Prescribing by nurse practitioners

Poot, Betty; Zonneveld, Rebecca; Nelson, Katherine; Weatherall, Mark

doi:10.1002/2327-6924.12493

Cited by 11 publications

(14 citation statements)

References 11 publications

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“…One expert opinion and one case report were found (Hendrix & Wojciechowski, 2005; Riegel et al, 2012). Only two quantitative studies were identified (Kurtzman, 2016; Poot et al, 2017). Finally, two nursing association webpages addressing NPs in family practices were determined (AANP, 2019; CNA, 2017).…”

Section: Resultsmentioning

confidence: 99%

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Competencies of nurse practitioners in family practices: A scoping review

Schlunegger

Aeschlimann²,

Palm

et al. 2022

Journal of Clinical Nursing

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Aims and objective To explore the existing literature related to nurse practitioner (NP) competencies in family practices and to examine the evidence and develop a list of competencies. Background The integration of NPs into the healthcare system is at different stages of progress around the world. Therefore, an overview and clarification of competencies are important to ensure successful implementation of new roles in existing healthcare systems. However, detailed knowledge is lacking about the competencies of NPs in adult care in family practices. Design and methods We conducted a scoping review in accordance with the JBI methodology for scoping reviews and the PRISMA‐ScR guidelines. We considered studies published in English, German or French from 1965 to the present. Databases searched included MEDLINE, CINAHL, Web of Science and PsycINFO. Sources of grey literature that were searched included ProQuest Dissertations and Theses, OpenGrey and websites of national NP organisations. Two reviewers retrieved full‐text studies and extracted data independently. We described the competencies using Hamric's model of advanced practice nursing. Results We included 23 publications. Competencies in direct clinical practice were described most often particularly pertaining to nursing or medical tasks. Indirect care activities were frequently mentioned. Less information was found regarding competencies in leadership, ethical decision‐making and evidence‐based practice. We found elementary and extended competencies required to perform the role in family practices. Depending on the country, the role was either emerging or already well‐established. Conclusions and relevance to clinical practice This review provides insight into current knowledge about competencies of NP in family practices. The identified competencies can be used to develop job descriptions or to conceptualise professional development programmes in countries where such roles are just recently emerging. A list of competencies will promote a common understanding of the NP role and to help clarify interprofessional collaboration in clinical practice.

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Section: Resultsmentioning

confidence: 99%

“…(Abou Malham et al, 2020; Canadian Nurses Association [CNA], 2017;Housden et al, 2016;Irving, 2015;Roots & MacDonald, 2014), New Zealand(King et al, 2018;Poot et al, 2017),Steinbrüchel-Boesch et al, 2017). A case study design was used by three authors(Abou Malham et al, 2020;Housden et al, 2016; …”

mentioning

confidence: 99%

Competencies of nurse practitioners in family practices: A scoping review

Schlunegger

Aeschlimann²,

Palm

et al. 2022

Journal of Clinical Nursing

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“…Training is essential in order to protect midwifery practice and, ultimately, patient care. Appropriate training to extend nurses' skills is considered in leading countries (23). Although the majority of nurses and midwives' decisions are clinically appropriate, continuing education and evaluating prescriptive performance, especially in relation to drugs and interactions, are needed to achieve the most appropriate and safe administration (24).…”

Section: Discussionmentioning

confidence: 99%

Impact of Workshop Training on Prescription Writing Skills of Senior Midwifery Students

2020

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Background: Prescription writing is one of the most important stages of medical treatment, and following its principles improves efficiency and effectiveness of treatment. Midwifery students are the group of a medical team who are authorized to prescribe medications. However, clinical evidence suggests that their skills are inadequate in the area. Objectives: Therefore, this study was designed to investigate the effect of a workshop on the prescription writing skills of midwifery students. Methods: This was a quasi-experimental study conducted among 32 senior undergraduate midwifery students. The students were divided into two groups. A two-day workshop was held for each group. Each group was divided into three subgroups for practical work. The training was provided based on the general principles of prescribing in four parts including superscription, general principles of prescription, standard principles of prescription, and instruction of using medications. Adherence to the principles of prescribing by students was evaluated through a checklist before and after training and four weeks later. Data were analyzed with a general linear model and repeated measures analysis. Results: Patient's name was the most common record in the prescriptions. The mean number of drug items was 3.7 ± 0.04, which decreased to 2 ± 0.03 after the intervention. The name and signature of the prescribed drugs were in less than 15% of the prescriptions, with 85% improvement after the intervention. Moreover, 40.6% of the prescriptions were readable, but in none of them, the reason for visit and diagnosis were mentioned (over 50% increases after training). Form of drug, dose and medication number were listed in 45% of the prescriptions that rose to more than 70% in all the three cases. The most responses on the instruction of using the medication were related to the method of use and drug use intervals. Repeated measures ANOVA showed a significant difference in the mean scores of students' prescriptions after education and four weeks after the workshops in all the four parts of prescription principles (P < 0.001). This significant difference was also observed in all four common diseases in gynecology (P < 0.001). Conclusions: The prescription workshop had a significant positive effect on the knowledge and skills of midwifery students in the field of prescription writing. Therefore, this strategy can be used as a useful approach for the rational use of medicines by midwives. Because of the importance of prescription writing, we suggest including it in the curriculum of midwifery students.

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“…In 2019, 4.2% of ANPs were reported as working predominantly in mental health settings (American Association of Nurse Practitioners [AANP], 2019), with such roles being more numerous in areas with low numbers of psychiatrists (Feldman et al, 2003;Goolsby, 2011). In Australia, surveys have indicated a low proportion of mental health-focused nurse prescribers (Buckley et al, 2013;Fong et al, 2020), whereas in New Zealand, a study identified less than 1% of patients receiving nurse prescribing were mental health/substance misuse service users (Poot et al, 2017).…”

Section: Nurse Prescribing Internationallymentioning

confidence: 99%

The development of nurse prescribing in mental health services: Outcomes from five national surveys 2004–2019

Brimblecombe

Dobel-Ober

2022

J Nursing Management

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Aim This study aimed to explore data from national surveys of nurse prescribing in England's National Health Service mental health services. Background Nurse prescribing is increasing worldwide. Reports describing long‐term developments after implementation are rare. Methods Five surveys were distributed to all mental health organisations between 2004 and 2019. Results Response rates increased from 54% (n = 45/83) in 2004 to 79% (n = 42/53) in 2019. The estimated proportion of mental health nurses who were prescribers increased to 4.3% by 2019. Distribution between clinical practice areas did not change significantly over time, with the largest numbers in community mental health teams. The proportion of nurse prescribers actively prescribing increased from 76.4% in 2014 to 87.8% in 2019. Independent prescribing became the predominant approach, with supplementary prescribing rarely used as the sole model within organisations. The scale of implementation varied markedly between organisations. Conclusions Although nurse prescribing in mental health services has grown over time, growth has slowed and is variable at local level. Implications for Nursing Management Organisations considering the introduction or growth of nurse prescribing should note the evidenced preference for an independent prescribing model to date and consider how to avoid unwarranted variation in nurse prescriber role distribution.

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Prescribing by nurse practitioners

Cited by 11 publications

References 11 publications

Competencies of nurse practitioners in family practices: A scoping review

Competencies of nurse practitioners in family practices: A scoping review

Impact of Workshop Training on Prescription Writing Skills of Senior Midwifery Students

The development of nurse prescribing in mental health services: Outcomes from five national surveys 2004–2019

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