Nurse prescribers: who are they and how do they perceive their role?

Bradley, Eleanor; Campbell, Pam; Nolan, Peter

doi:10.1111/j.1365-2648.2005.03527.x

Cited by 53 publications

(48 citation statements)

References 24 publications

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“…As the roll out of non-medical prescribing continues, to more nurses, pharmacists and allied health care professionals, levels of academic knowledge and clinical experiences of trainee prescribers are likely to become more diverse. A recent survey (Bradley et al, 2005) of 91 nurses training to be prescribers in 2003/4 in one University in England confirms this. Bradley et al found a lower prevalence of first degree (31%) and postgraduate degree (14%) qualifications in their sample in comparison to the qualifications of the sample in the study reported here.…”

Section: Discussionmentioning

confidence: 88%

Evaluating nurse prescribers’ education and continuing professional development for independent prescribing practice: Findings from a national survey in England

Latter

Maben

Myall

et al. 2007

Nurse Education Today

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SummaryBackground: The number of nurses able to independently prescribe medicines in England has risen steadily in recent years. Aim: To evaluate the adequacy of nurses' educational preparation for independent prescribing and to describe nurses' experiences of their continuing professional development as prescribers in practice. Design and method: Postal questionnaire survey. Participants: Random sample of 246 nurses registered as nurse independent prescribers with the Nursing and Midwifery Council. Results: The majority of nurses considered that the initial taught course element of their education programme met their needs, either to some extent (61% 151/246), or completely (22% 54/246). Most nurses (77% 190/246) received the specified 12 days support from their supervising medical practitioner and most were satisfied and positive about this experience. Nearly all of the nurses (>95%) reported that they were able to maintain a range of specified prescribing competencies in

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Section: Discussionmentioning

confidence: 88%

Evaluating nurse prescribers’ education and continuing professional development for independent prescribing practice: Findings from a national survey in England

Latter

Maben

Myall

et al. 2007

Nurse Education Today

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“…Thus, the study represents an advance on expert opinion papers, and adds to previous research on the views of staff [13,14] and patients [24,25] towards nurse prescribing as a policy initiative.…”

Section: Discussionmentioning

confidence: 91%

“…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].…”

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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“…Whereas these seem to have been the main drivers behind the introduction of nurse prescribing in the UK and Ireland, forces originating from within the health professions appear to have prevailed in other countries. In Australia, Canada, New Zealand, Sweden and the USA nurses were granted prescribing rights in order to reduce the workload of doctors and physicians, address the shortage of physicians - partly resulting from the growing specialisation of health professionals - and meet the medication needs of patients in remote areas who were often suffering as a result of a shortage of physicians [5,6,22,28,30,33,34,41,51,59,61,85,85,86,107,120-122,124,125,127,128,131,135,138]. Moreover, prescriptive authority for nurses in Canada, New Zealand and the USA followed the development of advanced practice nurse (APN) roles [5,61,74,124], which clearly connects their prescribing privileges with internal developments within the nursing profession.…”

Section: Resultsmentioning

confidence: 99%

Nurse prescribing of medicines in Western European and Anglo-Saxon countries: a systematic review of the literature

Kroezen

Dijk

Groenewegen

et al. 2011

BMC Health Serv Res

152

211

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BackgroundA growing number of countries are introducing some form of nurse prescribing. However, international reviews concerning nurse prescribing are scarce and lack a systematic and theoretical approach. The aim of this review was twofold: firstly, to gain insight into the scientific and professional literature describing the extent to and the ways in which nurse prescribing has been realised or is being introduced in Western European and Anglo-Saxon countries; secondly, to identify possible mechanisms underlying the introduction and organisation of nurse prescribing on the basis of Abbott's theory on the division of professional labor.MethodsA comprehensive search of six literature databases and seven websites was performed without any limitation as to date of publication, language or country. Additionally, experts in the field of nurse prescribing were consulted. A three stage inclusion process, consisting of initial sifting, more detailed selection and checking full-text publications, was performed independently by pairs of reviewers. Data were synthesized using narrative and tabular methods.ResultsOne hundred and twenty-four publications met the inclusion criteria. So far, seven Western European and Anglo-Saxon countries have implemented nurse prescribing of medicines, viz., Australia, Canada, Ireland, New Zealand, Sweden, the UK and the USA. The Netherlands and Spain are in the process of introducing nurse prescribing. A diversity of external and internal forces has led to the introduction of nurse prescribing internationally. The legal, educational and organizational conditions under which nurses prescribe medicines vary considerably between countries; from situations where nurses prescribe independently to situations in which prescribing by nurses is only allowed under strict conditions and supervision of physicians.ConclusionsDifferences between countries are reflected in the jurisdictional settlements between the nursing and medical professions concerning prescribing. In some countries, nurses share (full) jurisdiction with the medical profession, whereas in other countries nurses prescribe in a subordinate position. In most countries the jurisdiction over prescribing remains predominantly with the medical profession. There seems to be a mechanism linking the jurisdictional settlements between professions with the forces that led to the introduction of nurse prescribing. Forces focussing on efficiency appear to lead to more extensive prescribing rights.

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Nurse prescribers: who are they and how do they perceive their role?

Cited by 53 publications

References 24 publications

Evaluating nurse prescribers’ education and continuing professional development for independent prescribing practice: Findings from a national survey in England

Evaluating nurse prescribers’ education and continuing professional development for independent prescribing practice: Findings from a national survey in England

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

Nurse prescribing of medicines in Western European and Anglo-Saxon countries: a systematic review of the literature

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