Exploring independent nurse prescribing for mental health settings

Jones, Adrian

doi:10.1111/j.1365-2850.2007.01216.x

Cited by 30 publications

(61 citation statements)

References 24 publications

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“…Nevertheless, a number of recurring themes could be discerned, such as the views of nurses, doctors and other parties involved concerning nurse prescribing [45,47,51,53,81,94,108,109,115,121,139], prescribing behaviours of nurses [36,43,124,126,128,129,131,137], and nurse prescribing in relation to specific diseases [38,44,84,89,91-93,101,108,116,125] - most notably concerning nurse prescribing in mental health care [21,32,39,67,76,83,100,102,104-106,132,135]. Also, a number of publications focussed on the history and evolution of (nurse) prescribing of medicines, but these remained relatively limited [5,6,46,48,49,75,90,96,103,142].…”

Section: Resultsmentioning

confidence: 99%

“…Table 2 presents an overview of the (expected) year of introduction of nurse prescribing in Western European and Anglo-Saxon countries. While community nurses were the first group of nurses to start prescribing in the UK in 1998, one should note that in the years thereafter two other models of nurse prescribing were introduced there: in 2002 the form now known as 'independent prescribing' was implemented [5,6,24,32,48,49,56,68,72,76,84,87,100,101,121,124,136], followed by 'supplementary prescribing' in 2003 [5,6,24,26,27,32,35,36,40,42,46,47,49,52,56,62,67-69,72,76,78,81,83,91-94,101,104,121,123,124,136,138]. Currently, nurses in the Netherlands are awaiting for the final amendments to legislation to enable them to start prescribing [5,58,117,118], and in Spain the legal regulation of nurse prescribing is in the procedural phase [5].…”

Section: Resultsmentioning

confidence: 99%

“…In Ireland nurse prescribers may independently prescribe from an open formulary specific to their field of clinical practice [5,139] whereas in the UK independent prescribers can prescribe from the entire British National Formulary (BNF), including unlicensed medicines and some controlled drugs [5,24,26,35,44-46,48,49,51-53,63,65,68,69,76,78,83,84,92,94,100-103,105,108,109,113,126,128,136,137,139]. Supplementary prescribers in the UK can in addition prescribe all controlled drugs, provided they are listed in a clinical management plan agreed by the independent prescriber, nurse and patient [5,21,24,26,27,35,38,40,43-45,48-53,63,76,78,82,95,100,101,108,114,123-126].…”

Section: Resultsmentioning

confidence: 99%

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Nurse prescribing of medicines in Western European and Anglo-Saxon countries: a systematic review of the literature

Kroezen

Dijk

Groenewegen

et al. 2011

BMC Health Serv Res

158

211

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BackgroundA growing number of countries are introducing some form of nurse prescribing. However, international reviews concerning nurse prescribing are scarce and lack a systematic and theoretical approach. The aim of this review was twofold: firstly, to gain insight into the scientific and professional literature describing the extent to and the ways in which nurse prescribing has been realised or is being introduced in Western European and Anglo-Saxon countries; secondly, to identify possible mechanisms underlying the introduction and organisation of nurse prescribing on the basis of Abbott's theory on the division of professional labor.MethodsA comprehensive search of six literature databases and seven websites was performed without any limitation as to date of publication, language or country. Additionally, experts in the field of nurse prescribing were consulted. A three stage inclusion process, consisting of initial sifting, more detailed selection and checking full-text publications, was performed independently by pairs of reviewers. Data were synthesized using narrative and tabular methods.ResultsOne hundred and twenty-four publications met the inclusion criteria. So far, seven Western European and Anglo-Saxon countries have implemented nurse prescribing of medicines, viz., Australia, Canada, Ireland, New Zealand, Sweden, the UK and the USA. The Netherlands and Spain are in the process of introducing nurse prescribing. A diversity of external and internal forces has led to the introduction of nurse prescribing internationally. The legal, educational and organizational conditions under which nurses prescribe medicines vary considerably between countries; from situations where nurses prescribe independently to situations in which prescribing by nurses is only allowed under strict conditions and supervision of physicians.ConclusionsDifferences between countries are reflected in the jurisdictional settlements between the nursing and medical professions concerning prescribing. In some countries, nurses share (full) jurisdiction with the medical profession, whereas in other countries nurses prescribe in a subordinate position. In most countries the jurisdiction over prescribing remains predominantly with the medical profession. There seems to be a mechanism linking the jurisdictional settlements between professions with the forces that led to the introduction of nurse prescribing. Forces focussing on efficiency appear to lead to more extensive prescribing rights.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Nurse prescribing of medicines in Western European and Anglo-Saxon countries: a systematic review of the literature

Kroezen

Dijk

Groenewegen

et al. 2011

BMC Health Serv Res

158

211

View full text Add to dashboard Cite

show abstract

“…A similar study found that nurses and psychiatrists agreed that certain psychiatric workflows can be distributed to nurses trained to manage them. Nonetheless, interviewed nurses agreed that for independent nurse prescribing, preparation and training would be essential, beyond that provided in the current curriculum (16) . Still regarding to competence in the management of the patient disease/illness status domain, study on how mental health workers respond to women who revealed sexual abuse, in the scenario of crisis service, showed that the participants recognized the impact of sexual abuse in long term manifestation of sexual trauma and psychiatric symptoms, highlighting the different responses in physical, cognitive, emotional and spiritual experienced by individuals.…”

Section: Discussionmentioning

confidence: 99%

Nurse competencies for health promotion in the mental health context

Aguiar

Lima²,

Braga

et al. 2012

Acta paul. enferm.

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Objective: To identify the competencies of nurses to health promotion in psychiatric and mental health context. Methods: Integrative review of literature performed through search using the keywords: "mental health" and "professional competence", in the databases SciELO, LILACS, CINAHL, PubMed, Scopus and Cochrane, in the period of 2003 to 2011. 215 studies were identified, of these, six followed the inclusion criteria. Results: Based on the National Panel for Psychiatric Mental Health NP Competencies, the competencies were identified on the evaluated studies: Monitoring and ensuring the quality of health care practice, management of patient health/illness status, cultural competence, managing and negotiating health care delivery systems, the nurse practitioner-patient relationship. Conclusion: The studies analysis evidenced the need for education and training so that nurses may develop the competencies of health promotion in diverse psychiatric care and mental health contexts, in order to broaden knowledge and skills.

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“…Jones et al ((2008) argues that the level of pharmacology training in preregistration MHN does not prepare the nurse for NMP status, and that without fundamental changes in preregistration NMP MHNs will continue to lack in depth knowledge of pharmacology and therefore be reluctant to prescribe. Blanchflower et al (2013) suggested there are two factors which impact on prescribing; internal, such as the confidence to prescribe; and external, including peer pressure, legislation and disagreement with other health care professionals over what should be prescribed.…”

Section: Mental Health Nurses and Non-medical Prescribing;mentioning

confidence: 99%

Prescribing by mental health nurses in acute general hospitals

Kelly

2015

Nurse Prescribing

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This article will consider the role of mental health nurses (MHNs) working in a mental health liaison team (MHLT) as non-medical prescribers (NMPs) for inpatients in acute hospitals. The author has spent 10 years working as a mental health liaison nurse in acute hospitals, qualified as an NMP in 2014, and has seen how NMPs working in MHLTs can enhance care given to patients. MHLTs support and advise colleagues caring for patients with mental health problems in the acute general hospital environment, and ensure appropriate diagnosis and subsequent treatment. Consideration is given to the recent delivery of innovative services, such as rapid assessment interface and discharge (RAID), and how these services could be further strengthened by MHN NMPs, along with possible barriers and facilitators to the MHN NMP role in the acute hospital. The author believes NMP roles within MHLTs are essential to patients experiencing mental health problems in acute hospitals; these roles facilitate quick access to assessment, diagnosis and prescribing.

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Exploring independent nurse prescribing for mental health settings

Cited by 30 publications

References 24 publications

Nurse prescribing of medicines in Western European and Anglo-Saxon countries: a systematic review of the literature

Nurse prescribing of medicines in Western European and Anglo-Saxon countries: a systematic review of the literature

Nurse competencies for health promotion in the mental health context

Prescribing by mental health nurses in acute general hospitals

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