison of the clinical effectiveness and costs of mental health nurse supplementary prescribing and independent medical prescribing: a post-test control group study

Continuing professional development needs of nursing and allied health professionals with responsibility for prescribing

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