Evaluating the investment: a survey of non-medical prescribing

Green, Barrie; Courtney, Helen

doi:10.7748/mhp2008.09.12.1.28.c6691

Cited by 3 publications

(9 citation statements)

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“…Of the 42 papers, 30 (71%) were published between 2007 and 2012, with the remainder published subsequently. Nurse independent prescribers were studied in 24 papers [ 28 – 32 , 34 – 38 , 40 , 42 , 44 , 46 , 48 , 50 , 58 – 60 , 62 , 64 – 67 ], pharmacist prescribers in five papers [ 43 , 49 , 54 , 55 , 57 ], and a mixture of nurse and pharmacist prescribers in a further six papers [ 27 , 33 , 47 , 52 , 53 , 61 ]. The remaining papers investigated the views of patients and staff associated with NMPs [ 39 , 41 , 45 , 51 , 56 , 63 , 68 ].…”

Section: Resultsmentioning

confidence: 99%

“…Factors affecting the NMP were subdivided into those arising from the attitude of the NMP and those derived from their practice (See Table 3 ). Prescribing enabled the professional to practice autonomously [ 21 , 28 , 31 , 37 , 42 , 46 , 65 ], enhancing job satisfaction [ 31 , 37 , 42 , 46 , 47 , 49 , 65 ], and supporting professional development [ 27 , 33 , 47 , 50 ]. Some practitioners, however, expressed anxiety [ 29 , 37 ] and cautiousness [ 27 , 48 , 52 , 65 ].…”

Section: Resultsmentioning

confidence: 99%

“…Lack of support, flexibility or understanding by managers hindered the implementation and development of non-medical prescribing [ 27 , 29 , 31 , 32 , 37 , 46 , 52 , 54 , 61 , 66 , 67 ]. NMPs gained support from colleagues, describing enhanced team working [ 27 , 32 , 34 , 35 , 41 , 43 , 47 – 49 , 55 , 57 , 65 – 67 ], and were perceived as supportive experts and leaders [ 27 , 32 , 43 , 47 , 67 ]. However, NMPs encountered opposition from some colleagues [ 21 , 27 , 31 , 32 , 38 , 43 , 44 , 47 , 52 , 62 , 66 ].…”

Section: Resultsmentioning

confidence: 99%

“…A formulary could be self-imposed [ 27 , 31 , 32 , 48 , 52 ], or organisation derived [ 27 , 29 , 31 , 32 , 36 , 62 ], and while they could be empowering [ 31 , 36 , 52 , 66 ], they could be restrictive [ 27 , 29 , 32 , 36 , 48 , 52 , 62 ]. Local policies could be supportive [ 27 , 47 , 66 ], restrictive [ 27 , 31 , 43 , 66 ], or missing [ 62 ]. Remuneration was considered to be non-commensurate with skills [ 27 , 43 , 46 , 50 , 54 , 60 , 62 ].…”

Section: Resultsmentioning

confidence: 99%

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Facilitators and barriers to non-medical prescribing – A systematic review and thematic synthesis

et al. 2018

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IntroductionNon-medical prescribing has the potential to deliver innovative healthcare within limited finances. However, uptake has been slow, and a proportion of non-medical prescribers do not use the qualification. This systematic review aimed to describe the facilitators and barriers to non-medical prescribing in the United Kingdom.MethodsThe systematic review and thematic analysis included qualitative and mixed methods papers reporting facilitators and barriers to independent non-medical prescribing in the United Kingdom. The following databases were searched to identify relevant papers: AMED, ASSIA, BNI, CINAHL, EMBASE, ERIC, MEDLINE, Open Grey, Open access theses and dissertations, and Web of Science. Papers published between 2006 and March 2017 were included. Studies were quality assessed using a validated tool (QATSDD), then underwent thematic analysis. The protocol was registered with PROSPERO (CRD42015019786).ResultsOf 3991 potentially relevant identified studies, 42 were eligible for inclusion. The studies were generally of moderate quality (83%), and most (71%) were published 2007–2012. The nursing profession dominated the studies (30/42). Thematic analysis identified three overarching themes: non-medical prescriber, human factors, and organisational aspects. Each theme consisted of several sub-themes; the four most highly mentioned were ‘medical professionals’, ‘area of competence’, ‘impact on time’ and ‘service’. Sub-themes were frequently interdependent on each other, having the potential to act as a barrier or facilitator depending on circumstances.DiscussionAddressing the identified themes and subthemes enables strategies to be developed to support and optimise non-medical prescribing. Further research is required to identify if similar themes are encountered by other non-medical prescribing groups than nurses and pharmacists.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Facilitators and barriers to non-medical prescribing – A systematic review and thematic synthesis

et al. 2018

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“…Other studies have found that 50% of mental health and learning disability nurses trained to prescribe do so and prescribe on a weekly basis. When nurses do prescribe, they describe positive role enhancement and they believe that they impact positively on patient care (Green & Courtney 2008). There is little evidence that nurse prescribers who are trained in the most advanced form of IP actually use it in practice across adult, older people and substance misuse services.…”

Section: Introductionmentioning

confidence: 99%

Independent mental health nurse prescribing

Jones

Harborne²

2009

Psychiatric Ment Health Nurs

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Independent prescribing (IP) is a new form of prescriptive authority for mental health services. Very little is known about where IP is being implemented and factors to support or constrain its adoption. An opportunistic sample of 119 respondents made up of nurses, doctors, support workers, occupational therapists and social workers completed an online survey. The sample worked in adult, old age and substance misuse services. Hospital wards and community mental health teams were identified as the highest ranked areas for implementation. A total of 68% of the sample identified pharmacology as the area for further training. And 40% of the sample felt that IP had been introduced to make services more effective. This opportunistic sample supported IP as a means to offer greater patient choice and as a method to broaden the boundaries of nursing practice. Integral to this development is the link between the psychiatrist and IP nurse in terms of work allocation and supervision.

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Speech pathology prescribing in the outpatient setting: A review of requirements, considerations and barriers

Schwarz

Ward

Seabrook

et al. 2022

Intl J Lang & Comm Disor

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Background: As health systems face increasing demands, non-medical prescribing is a workforce redesign strategy adopted within some services. Despite successful implementation in other professional groups, non-medical prescribing within speech pathology (SP) has not yet been described. Aims: To provide a descriptive account of the development and planned implementation of two SP prescribing models. Methods & Procedures:The evolution of two SP-led prescribing models, including relevant training and credentialing, for use of (1) nystatin oral drops (100,000 units/mL); and (2) lidocaine (lignocaine) and phenylephrine nasal spray (5 mg/500 µg/spray), in the outpatient setting is detailed. Challenges to implementation are outlined. Main Contribution: The development of relevant governance structures, a research evidenced-based project evaluation framework, and an overview of training pathways and credentialing was successfully completed. However, implementation of the models was unable to be achieved. A thorough review of the requirements and a discussion of contextual considerations that had a negative influence on the implementation of SP-led prescribing within this specific service context is provided. Conclusions & Implications:The successful implementation of SP-led prescribing is complex and highly context dependent. This work offers a discussion 1194

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Evaluating the investment: a survey of non-medical prescribing

Cited by 3 publications

References 0 publications

Facilitators and barriers to non-medical prescribing – A systematic review and thematic synthesis

Facilitators and barriers to non-medical prescribing – A systematic review and thematic synthesis

Independent mental health nurse prescribing

Speech pathology prescribing in the outpatient setting: A review of requirements, considerations and barriers

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