Non-medical prescribing versus medical prescribing for acute and chronic disease management in primary and secondary care

Abstract

This systematic review protocol forms part of research that has been funded by _____________________________. The protocol document was originally hosted by _______________________________________ and made publicly available at ____________________________________________________________________________________. This work is made freely available under open access. The first version of this protocol was originally made available on ________________________________________. This version of the protocol was originally made available on ____________________________________________. In total, there have been ____________ known revisions of the protocol. This protocol is distributed under a CC ____________ license.

The prescribing needs of community practitioner nurse prescribers: A qualitative investigation using the theoretical domains framework and COM‐B

“…Strengthening nurses' capacity to include prescribing improves nurses' ability to reach more people with quality health services (Weeks et al, 2016). Given the need to address health service demands in low-, middle-and high-income countries, our research should be of international interest.…”

“…Nurses are able to prescribe in several countries, including Ireland, Australia, Canada, New Zealand, Netherlands, Sweden, the USA and the UK (Ball, Barker, & Buchanan., J., 2009;Kroezen, Dijk, & Groenewegen, 2011;Weeks, George, & Maclure, 2016). Doctor shortages, the need to improve access to medicines, the development of advanced practitioner roles and a need to make better use of nurses' skills, are each drivers for this role (Kroezen et al, 2011;Weeks et al, 2016).…”

GPs, nurses and pharmacists as prescribers in primary care: an exploration using the social identity approach / Hausärzte/-innen, Diplomierte Pflegefachpersonen und Apotheker/-innen als Arzneimittelverschreiber/-innen: eine Exploration mit dem Ansatz der Sozialen Identität

“…Most commonly, this includes nurses, but can also include pharmacists and allied health care professionals such as optometrists, physiotherapists, podiatrists, radiographers and chiropodists. Non-medical prescribing has been seen as one answer to rising health care challenges in Western countries, that of increasing health care costs and workload associated with a rising elderly population with increasing chronic disease and co-morbidity (Bhanbro et al, 2011;Weeks et al, 2014). The assumption is that nurse and pharmacist prescribers can engage in the on-going prescribing and monitoring of patients with chronic diseases, thereby enabling doctors to see more complex patients.…”

The evolution of pharmacy practice research–Part I: Time to implement the evidence†

“…[1] Similarly another Cochrane review focusing solely on hypertension concluded that 'pharmacist led care may be a promising way of improving control in patients with hypertension, with the majority of RCTs being associated with improved blood pressure control, improved systolic blood pressure and more modestly improved diastolic blood pressure, but these interventions require further evaluation'. [2] Likewise, Santschi et al [3] showed an average reduction of 7.6/3.9 mmHg over 39 trials of pharmacist care versus usual care. Finally a third Cochrane review on prescribing by other healthcare professionals concluded that 'With appropriate training and support, nurses and pharmacists are able to prescribe medicines as part of managing a range of conditions to achieve comparable health management outcomes to doctors'.…”