Nurses’ and GPs’ views of the nurse prescribers’ formulary

Luker, Karen A.; Austin, Lynn; Willock, Jane; Ferguson, Brian; Smith, Kirsteen

doi:10.7748/ns1997.02.11.22.33.c2442

Cited by 35 publications

(24 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nurses with an HV or DN qualification at each demonstration site undertook the necessary training prior to the commencement of nurse prescribing on 3 October 1994. The findings relating to the prescribing aspects of the study have been reported elsewhere ( Luker et al 1997a , 1997b, 1997c, 1997d).…”

Section: The Gp–patient Relationship and Nurse–patient Relationshipsupporting

confidence: 70%

Nurse–patient relationships: the context of nurse prescribing

Luker

Austin

Hogg

et al. 1998

Journal of Advanced Nursing

106

View full text Add to dashboard Cite

Nurse prescribing was initiated in the United Kingdom in October 1994 in eight demonstration sites. The evaluation of this extension to the community nurses' role explored both economic and qualitative benefits to patients, carers, nurses and other health care professionals. In this paper the impact of nurse prescribing on patients is explored. Benefits experienced by patients are described along with the difficulties encountered. The patients' views regarding nurses as prescribers are also explored. Data were collected by means of interviews with patients/carers, the focus of which was to evaluate changes associated with nurse prescribing. Patients raised a number of issues associated with their relationship with nurses. Patients valued nurses for both their accessibility and approachability, which led them to discuss health issues which would not otherwise have been brought to the attention of the general practitioner. The arguments which support the incorporation of these qualities into an expanded nursing role are presented.

show abstract

Section: The Gp–patient Relationship and Nurse–patient Relationshipsupporting

confidence: 70%

Nurse–patient relationships: the context of nurse prescribing

Luker

Austin

Hogg

et al. 1998

Journal of Advanced Nursing

106

View full text Add to dashboard Cite

show abstract

“…prescription pad) to use the knowledge and skills aquired. This lack of opportunity to rehearse prescribing once qualified, has been reported previously in the CPNP literature as slowing down the development of confidence to prescribe with increased confidence associated with higher prescribing rates (Luker, et al, ; Sodha, McLaughlin, Williams, & Dhillon, ). Motivation to prescribe was influenced by cost to the NHS, with CPNPs using their prescribing skills to recommend over‐the‐counter (OTC) medicines to patients with minor illnesses.…”

Section: Discussionmentioning

confidence: 80%

The prescribing needs of community practitioner nurse prescribers: A qualitative investigation using the theoretical domains framework and COM‐B

Chater

Williams

Courtenay

2019

Journal of Advanced Nursing

View full text Add to dashboard Cite

Aim With a number of qualified community practitioner nurse prescribers (CPNPs) not prescribing, this research aimed to understand what influences this behaviour. Design A qualitative research design. Methods Semi‐structured interviews, based on the theoretical domains framework (TDF) were conducted with 20 CPNPs. Data collection took place between March‐July 2018 and continued until data saturation was reached. Results Nine themes inductively explained prescribing behaviour: 1) ‘Knowledge and experience’; 2) ‘Consultation and communication skills’; 3) ‘Professional confidence and identity’; 4) ‘Wanting the best outcome’; 5) ‘NHS versus patient cost’; 6) ‘Emotion‐led decisions’; 7) ‘Time allocation’; 8) ‘Formulary access’ and 9) ‘Supporting environment for patient‐centred care’. Themes were then deductively mapped to the TDF and COM‐B. Conclusion There is an ongoing need to support community practitioner nurse prescribers’ ‘Capability’ to prescribe in terms of knowledge and aquired skills; ‘Opportunity’ to make prescribing easier, such as access to a wider and up to date nurse formulary alongside effective clinical support; and ‘Motivation’ to feel confident in prescribing behaviour, highlighting positive patient outcomes while reducing perceived issues such as cost and non‐adherence. Impact Findings show that Capability, Opportunity and Motivation all influence the decision to prescribe. Those responsible for professional regulation and training should ensure community practitioner nurse prescribers have access to the relevant knowledge, skills and formulary to facilitate their prescribing behaviour. Professional confidence and identity as a prescriber should be encouraged, with acknowledgment of influences such as cost and emotion. An environment that allows for patient‐centred care and the best outcome should be supported, this may mean increasing time allocated to consultations.

show abstract

“…Before the study reported here, research into nurse prescribing (for example, see Luker et al 6 7 and Otway8) was largely confined to descriptive accounts of views of district nurses and heath visitors trained to prescribe a few medicines from a nurse prescribers’ formulary in the introductory first phase of nurse prescribing between 1996 and 2002. No previous research directly evaluated the quality or safety of nurses’ prescribing practice.…”

mentioning

confidence: 99%

Evaluating the clinical appropriateness of nurses' prescribing practice: method development and findings from an expert panel analysis

Latter

Maben²,

Myall³

et al. 2007

Quality and Safety in Health Care

View full text Add to dashboard Cite

Background: The number of nurses independently prescribing medicines in England is rising steadily. There had been no attempt systematically to evaluate the clinical appropriateness of nurses' prescribing decisions. Aims: (i) To establish a method of assessing the clinical appropriateness of nurses' prescribing decisions; (ii) to evaluate the prescribing decisions of a sample of nurses, using this method. Method: A modified version of the Medication Appropriateness Index (MAI) was developed, piloted and subsequently used by seven medical prescribing experts to rate transcripts of 12 nurse prescriber consultations selected from a larger database of 118 audio-recorded consultations collected as part of a national evaluation. Experts were also able to give written qualitative comments on each of the MAI dimensions applied to each of the consultations. Analysis: Experts' ratings were analysed using descriptive statistics. Qualitative comments were subjected to a process of content analysis to identify themes within and across both MAI items and consultations. Results: Experts' application of the modified MAI to transcripts of nurse prescriber consultations demonstrated validity and feasibility as a method of assessing the clinical appropriateness of nurses' prescribing decisions. In the majority of assessments made by the expert panel, nurses' prescribing decisions were rated as clinically appropriate on all nine items in the MAI. Conclusion: A valid and feasible method of assessing the clinical appropriateness of nurses' prescribing practice has been developed using a modified MAI and transcripts of audio-recorded consultations sent to a panel of prescribing experts. Prescribing nurses in this study were generally considered to be making clinically appropriate prescribing decisions. This approach to measuring prescribing appropriateness could be used as part of quality assurance in routine practice, as a method of identifying continuing professional development needs, or in future research as the expansion of non-medical prescribing continues.

show abstract

Nurses’ and GPs’ views of the nurse prescribers’ formulary

Cited by 35 publications

References 0 publications

Nurse–patient relationships: the context of nurse prescribing

Nurse–patient relationships: the context of nurse prescribing

The prescribing needs of community practitioner nurse prescribers: A qualitative investigation using the theoretical domains framework and COM‐B

Evaluating the clinical appropriateness of nurses' prescribing practice: method development and findings from an expert panel analysis

Contact Info

Product

Resources

About