Nurse prescribing: the experiences of psychiatric nurses in the United States

Nolan, Peter; Carr, Neil; Doran, Maureen

doi:10.7748/ns2004.03.18.26.33.c3564

Cited by 21 publications

(18 citation statements)

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“…(2008) found that some nurse prescribers had encountered criticisms from other nurses. The possibility of division between nurse prescribers and nurses who are not prescribers was also noted in research into the experiences of nurse prescribers in the USA where it was seen as a key issue to address (Nolan et al . 2004).…”

Section: Literature Reviewmentioning

confidence: 99%

Mental health nurse independent prescribing: what are nurse prescribers' views of the barriers to implementation?

Ross

Kettles

2012

Psychiatric Ment Health Nurs

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This paper reports a pilot study exploring mental health nurse prescribers' perceptions of barriers to prescribing independently but also includes perceptions of barriers to supplementary prescribing. Current prescribing practice as experienced by mental health nurses suggests a need to identify and highlight these barriers. A mixed methodology explanatory sequential study was carried out over 3 months in Scotland in 2008 as part of a Master's degree. A questionnaire was completed by 33 mental health nurse prescribers. A focus group was conducted with 12 mental health nurse prescribers. Participants' views exposed a number of barriers to prescribing previously unidentified in a review of the relevant literature, and concurred with some previously documented barriers. Sixty per cent of mental health nurse prescribers in the study were not prescribing. Barriers identified in the study included concern about how prescribing impacts on the therapeutic relationship, role conflict, lack of support, inappropriateness of prescriber training, remuneration, qualifying to prescribing time, supervision, prescribing policies, clinical governance and nurse management. Nurse prescribing involves increased accountability and responsibility which is not currently recognized in job status or pay banding. Mental health nurse prescribing has the potential to enhance service provision, but until barriers to prescribing have been identified and addressed as part of the process of organizational change, nurse prescribing cannot achieve its maximum potential.

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Section: Literature Reviewmentioning

confidence: 99%

Mental health nurse independent prescribing: what are nurse prescribers' views of the barriers to implementation?

Ross

Kettles

2012

Psychiatric Ment Health Nurs

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“…It is often considered that the nursing practice of giving depot injections is entrenched within a biomedical framework and may be oppressive towards those who regularly receive them. Currently, mental health nurses are responsible for the administration, and psychiatrists for the prescribing, of a variety of medications to treat mental illness, although this is owing to changes with current recommendations for nurses to take on the role of prescribing (Department of Health 2005a), which is now common practice in the United States (Nolan et al . 2004).…”

Section: Discussionmentioning

confidence: 99%

The subjective experiences of people who regularly receive depot neuroleptic medication in the community

Phillips¹,

McCann

2007

Psychiatric Ment Health Nurs

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Little has been written on the subjective experiences of people who receive depot injections in the community. The authors of this paper have identified distinct gaps in the literature in terms of the views of service users regarding this particular intervention. Existing studies tend to focus upon the side effects of depot neuroleptic medication and the attitudes of Community Mental Health Nurses (CMHNs) towards administering depot medication and issues of compliance and non-compliance. Mental health nurses are frequently perceived as adhering solely to a biomedical approach to patient care in their practice and the therapeutic aspects of their role is frequently unacknowledged. This paper explores how, within the process of giving a depot injection, CMHNs are able to carry out an assessment of their client's needs as well as being someone who is consistent, reliable and supportive. This means that the process of giving a depot injection may be considered as a therapeutic intervention. Qualitative data were obtained through the administration of a semi-structured interview schedule that was constructed and consisted of a range of questions that elicited service users views and opinions related to their experiences of receiving depot neuroleptic medication in the community. The relationship between patient and nurse, as this study reveals, was one that was not only therapeutic, but also provided a forum where psychosocial and clinical issues could be discussed and explored. Crucially, the service users felt they did have a role and an influence in the delivery of their care.

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“…To date, there are numerous case studies in the literature demonstrating the safety and quality of supplementary prescribing in mental health (Jones & Jones, 2005. Other studies also conclude that quality of care and consumer satisfaction can increase when nurses prescribe (Nolan, Carr, & Doran, 2004;Talley & Richens, 2001).…”

Section: Mhn Prescribing As a Rolementioning

confidence: 99%

Rural and metropolitan South Australian mental health workers’ views about nurse prescribing: A thematic analysis

Muyambi

Leach

Martinez

et al. 2018

Health Soc Care Community

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Almost one third of the South Australian population reside in regional locations, which are serviced by just 8% of the State's total psychiatrist workforce. Consequently, access to psychotropic medications in regional South Australia (SA) can be challenging. Granting prescribing rights to mental health nurses (MHNs) located in regional settings presents an opportunity to increase consumer access to psychotropic medications. The aim of the study was to understand the perspectives of mental health workers (MHWs) practising in regional and metropolitan settings towards MHN prescribing. The study adopted a qualitative approach. Seventeen MHWs participated in three focus groups, including two in regional SA and one in a metropolitan site within the State of SA. Participants reported difficulties in accessing medicines in regional areas. The regional focus groups indicated that MHN prescribing may help to release psychiatrists' time and provide quicker assessment and diagnosis. By contrast, the metropolitan focus group expressed reservations about MHN prescribing. Participants indicated that suitable governance structures supported by appropriate education programmes were a necessary prerequisite for MHN prescribing of psychotropic medications. MHN prescribing may help to mitigate the impact of psychiatrist shortages in regional South Australia and possibly in other areas of the world where recruitment is a challenge. The provision of adequate education and the establishment of a suitable governance and support framework are considered necessary steps to progress MHN prescribing.

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Nurse prescribing: the experiences of psychiatric nurses in the United States

Abstract: Nurse prescribing has advantages for nurses and patients, including enhanced career development opportunities and better quality of patient care. However, though nurses may feel ready for this development, some members of the public may take longer to accept it.

Cited by 21 publications

References 0 publications

Mental health nurse independent prescribing: what are nurse prescribers' views of the barriers to implementation?

Mental health nurse independent prescribing: what are nurse prescribers' views of the barriers to implementation?

The subjective experiences of people who regularly receive depot neuroleptic medication in the community

Rural and metropolitan South Australian mental health workers’ views about nurse prescribing: A thematic analysis

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