Review of non-medical prescribing among acute and community staff

Pearce, Chris; Winter, H. G.

doi:10.7748/nm2014.02.20.10.22.e1165

Cited by 6 publications

(5 citation statements)

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“…Compliance with therapeutic indications is an important element of pharmacotherapy. International research has shown that the participation of nurses in prescribing improves compliance [26]. Nurse prescribing is most beneficial in the treatment of the elderly (60-85 years old); nurse prescribers also help to reduce polypharmacy in the elderly; and our research also found that nurse supplementary prescribing was predominantly applied in the treatment of elderly patients aged 60-80 years [27].…”

Section: Discussionsupporting

confidence: 60%

The Implementation Process of Nurse Prescribing in Poland – A Descriptive Study

Zimmermann

Cieplikiewicz

Wąż

et al. 2020

IJERPH

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The study aimed to investigate the situation of nurse prescribing, introduced in Poland in 2016, by analyzing the opinions of nurses, expected to be influential on nurses’ actual practices, in response to legislative change to enable nurses to prescribe and comparing this with actual nurse prescribing behaviours during the early years of the legislation. The paper fills a knowledge gap and provides baseline data analysis for subsequent research. Nurses’ opinions were collected during the period they were preparing themselves for prescribing. That data was compared with data on the character and extent of nurses’ actual prescribing practices over the first two years of implementation. The study showed the number of nurse prescriptions increased. Comparing the first and second years of nurse prescribing, the number of nurse independent prescriptions more than doubled. Over the same period, the number of nurse supplementary prescriptions increased almost six-fold. The implementation of nurse prescribing has increased the scope of nursing care, especially in the treatment of the infections, pain and chronic conditions in the elderly.

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Section: Discussionsupporting

confidence: 60%

The Implementation Process of Nurse Prescribing in Poland – A Descriptive Study

Zimmermann

Cieplikiewicz

Wąż

et al. 2020

IJERPH

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“…Although progress in professional accreditation and regulatory adaptation is recognized, no conclusive studies have been found that thoroughly evaluate the safety of nurse prescribing and patient satisfaction in this context. International studies have shown that nurse prescribing improves treatment adherence [ 44 ]. As in other countries, information on the safety and benefits of nurse prescribing can help guide large-scale implementation and continuity of this practice in Catalonia [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

Implementation of Nurse Prescriptions throughout the Public Health System in Catalonia (2021–2022)

Bayot i Escardívol,

Mateo-Viladomat,

Galbany-Estragués

et al. 2024

Healthcare

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Background: Nurses in Catalonia have always prescribed health advice, health products, and medication in line with the professional competency of the discipline. Legislation about nurse prescriptions and the implementation of nurse prescribing varies widely among different countries. This article reports data regarding nurse prescribing in Catalonia in 2021 and 2022. Methods: This retrospective longitudinal study analyzed data from all care-providing units in Catalonia’s integrated public health system. Results: The number of nurse prescriptions increased from 139,435 in 2021 to 573,822 in 2022, and the number of nurses issuing prescriptions increased from 3604 in 2021 to 5563 in 2022. The proportion of prescriptions for different products was similar in the two years analyzed. Prescriptions for medication increased by 7.5% in 2022. Conclusions: Nurse prescribing is a recent advance in Catalonia. Despite some difficulties in rollout, the data indicate that this practice is becoming consolidated, as in other European countries.

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“…Importantly, this section asked respondents to reflect on all the ESM CPD activities they had completed in the past 12 months and, on a 5-point Likert scale (where participants could indicate that they 'Strongly Agreed', 'Agreed', were 'Neutral', 'Disagreed' or 'Strongly Disagreed') rate their level of agreeance regarding ease of access, affordability, meaningfulness, relevance to scope of practice, improvement in knowledge, and translation to a change in prescribing practice. Questions were developed by the authorship group following a literature review of available relevant CPD surveys [20,[27][28][29][30][31][32] and discussion sessions with ESM podiatrists to ensure the construct was clearly understood. A final open-ended question was presented to participants asking them if they believed improvements could be made to the content, accessibility, relevance, and meaningfulness of CPD for ESM practitioners.…”

Section: Survey Designmentioning

confidence: 99%

Continuing professional development opportunities for Australian endorsed for scheduled medicines podiatrists—What’s out there and is it accessible, relevant, and meaningful? A cross-sectional survey

Martin,

Graham,

Banwell

et al. 2023

PLoS ONE

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Background Non-medical prescribing is a valuable strategy to enable equitable access to medications in the context of the increasing demands on health services globally. Australian podiatrists have been able to seek endorsement for scheduled medicines (ESM) for over a decade. This project investigates the perceptions and habits of ESM podiatrists in meeting the extra continuing professional development (CPD) requirements associated with their ESM status. Methods Australian ESM podiatrists completed an anonymous, online survey capturing demographics; CPD engagement; and self-reflections of CPD activities. Results Twenty percent (n = 33) of Australian ESM registered podiatrists (N = 167) responded to the survey (18 female; median ESM status 2.5 years, (IQR 1.0, 9.0)). For the previous registration period, 88% (n = 29) completed the mandatory CPD hours, with only 35% (n = 11) completing a CPD learning goal plan. Over 80% identified their last ESM CPD activity as accessible, affordable, and could recommend to colleagues. Conversely, 50% or less agreed the activity increased confidence; changed their practice; improved communication skills; or enabled networking. Most respondents (81%, n = 27) indicated improvements should be made to the content, relevance, accessibility, and meaningfulness of CPD. These findings were supported by responses to the open-ended questions. Conclusions Our findings suggest ESM podiatrists engage in CPD that is accessible rather than learning goal driven. Concerningly, CPD activities resulted in low translation of learnings to practice. This brings in to question the value of mandatory CPD systems based on minimum hours, rather than meaningfulness.

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Review of non-medical prescribing among acute and community staff

Cited by 6 publications

References 0 publications

The Implementation Process of Nurse Prescribing in Poland – A Descriptive Study

The Implementation Process of Nurse Prescribing in Poland – A Descriptive Study

Implementation of Nurse Prescriptions throughout the Public Health System in Catalonia (2021–2022)

Continuing professional development opportunities for Australian endorsed for scheduled medicines podiatrists—What’s out there and is it accessible, relevant, and meaningful? A cross-sectional survey

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