In this article we discuss how the lack of visionary forward planning and muddled policy-making regarding nurse prescribing has caused role ambiguity and disaffection within community nursing. We explore elements of the development of nurse prescribing and discuss some of the terms that are currently being articulated, which are ill conceived, conceptually flawed and often misleading. We also discuss some of the current issues we perceive in relation to nurse prescribing, including the benefits and limitations for community practice. There are a number of professional issues that need to be clarified regarding the role, if nurses who take on the prescribing mantle are to fulfil their potential to benefit patient care.

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An action research study was undertaken over a 4-week period in which 30 consecutive prescriptions written by a V300 nurse were followed through the system to dispensing. Over 30% of prescriptions (n=10) were challenged by the community pharmacist through misunderstanding of non-physician prescribing legislation. To facilitate smooth service provision, a collaborative response to new initiatives is necessary incorporating all stakeholders in the change process.

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