The Oncology Nurse Prescribing: A Catalonian Survey

Fernández-Ortega, Paz; Cabrera-Jaime, Sandra

doi:10.4103/2347-5625.177395

Cited by 5 publications

(6 citation statements)

References 22 publications

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“…In terms of perceived facilitators, the Delphi study highlighted ‘NP increases independence in the functions and responsibilities of the nursing profession’, ‘institutional support’, ‘adaptation to new roles and tasks of the nursing profession’, followed by ‘NP favors the autonomy of the nursing professional in the case of chronic care processes’ and ‘NP implies greater visualization and empowerment of the nursing collective within the care process’. These facilitators have also been recorded by other authors (Edwards et al., 2022; Fernández‐Ortega et al., 2016; McBrien, 2015), who concur that the nurse is key to optimal implementation of the prescription.…”

Section: Discussionsupporting

confidence: 59%

“…In the same vein, it was reported in a study by Fernández‐Ortega et al. (2016) that the top priority (of 59.6% of the nurses consulted) was to receive more information on the products and medicines to be prescribed, while the second most important priority (of 41.7% of the nurses consulted) was to receive specific training and education.…”

Section: Discussionmentioning

confidence: 71%

“…Regarding ‘insufficient training in pharmacology during undergraduate studies’, the reasons given for the current lack of qualification for NP in a study by Fernández‐Ortega et al. (2016) were insufficient training in medical devices (cited by 78% of the nurses consulted) and in pharmacology (cited by 80.4%). To this effect, Snowden and Martin (2010) emphasized that competence in prescribing depends mainly on knowledge of pharmacology and the quality of the therapeutic relationship.…”

Section: Discussionmentioning

confidence: 99%

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Nurses' perceived barriers and facilitators to the implementation of nurse prescribing: Delphi study and focus group

Seck,

Masot,

Carey

et al. 2023

Journal of Advanced Nursing

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AimTo obtain consensus on barriers and facilitators to nurse prescribing following its recent introduction in Spain.DesignA three round online Delphi survey and focus group.MethodsAn exploratory method was used with three consecutive rounds of questionnaires based on anonymity and feedback, and a focus group. The study was carried out with primary care, specialized care, socio‐health care and manager nurses.ResultsOn the basis of the Delphi study that was conducted, a list of 15 barriers and 18 facilitators of nurse prescribing was obtained. However, no general consensus was found with respect to the prioritization of these barriers/facilitators. The analysis of the results of the focus group confirmed the information obtained from the Delphi study. The main barriers highlighted were dependence on the figure of the physician, insufficient training in pharmacology, a lack of institutional support and the limited list of products that could be prescribed. The key facilitators were academic knowledge and ongoing training and education, independence in the functions and responsibilities of the nursing profession, adaptation to new roles and autonomy in the case of chronic care processes.ConclusionNurses were generally positive about the introduction of nurse prescribing. The commitment of nurses to training and their accreditation as prescribers (internal forces) and health policy and nursing management (external forces) play a fundamental role in supporting the basis of nurse prescribing and ensuring that it is developed with the identified support resources, such as staff training and the provision of the materials necessary for its proper implementation, all with the aim of guaranteeing quality healthcare.Implications for the Profession and/or Patient CareStrong models of nurse prescribing are being considered globally to address population needs. The results can help the future implementation of non‐medical independent prescribing and provide guidance to the government and society on the interventions that can be used to consolidate it.Impact What problem did the study address? By 2027, the world's population will receive more than 4.5 trillion doses of medicine each year. However, the WHO estimates a projected shortfall of 10 million health workers by 2030. Inadequacies with traditional physician‐led care systems mean that new approaches are imperative to maintain patient access to prescription medicines, with NP being a key element in this regard. In Catalonia (Spain), the accreditation process for nurses as prescribers was implemented in 2021. It is therefore of vital importance to question and consult the nurses themselves, the main promoters of the process, to find out their perceptions and thus be able to take them into consideration in the implementation process. What were the main findings? A total of 15 barriers and 17 facilitators were identified. The main perceived barriers are dependence on the figure of the physician, insufficient training in pharmacology during undergraduate studies and a lack of institutional support. The main perceived facilitators are academic knowledge and ongoing education and training, independence in nursing functions and responsibilities, and adaptation to new roles and tasks. Where and on whom will the research have an impact? These results can contribute to improving NP implementation in Spain and serve as a reference for other countries, especially where NP education and training have only recently been instigated or are in the planning process. Reporting MethodStandards for reporting qualitative research: a synthesis of recommendations. SRQR.Patient or Public ContributionNo patient or public contribution.

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Section: Discussionsupporting

confidence: 59%

Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

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Nurses' perceived barriers and facilitators to the implementation of nurse prescribing: Delphi study and focus group

Seck,

Masot,

Carey

et al. 2023

Journal of Advanced Nursing

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show abstract

“…However, there are many examples where these barriers were overcome. In the Netherlands and the United Kingdom, it was observed that the more experience people have with nurse prescribing, which is being introduced in an increasing number of countries (Fernández-Ortega et al, 2016), the more positive their views become (Latter et al, 2011) (see also Box 11.2). Similar results were found in comparative studies in Europe (Köppen et al, 2018.…”

Section: Individual Factorsmentioning

confidence: 99%

Skill-mix Innovation, Effectiveness and Implementation

2022

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What are skill-mix innovations and why are they relevant? This systemic analysis of health workforce skill-mix innovations provides an overview of the evidence and lessons for implementation across multiple countries. The authors focus on six core segments of health systems: health promotion and prevention, acute care, chronic care, long-term and palliative care, as well as access for vulnerable groups and people living in underserved areas. In addition, the book analyses the roles of educational systems, workforce planning and policy, and financing within individual countries' healthcare organisations from a cross-country perspective. Although implementing skill-mix changes may be prone to stakeholder opposition or other barriers, this book helps identify ways to steer the process. The authors ultimately determine what skill-mix innovations exist, who may benefit from the changes and how to implement these changes within health systems. This Open Access title is the sixth book in Cambridge's European Observatory on Health Systems and Policies series.

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“…At that time, only a minority of developed and developing countries had enabled or permitted frontline nurse prescribing (Lockwood & Fealy, ). This list now includes Belgium, Botswana, Bulgaria, Croatia, Denmark, England, Finland, Ghana, Greece, Hong Kong, Hungary, Italy, Israel, Jamaica, Kenya, Latvia, Lithuania, Luxemburg, Malta, Namibia, New Zealand, Northern Ireland, Rwanda, Romania, Scotland, Slovakia, South Africa, Spain, Sweden, Tanzania, the Netherlands, Ireland, Uganda, and Wales (Csorba, ; Fernández‐Ortega, Cabrera‐Jaime, & Estrada‐Masllorens, ; Maier & Aiken, ; Msuya et al, ). Frontline registered nurse prescribing was recently envisioned in Canada, a practice currently restricted to nurse practitioners who have successfully completed a masters degree program oriented to the acquisition of nurse practitioner clinical skills and knowledge (Canadian Nurses Association, ).…”

Section: Historical Developmentmentioning

confidence: 99%

Nurse and midwifery prescribing in Ireland: A scope‐of‐practice development for worldwide consideration

Wilson

Murphy

Nam

et al. 2018

Nursing & Health Sciences

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For 10 years, select Irish nurses and midwives who pass a rigorous 6 month theory and practical program can prescribe medications and other medicinal products. Given the need for timely, accessible, and affordable health-care services in all countries, this nursing/midwifery education and practice development is worthy of examination. Irish nurse/midwife prescribing occurred following long-term deliberative nursing profession advocacy, nursing education planning, nursing administration and practice planning, interdisciplinary health-care team support and complementary efforts, and government action. A review of documents, research, and other articles was undertaken to examine this development process and report evaluative information for consideration by other countries seeking to improve their health-care systems. Nurse/midwife prescribing was accomplished successfully in Ireland, with the steps taken there to initiate and establish nurse/midwife prescribing of value internationally.

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The Oncology Nurse Prescribing: A Catalonian Survey

Cited by 5 publications

References 22 publications

Nurses' perceived barriers and facilitators to the implementation of nurse prescribing: Delphi study and focus group

Nurses' perceived barriers and facilitators to the implementation of nurse prescribing: Delphi study and focus group

Skill-mix Innovation, Effectiveness and Implementation

Nurse and midwifery prescribing in Ireland: A scope‐of‐practice development for worldwide consideration

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