Experiences of registered nurse prescribers; a qualitative study

Pearson, Maria; Papps, Elaine; Walker, Rachael

doi:10.1080/10376178.2020.1813044

Cited by 7 publications

(6 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nurse prescribing practices appear to be expanding, at least in Europe (Maier, 2019). Previous studies have already investigated nurse prescribers' perceptions of the prescribing practice (Laapio‐Rapi, 2020; Pearson et al, 2020) and clients' experiences (Black et al, 2022; Gielen et al, 2014). Little is known about how nurse prescribers succeed in diagnosing certain conditions and prescribing appropriate medication.…”

Section: Discussionmentioning

confidence: 99%

“…There are many differences in the education, scope and rights of nurses to prescribe medication between countries (International Council of Nurses, 2021; Maier, 2019). Registered nurses are satisfied with the possibility of progressing in their professional careers with additional training related to prescribing medication (Laapio‐Rapi, 2020; Pearson et al, 2020). Based on previous findings, patients are just as or more satisfied with the treatment received from a nurse with the right to prescribe medication than that received from a physician (Gielen et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Readmissions after appointments with nurse prescribers: A register‐based study

Koskiniemi,

Sund,

Liukka

et al. 2023

Journal of Clinical Nursing

View full text Add to dashboard Cite

BackgroundIncreasing number of nurse prescribers could be part of a solution to the shortage of physicians, improve access to treatment and curb the rise in healthcare costs; however, readmissions after nurse prescribers' appointments are under‐researched.AimsTo describe and compare clients' initial appointments with nurse prescribers and physicians. In addition, client readmissions within 60 days in the target organisation after nurse prescribers' and physicians' appointments were investigated.DesignRetrospective register‐based follow‐up study.MethodsData included client appointments (n = 3986) with nurse prescribers and physicians, and clients' readmissions (n = 9038) from 1 January 2018 to 31 December 2019 from one hospital district in Finland. Data were analysed statistically using frequencies, percentages, rate ratios and cross‐tabulation. STROBE checklist was used.ResultsInitial appointments including trimethoprim, pivmecillinam, phenoxymethyl penicillin, chloramphenicol, fusidic acid and cephalexin prescriptions with nurse prescribers (n = 36) were 2131, and physicians (n = 140) 1855. On average, client readmissions (within 60 days) per initial appointment were 2.10 after appointments with nurse prescribers and 2.46 after physicians. After initial appointments, including phenoxymethyl penicillin prescriptions, with nurse prescribers, clients had more readmissions in all age groups than after initial appointments with physicians. However, in all, after initial appointments with physicians, clients had a higher proportion of readmissions.ConclusionClients have fewer readmissions after appointments with nurse prescribers than physicians, including the same prescriptions. Nurse prescribers' skills may not have been fully utilised. Physicians treated many patients whose diseases nurse prescribers might have been able to treat based on the nurse prescribers' rights. However, physician clients may have more demanding service requirements.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Readmissions after appointments with nurse prescribers: A register‐based study

Koskiniemi,

Sund,

Liukka

et al. 2023

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…It also served to enhance service delivery by freeing up doctors and nurse practitioners to focus on the more medically complex patients. There is a significant reward experienced by being able to provide a full episode of care and extending the role by integrating prescribing (Casey et al, 2020; Pearson et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…It therefore appears that as nurses are prescribing more for minority groups which experience disproportionately higher diabetes prevalence than the general population, prescribing by NZ nurses is reaching high risk and vulnerable groups with diabetes, thus improving equity of access to care and specifically to diabetes‐related medications. A qualitative study of NZ nurses found improved access to cost‐effective care was seen as an advantage of adding prescribing to their practice (Pearson et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

A survey of nurses prescribing in diabetes care: Practices, barriers and facilitators in New Zealand and the United Kingdom

Snell¹,

Budge

Courtenay

2021

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives:To compare diabetes-related prescribing practices, barriers and facilitators amongst nurse prescribers in New Zealand and the United Kingdom.Background: Nurses have been prescribing in the United Kingdom for many years but nurse prescribing in New Zealand is relatively recent. It is unknown whether similar system factors act to facilitate or limit prescribing.Design: A survey of 250 nurses prescribing in diabetes care in New Zealand (n = 111) and the United Kingdom (n = 139).Methods: A SurveyMonkey questionnaire was used to survey nurses about the extent of their prescribing practices, and barriers and facilitators experienced. Quantitative data were explored descriptively, and qualitative responses were grouped according to content, with quotes provided to exemplify thematic content. This study is reported following STROBE guidelines.Results: Insulin, metformin and sulphonylureas are the drugs most frequently prescribed in both countries. Considerably more New Zealand than United Kingdom nurses reported prescribing for cardiovascular and renal disease. In both countries, direct prescribing to the patient was most common, followed by remote prescribing in New Zealand and via recommendation to other prescribers in the United Kingdom.Most common barriers were lack of time and inadequate mentoring. Most common facilitators were as follows: good supervision; collegial relationships with specialists, pharmacists and peers; and ongoing education.Conclusions: These New Zealand and United Kingdom nurses are prescribing a broad range of diabetes-related medications. Similar barriers and facilitators were identified in both countries. Adequate supervision, support from multidisciplinary team colleagues and prescribing education and guidelines are paramount.Relevance to clinical practice: Important insights on barriers and facilitators to implementation of nurse prescribing in two countries are highlighted and, despite a considerable difference in the longevity of prescribing practice, similar issues were identified.

show abstract

“…Nurse prescribing (NP) is the process in which nurses collect information and make decisions based on their clinical judgment in order to initiate, continue, or cease treatments to meet the health needs of the population [ 1 ]. NP has a lot of advantages for the healthcare system [ 2 ], for the patients [ 3 ], and even for the nurses [ 4 ]; however, obtaining prescribing rights has not been an easy process for nurses [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Translation, Cross-Cultural Adaptation, and Validation of the Galician Version of the Nurse Prescribing Self-Efficacy Scale

et al. 2022

View full text Add to dashboard Cite

Low self-efficacy has been identified as one of the factors that could hinder the prescribing competence of nurses. No valid and reliable existing instruments assess Galician nurses’ confidence to prescribe. The aim of this study was to determine the reliability and validity of the Galician version of the Nurse Prescribing Self-Efficacy Scale (G-NP-SES, 19 items). The study was conducted in two phases: the translation and adaptation to the Galician version of the NP-SES, and the assessment of its psychometric properties. G-NP-SES was sent to nurses working in primary healthcare centers in Galicia (Spain) between March and June of 2022. Its content, construct and discriminant validity, and internal consistency reliability were examined. A total of 193 people participated in the study. As the original scale, G-NP-SES also had three dimensions (% of cumulative variance = 80.82%). It showed good internal consistency (Cronbach’s alpha coefficient (α) = 0.90, with each factor ranging from 0.86 to 0.89), high content validity (scale’s content validity index = 0.92, with item-content validity index ranged from 0.87 to 1), and good discriminant validity. G-NP-SES is an instrument with good psychometric properties which could be used to accurately assess Galician nurses’ self-efficacy to prescribe and consequently to improve their job performance.

show abstract

Experiences of registered nurse prescribers; a qualitative study

Cited by 7 publications

References 19 publications

Readmissions after appointments with nurse prescribers: A register‐based study

Readmissions after appointments with nurse prescribers: A register‐based study

A survey of nurses prescribing in diabetes care: Practices, barriers and facilitators in New Zealand and the United Kingdom

Translation, Cross-Cultural Adaptation, and Validation of the Galician Version of the Nurse Prescribing Self-Efficacy Scale

Contact Info

Product

Resources

About