Supplementary Prescribing in Wales

Hinchliffe, Anne

doi:10.1017/s1467115804001750

Cited by 2 publications

(4 citation statements)

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“…In the UK, additional prerequisites for potential nurse prescribers include nurses' ability to arrange for a Designated Medical Practitioner (DMP) who will supervise them during their practice period and they must occupy a post in which nurse prescribing will enhance patient care [5,26,40,50,52,53,77,95,97,108,109,125]. …”

Section: Resultsmentioning

confidence: 99%

“…There are also differences between countries regarding the educational level of nurse prescribing training. Where most countries, including Australia, Canada, New Zealand, the Netherlands and the USA require nurses to complete a master level degree before they are allowed to prescribe independently, the Irish nurse prescribing training is awarded at level 8 in the Irish education system - which is comparable to Honours Bachelor Degree level - and in the UK prescribing courses are taught at undergraduate level 3 (degree level) [ 5 , 6 , 24 , 27 - 29 , 37 , 48 , 50 , 52 , 53 , 56 , 60 , 63 - 65 , 69 , 72 , 76 , 77 , 79 , 84 , 88 , 89 , 91 , 95 , 99 , 107 - 109 , 116 , 120 , 122 - 125 , 131 ][ 134 , 137 , 138 , 140 - 142 ]. This is remarkable when we recall that nurses in Ireland and especially nurses in the UK have very broad independent prescribing rights.…”

Section: Resultsmentioning

confidence: 99%

“…Another important requirement that often needs to be fulfilled, for example in Australia [ 131 ], New Zealand [ 107 ] and the UK [ 37 , 38 , 42 , 53 , 65 , 84 , 95 , 99 , 137 ], is the ability of nurses to demonstrate clinical assessment and clinical decision-making skills. In the UK, additional prerequisites for potential nurse prescribers include nurses' ability to arrange for a Designated Medical Practitioner (DMP) who will supervise them during their practice period and they must occupy a post in which nurse prescribing will enhance patient care [ 5 , 26 , 40 , 50 , 52 , 53 , 77 , 95 , 97 , 108 , 109 , 125 ].…”

Section: Resultsmentioning

confidence: 99%

“…It is nonetheless clear that most countries operate some sort of mandatory registration system in which nurse prescribers have to be registered before they are allowed to prescribe. In Australia, nurses have to submit a formulary of all the medicines they may prescribe to their respective Nursing Boards as part of their endorsement process [ 5 , 88 ]; in the Netherlands prescribing nurses must be registered in the 'BIG' registration system kept by the Ministry of Health [ 117 , 118 ]; and in Ireland [ 5 , 115 , 139 ], New Zealand [ 5 , 6 , 79 ], the UK [ 5 , 22 , 23 , 29 , 38 , 42 , 71 , 77 , 85 , 91 , 92 , 95 , 116 , 142 ] and the USA [ 134 ] nurse prescribers must register their qualification with their respective national regulatory nursing bodies.…”

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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