The effects of nurse prescribing: A systematic review

Gielen, Sanne C.; Dekker, Janneke; Francké, Anneke L.; Mistiaen, Patriek; Kroezen, Marieke

doi:10.1016/j.ijnurstu.2013.12.003

Cited by 116 publications

(124 citation statements)

References 51 publications

(159 reference statements)

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“…The present results correspond with a study by Gielen et al [6]. A systematic review of 35 selected publications demonstrated that both objectively measured quality of care and patient satisfaction were higher (or at least comparable) in the case of nursing care rather than the one provided by physicians.…”

Section: Discussionsupporting

confidence: 91%

“…In the world literature (ProQuest, Google-scholar, PubMed, search dates: between April 1 st , 2001 and April 1 st , 2015, language: English, key words: nurse prescribing, nurse prescribers) there were a number of publications relating to the assessment of the fact that nurses were given the power to write prescriptions and refer patients for diagnostic tests [2,[6][7][8][9].…”

Section: Discussionmentioning

confidence: 99%

“…No statistically significant differences were found between the number of referrals made by nurses and doctors. [6].…”

Section: Discussionmentioning

confidence: 99%

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Knowledge of and attitudes towards extending professional powers among departmental nurses with respect to issuing prescriptions and independent referring for diagnostic tests – preliminary report

Zarzeka

Pańczyk

Ścieglińska³

et al. 2017

Polish Journal of Public Health

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Introduction. An independent prescribing certain drugs, including issuing prescriptions, as well as an entitlement to refer patients for certain diagnostic tests, constitute the key competences of an advanced nurse/midwife practice.Aim. To analyze knowledge and attitudes of departmental nurses (DN) towards extending professional powers of nurses and midwives.Material and methods. Results. Almost all DN knew that prescribing drugs is a right and not an obligation. Nearly half of the DN knew when the new regulations shall enter into force. DN believed that the new regulations shall improve patient care and increase patient's comfort and access to services. DN concern about preparation of nurses and midwives for new competences.Conclusions. 1. The study group's level of knowledge about the new competences was insufficient and requires supplementing. 2. The attitudes of the study group towards the new competences were not unambiguous. It should, however, be noted that the study was conducted in a specialized children's teaching hospital, where the application of the amended regulations is limited. 3. Although the nursing management staff supports the legislative changes, they object to the process of introducing them. This applies particularly to the necessity of an adequate preparation of nurses and midwives. 4. The study should be continued among a representative group of nurses with a similar level of education, professional experience, and place of work, with particular consideration of nurses working in the outpatient health care.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

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Knowledge of and attitudes towards extending professional powers among departmental nurses with respect to issuing prescriptions and independent referring for diagnostic tests – preliminary report

Zarzeka

Pańczyk

Ścieglińska³

et al. 2017

Polish Journal of Public Health

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“…A systematic review [38] reported that nurses prescribe for a wide range of patients in comparable ways to physicians. Patients were generally more or equally satisfied with the care provided by nurses compared to the traditional care provided by physicians.…”

Section: Pragmatic Process and Outcome Measuresmentioning

confidence: 99%

Assessing the Quality of Patient Centred Consultations

Pawlikowska¹,

Marcinowicz²

2015

J Nurs Care

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The consultation is key to health care delivery, and the pursuit of excellence in consultations enables health care practitioners to activate their knowledge in the service of patients. Effective consulting, alongside increasing patient involvement in the assessment of the quality of their own care is a contemporary imperative.There are many ways to approach the assessment of quality, and patient centred outcomes are valued, but sometimes difficult to define and operationalize. Bearing in mind the emphasis in nursing on holistic patient cantered care it seems appropriate to focus on this concept. The Patient Enablement Instrument (PEI) offers an approach to investigate consultations between patients and health care professionals on a patient centred model. Keywords: Patient enablement instrument (PEI); Patient; Health care ContextThere is a burgeoning deficit of health care professionals world-wide [1], it is therefore important to understand how they can best deliver patient care. The consultation is the pivotal interchange of delivery between health care professional and patient, so it is vital to optimise its quality. Increasing patient involvement in their own care, and its evaluation, is an also an important feature of health service development. Donabedian [2] has conceptualised effectiveness into technical and interpersonal aspects: the latter will be the main focus here.According to Nelson [3], best practice in nursing is a "directive, evidence-based, and quality-focused concept" used in educational, administrative, clinical and theoretical/conceptual domains. Moreover best practice is more than just evidence-based because good quality care is optimized according to contemporary standards and values, and in this way is also contextualized.A systematic review by Köberich and Farin [4] defined patientcentered nursing care as "the degree to which the patient's wishes, needs and preferences are taken into account by nurses when the patient requires professional nursing care. " They consider patientcentered nursing care as "a process influencing nursing-sensitive patient outcomes that is affected by several nurse-and context-related factors (such as nurses' attitudes towards patient-centeredness and the organization of nursing care)".Kitson et al. [5] contrasted the perspectives of those active in the delivery of health care: health policy stakeholders and nurses perceive patient-centered care more broadly than medical professionals. They found that doctors tend to focus on the relationship with the patient and the decision-making process within the consultation. This narrative review of key health policy, medical and nursing work on patient-centered care, identified patient participation, the relationship between the patient and the healthcare professional, and the context of care delivery as core themes.Evidence has accumulated that robust primary care "helps prevent illness and death … (and) is associated with a more equitable distribution of health in populations, a finding that holds in both cros...

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“…6 Além do Brasil, países como Austrália, Canadá, França, Reino Unido, EUA, Suécia, Botswana, Zâmbia, Nova Zelândia, Holanda, África do Sul e Irlanda já regulamentaram a prescrição de medicamentos pela enfermagem. [7][8] Estender o direito de prescrição para o enfermeiro possui diversas motivações, como a expectativa de contribuição na otimização e eficácia do cuidado ao usuário, melhoria da qualidade e continuidade do tratamento prescrito, bem como a possibilidade de um uso mais eficiente do tempo e dos recursos para os usuários. 8 A literatura aponta três modelos de prescrição de medicamentos por enfermeiro: prescrição independente, prescrição dependente e grupo protocolo.…”

Section: Introductionunclassified

A prescrição de medicamentos na estratégia de saúde da família: percepção de enfermeiros

2016

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RESUMO: Objetivo: conhecer a percepção dos enfermeiros sobre a prescrição de medicamentos, realizada pela categoria na Estratégia de Saúde da Família de um município no Maranhão. Método: estudo de abordagem qualitativa, descritivo, tendo como participantes oito enfermeiras. Dados coletados em abril de 2014 por meio de entrevistas e analisados de acordo com o método de análise de conteúdo. Resultados: constatou-se que as enfermeiras entrevistadas são jovens, recém-admitidas no cargo, com tempo de formação superior a três anos. A partir dos discursos, formularam-se duas categorias: percepção dos enfermeiros sobre a sua prescrição de medicamentos e as bases do conhecimento para a prescrição. Detectou-se que as enfermeiras veem a prescrição de medicamentos como uma atribuição importante e necessária, sentindo-se preparadas para prescrever devido a sua vivência profissional e não a sua formação acadêmica. Considerações Finais: aponta-se a necessidade de que os cursos de graduação preparem devidamente os enfermeiros para desempenhar essa função. Descritores: Enfermagem; Estratégia saúde da família; Prescrições de medicamentos.ABSTRACT: Aim: to know nurses ' perception about medicine prescription in Family Health Strategy in a city in the State of Maranhão. Method: qualitative and descriptive study, in which eight Nurses were interviewed. Data were collected in April 2014 through interviews and analyzed according to the content analysis method. Results: it was noted that the interviewed nurses were recently hired young women that had been graduated for more than three years. From the interviews, two categories emerged: nurses' perception on their medicine prescribing and knowledge bases for prescription. It was perceived that nurses see prescription of drugs as an important and necessary role, they argued that the knowledge used to prescribe is from their professional experience rather than their academic formation. Final considerations: thus, the need of undergraduate courses to properly prepare nurses to perform such function is highlighted. Descriptors: Nursing; Family health strategy; Drugs prescriptions. RESUMEN: Objetivo: conocer la percepción de las enfermeras sobre su prescripción de medicamentos en la Estrategia de Salud Familiar de una ciudad del Maranhão. Método:

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The effects of nurse prescribing: A systematic review

Cited by 116 publications

References 51 publications

Knowledge of and attitudes towards extending professional powers among departmental nurses with respect to issuing prescriptions and independent referring for diagnostic tests – preliminary report

Knowledge of and attitudes towards extending professional powers among departmental nurses with respect to issuing prescriptions and independent referring for diagnostic tests – preliminary report

Assessing the Quality of Patient Centred Consultations

A prescrição de medicamentos na estratégia de saúde da família: percepção de enfermeiros

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