Pharmacists and nurses as independent prescribers: exploring the patient's perspective

Hobson, Rachel; Scott, Jennifer; Sutton, Jane

doi:10.1093/fampra/cmp070

Cited by 58 publications

(93 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These studies have reported support and benefits from this role. 37,38,39,40 In Australia, Bessell et al also explored consumers' perspectives. These authors indicated that consumers were supportive of improved access to medications.…”

Section: A) Studies Exploring Pharmacists' Viewsmentioning

confidence: 99%

An expanded prescribing role for pharmacists – an Australian perspective

Hoti

Hughes

Sunderland

2011

AMJ

View full text Add to dashboard Cite

Expanded pharmacist prescribing is a new professional practice area for pharmacists. Currently, Australian pharmacists' prescribing role is limited to over-the-counter medications. This review aims to identify Australian studies involving the area of expanded pharmacist prescribing. Australian studies exploring the issues of pharmacist prescribing were identified and considered in the context of its implementation internationally. Australian studies have mainly focused on the attitudes of community and hospital pharmacists towards such an expansion. Studies evaluating the views of Australian consumers and pharmacy clients were also considered. The available Australian literature indicated support from pharmacists and pharmacy clients for an expanded pharmacist prescribing role, with preference for doctors retaining a primary role in diagnosis. Australian pharmacists and pharmacy client's views were also in agreement in terms of other key issues surrounding expanded pharmacist prescribing. These included the nature of an expanded prescribing model, the need for additional training for pharmacists and the potential for pharmacy clients gaining improved medication access, which could be achieved within an expanded role that pharmacists could provide. Current evidence from studies conducted in Australia provides valuable insight to relevant policymakers on the issue of pharmacist prescribing in order to move the agenda of pharmacist prescribing forwards.

show abstract

Section: A) Studies Exploring Pharmacists' Viewsmentioning

confidence: 99%

An expanded prescribing role for pharmacists – an Australian perspective

Hoti

Hughes

Sunderland

2011

AMJ

View full text Add to dashboard Cite

show abstract

“…Stakeholders are generally satisfied with NMP [12-15] and report that it increases the accessibility and flexibility of services [16,17]. A number of benefits for NMPs themselves have also been reported including greater autonomy and increased job satisfaction, more time with patients and the ability to provide a complete episode of care, increased self-confidence, and time savings [18-21].…”

Section: Introductionmentioning

confidence: 99%

An overiew of non medical prescribing across one strategic health authority: a questionnaire survey

Courtenay

Carey

Stenner

2012

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundOver 50,000 non-medical healthcare professionals across the United Kingdom now have prescribing capabilities. However, there is no evidence available with regards to the extent to which non-medical prescribing (NMP) has been implemented within organisations across a strategic health authority (SHA). The aim of the study was to provide an overview of NMP across one SHA.MethodsNMP leads across one SHA were asked to supply the email addresses of NMPs within their organisation. One thousand five hundred and eighty five NMPs were contacted and invited to complete an on-line descriptive questionnaire survey, 883 (55.7%) participants responded. Data was collected between November 2010 and February 2011.ResultsThe majority of NMPs were based in primary care and worked in a team of 2 or more. Nurse independent supplementary prescribers were the largest group (590 or 68.6%) compared to community practitioner prescribers (198 or 22.4%), pharmacist independent supplementary prescribers (35 or 4%), and allied health professionals and optometrist independent and/or supplementary prescribers (8 or 0.9%). Nearly all (over 90%) of nurse independent supplementary prescribers prescribed medicines. Approximately a third of pharmacist independent supplementary prescribers, allied health professionals, and community practitioner prescribers did not prescribe. Clinical governance procedures were largely in place, although fewer procedures were reported by community practitioner prescribers. General practice nurses prescribed the most items. Factors affecting prescribing practice were: employer, the level of experience prior to becoming a non-medical prescriber, existence of governance procedures and support for the prescribing role (p < 0.001).ConclusionNMP in this strategic health authority reflects national development of this relatively new role in that the majority of non-medical prescribers were nurses based in primary care, with fewer pharmacist and allied health professional prescribers. This workforce is contributing to medicines management activities in a range of care settings. If non-medical prescibers are to maximise their contribution, robust governance and support from healthcare organisations is essential. The continued use of supplementary prescribing is questionable if maximum efficiency is sought. These are important points that need to be considered by those responsible for developing non-medical prescribing in the United Kingdom and other countries around the world.

show abstract

“…Recent studies have explored the views of 18 patients who had experienced either pharmacist (eight patients) or nurse prescribing (10 patients). Patients acknowledged the drug knowledge of pharmacists but expressed concerns over potential privacy and space issues in community pharmacies even though none had experienced community pharmacy‐based prescribing services [8] …”

Section: Introductionmentioning

confidence: 99%

Pharmacist prescribing in primary care: the views of patients across Great Britain who had experienced the service

Stewart

MacLure

Bond

et al. 2011

International Journal of Pharmacy Practice

View full text Add to dashboard Cite

OBJECTIVE To evaluate the views of patients across primary care settings in Great Britain who had experienced pharmacist prescribing. METHODS All Royal Pharmaceutical Society of Great Britain (RPSGB) prescribers (n = 1622) were invited to participate. Those consenting were asked to invite up to five consecutive patients who had experienced their prescribing to participate. Patients were mailed one questionnaire and a reminder. The questionnaire included five sections: demographics; you and your pharmacist prescriber; you and your general practitioner; your views and experiences based on your most recent pharmacist prescriber consultation; and additional views. KEY FINDINGS Of the 482 (29.7%) pharmacists who responded, 92 (19.1%) were eligible to participate, of whom 49 (53.3%) consented. Of those excluded, 193 (49.5%) were prescribing in secondary care and 171 (43.8%) were not prescribing. Between September 2009 and March 2010, 143 patients were recruited. Patient response rate was 73.4% (n = 105/143). Consultation settings were largely general practice (85.7%) or community pharmacy (11.4%). Attitudes were overwhelmingly positive with the vast majority agreeing/strongly agreeing that they were totally satisfied with their consultation and confident that their pharmacist prescribed as safely as their general practitioner (GP). Pharmacists were considered approachable and thorough, and most would recommend consulting a pharmacist prescriber. A slightly smaller majority would prefer to consult their GP if they thought their condition was getting worse and a small minority felt that there had been insufficient privacy and time for all their queries to be answered. CONCLUSIONS Patients were satisfied with, and confident in the skills of, pharmacist prescribers. However, the sample was small, may be biased and the findings lack generalisability.

show abstract

Pharmacists and nurses as independent prescribers: exploring the patient's perspective

Cited by 58 publications

References 10 publications

An expanded prescribing role for pharmacists – an Australian perspective

An expanded prescribing role for pharmacists – an Australian perspective

An overiew of non medical prescribing across one strategic health authority: a questionnaire survey

Pharmacist prescribing in primary care: the views of patients across Great Britain who had experienced the service

Contact Info

Product

Resources

About