Stakeholders' views and experiences of pharmacist prescribing: a systematic review

Jebara, Tesnime; Cunningham, Scott; MacLure, Katie; Awaisu, Ahmed; Pallivalapila, Abdulrouf; Stewart, Derek

doi:10.1111/bcp.13624

Cited by 77 publications

(129 citation statements)

References 80 publications

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“…Based on the current literature, independent prescribing is generally seen as making a positive contribution to patient care (Abuzour et al, ; Cope et al, ; Courtenay & Carey, ; Courtenay, Carey, & Stenner, ; Jebara et al, ; Latter et al, ), with patients reporting positive experiences and high satisfaction with accessibility and length of consultations with independent prescribers (IPs) (Famiyeh & McCarthy, ; Graham‐Clarke, Rushton, Noblet, & Marriott, ; Latter et al, ). Doctors also perceive benefits from working alongside IPs, such as having more time for complex cases (Latter et al, ; Ross, ), increased job satisfaction and being able to make better use of their skills/knowledge (Carey, Stenner, & Courtenay, ; Cousins & Donnell, ).…”

Section: Introductionmentioning

confidence: 99%

“…From a global perspective, while evidence is limited, independent prescribing has been viewed positively by patients and healthcare professionals (Bhanbhro, Drennan, Grant, & Harris, ; Gielen, Dekker, Francke, Mistiaen, & Kroezen, ; Jebara et al, ). Similar to the UK, independent prescribing demonstrates positive outcomes for patients and benefits for doctors internationally (Bhanbhro et al, ; Famiyeh & McCarthy, ; Faruquee & Guirguis, ).…”

Section: Introductionmentioning

confidence: 99%

“…local policies, workload, funding) and availability of resources (e.g. medical records, additional staff) (Courtenay et al, ; Graham‐Clarke et al, ; Jebara et al, ; Latter et al, ).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Independent prescribing in primary care: A survey of patients', prescribers' and colleagues' perceptions and experiences

Hindi

Seston

Bell

et al. 2019

Health Soc Care Community

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Besides doctors and dentists, an increasing range of healthcare professionals, such as nurses, pharmacists and podiatrists, can become independent prescribers (IPs). As part of an evaluation for independent prescribing funded training, this study investigated views and experiences of IPs, their colleagues and patients about independent prescribing within primary care. Questionnaires capturing quantitative and qualitative data were developed for IPs, their colleagues and patients, informed by existing literature and validated instruments. IPs were identified following independent prescribing training funded by Health Education England Northwest in 2015-2017.Quantitative data were analysed using descriptive statistics and qualitative data were analysed thematically. Twenty-four patients, 20 IPs and 26 colleagues responded to the questionnaires. Most patient respondents had a long-term medical condition (n = 17) and had regular medicines prescribed (n = 21). IPs were nurses (n = 14), pharmacists (n = 4), one podiatrist (n = 1) and one was unknown. Half of the IPs were current prescribers (n = 10), the other half were still training (to become) IPs (n = 10).Colleague respondents were doctors and nurses (n = 15) other healthcare professionals (n = 8) and practice managers (n = 3). Both current IPs (n = 9) and colleague respondents (n = 25) (strongly) agreed that independent prescribing improved the quality of care provided for patients. Nearly all colleagues were supportive of independent prescribing and believed that they worked well with IPs (n = 25). Patients' perceptions and experiences of their consultations with the IP were mostly positive with the vast majority of respondents (strongly) agreeing that they were very satisfied with their visit to the IP (n = 23). Key barriers and enablers to independent prescribing were centred on IPs' knowledge, competence and organisational factors such as workload, effective teamwork and support from their colleagues. Findings from this study were mainly positive but indicate a need for policy strategies to tackle longstanding barriers to independent prescribing. However, a larger sample size is needed to confirm findings. K E Y W O R D Scolleagues, independent prescribers, independent prescribing, non-medical prescribing, patients, primary care e460 | HINDI et al.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Independent prescribing in primary care: A survey of patients', prescribers' and colleagues' perceptions and experiences

Hindi

Seston

Bell

et al. 2019

Health Soc Care Community

View full text Add to dashboard Cite

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“…Each day, a consumer was randomly selected from this list for four consecutive working-days and provided with information on this study. roles are satis ed with their services, but that often satisfaction is limited to treatment within clearly de ned limited treatment parameters [26]. Arguably, ndings are often compromised by an inability to attribute satisfaction de nitively to activities advanced practitioners perform.…”

Section: Data Collectionmentioning

confidence: 99%

‘She Taught Me’: Factors Consumers Find Important in Nurse Practitioner and Pharmacist Prescriber Services

Officer

Cumming

McBride‐Henry

2020

Preprint

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Background: Advanced practitioner services, such as those nurse practitioners and pharmacist prescribers provide, are an opportunity to improve health care delivery. In New Zealand, these practitioners remain underutilised, despite research suggesting they offer safe and effective care, and considerable international literature recording patient satisfaction with these roles. This study aimed to explore factors underlying consumer satisfaction with primary health care nurse practitioner and pharmacist prescriber services.Methods: As part of a larger realist evaluation, 21 consumers of advanced practitioner services participated in semi-structured interviews. These interviews were transcribed and coded against context-mechanism-outcome configurations tested and refined throughout the research.Results: Study findings emphasise the importance of consumer confidence in the provider as a mechanism for establishing advanced practitioner roles. Underlying this confidence is a recognition that these practitioners are more accessible, engage at the consumer’s ‘level’, and operate with passion.Conclusions: This research offers learnings to re-engineer service delivery within primary health care to make best use of the entire health care team by including consumers in the design and introduction of new roles.

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“…Earlier research on pharmacists’ prescribing has explored the perspectives of pharmacists on adopting a prescribing role and how it affects their professional responsibility. A systematic review of stakeholders’ views and experiences of pharmacist prescribing that included 65 studies from limited number of countries reported that the main drivers to pharmacists adopting a prescribing role were better patient management, improving self and professional confidence, developing a clinical role, reducing therapy costs and patient satisfaction [ 10 ]. Moreover, many international studies have reported pharmacist prescribing benefits relating to improved patients’ outcomes, reduced physician workload, more accessibility to healthcare services, better utilizations of pharmacist’s skills, and improved job satisfaction [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Pharmacists’ Prescribing in Saudi Arabia: Cross-Sectional Study Describing Current Practices and Future Perspectives

Ajabnoor

Cooper

2020

Pharmacy

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Pharmacist prescribing is being increasingly undertaken to better use their skills and reduce the workload of existing prescribers such as doctors, often using formal processes to legitimate these activities. In developing countries like Saudi Arabia, however, pharmacists’ prescribing remains informal with no legislation or formal training and there is a lack of research and understanding into such practices. Therefore, we aimed to describe current pharmacist prescribing practices in Saudi Arabia and explore pharmacists’ views about pharmacists’ prescribing. This is a cross-sectional survey study using an online questionnaire of hospital pharmacists in Saudi Arabia about pharmacists’ prescribing, and associated views about prescribing legislation and barriers to implementing pharmacist prescribing. Over a quarter (28.5%) of pharmacists reported themselves as prescribers, 49% were following a collaborative prescribing model, 18% independent prescribing, and 33% were doing both. Ninety percent of prescribers reported confidence in prescribing the appropriate treatment and 92.3% perceived they will benefit from more prescribing training. Healthcare practice culture and pharmacist’s competency were identified as barriers. There is an overall support for pharmacists’ prescribing in Saudi Arabia among this sample of hospital pharmacists, with limitations in resources and the absence of standardized prescribing training being perceived as key barriers to pharmacists’ prescribing.

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Stakeholders' views and experiences of pharmacist prescribing: a systematic review

Cited by 77 publications

References 80 publications

Independent prescribing in primary care: A survey of patients', prescribers' and colleagues' perceptions and experiences

Independent prescribing in primary care: A survey of patients', prescribers' and colleagues' perceptions and experiences

‘She Taught Me’: Factors Consumers Find Important in Nurse Practitioner and Pharmacist Prescriber Services

Pharmacists’ Prescribing in Saudi Arabia: Cross-Sectional Study Describing Current Practices and Future Perspectives

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