ORCID Profile
0000-0002-5787-9525
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Publisher: Wiley
Date: 19-07-2022
DOI: 10.1111/JAN.15367
Abstract: The aim was to explore nurses' preparedness to expand their practice to prescribe medicines under a supervision model. This was a cross‐sectional study. A convenience s le of Australian nurses recruited from memberships of State‐based Nursing and Midwifery Unions and professional bodies from erse care settings. Nurses undertook an online researcher‐constructed survey between March and July 2021 to identify current prescribing practices, motivations for undertaking education in prescribing and perceived barriers to implementation of nurse prescribing under supervision. Data related to demographics, nursing experience and barriers to becoming a prescriber were analysed descriptively. Logistic regression was used to model nursing experience variables with desire to become a prescriber. A total of 4424 nurses participated with the majority ( n = 3645, 82%) reporting they were highly likely to expand their practice to prescribe medicines under supervision. The main motivations to prescribe were to enhance patient care and job satisfaction. Nurses were more likely to want to prescribe if they had years experience (95% CI = 0.3–0.5, p 0.001), held a bachelor's degree (95% CI = 1.3–2.2, p 0.001) or higher qualification (95% CI = 1.8–2.9, p 0.001). Most reported lack of acknowledgement of increased responsibility and workloads ( n = 4098, 93%), and insufficient organizational support ( n = 4197, 95%) may prevent uptake of nurse prescribing. Most Australian nurses demonstrated their preparedness to embrace the role of prescribing under supervision. The perceived barriers identified in this study can inform future implementation of this expanded nursing role. The Nursing and Midwifery Board of Australia has proposed a standard of practice to enable nurses to prescribe under supervision. Models of nurse prescribing are being considered globally to address population needs. Successful adoption of this practice is dependent on aspects such as key personnel's acceptance of the initiative. The workforce readiness and barriers highlighted in this study can inform implementation at policy and organizational levels.
Publisher: Wiley
Date: 03-09-2022
DOI: 10.1111/JAN.14992
Abstract: To explore evidence reporting facilitators and barriers to implementation of nurse prescribing and provide practical recommendations for evidence‐informed implementation and adoption of nurse prescribing under a supervision model. As demand for access to quality health care services increases, health professional roles are expanding to meet population needs. Nurse prescribing has been effective in some countries and is being considered globally to address growing health care demand. Successful implementation of health service models requires careful planning and consideration. No existing reviews have examined implementation factors in the literature. Integrative review. CINAHL, MEDLINE, PubMed and EMBASE databases were searched from inception to 15 April 2020. This integrative review is guided by Whittemore and Knafl and adheres to PRISMA reporting guidelines. The sustainability of innovation framework was used to synthesize data concerning implementation and sustainability factors (i.e. innovation, organizational, political, workforce and financial) for nurse prescribing. A total of 39 articles were reviewed with literature predominantly reporting findings related to non‐medical and nurse prescribing under various models. Variable evidence was found to inform nurse prescribing across five implementation and sustainability factors identifying several areas that require in‐depth consideration. Very little evidence is available on nurse prescribing under supervision. Introduction of service reform is often costly. This review highlights gaps in the literature and raises areas for consideration prior to implementation of this new service delivery model. The introduction of nurse prescribing must be planned and informed by available evidence to support effective adoption, practice and patient outcomes. There are significant gaps in evidence related to nurse prescribing under a supervision model. Based on the evidence synthesized in this review, this paper provides practical recommendations for health service providers, managers, clinicians, educators and researchers to support implementation and adoption of nurse prescribing.
Publisher: Elsevier BV
Date: 04-2023
Publisher: Informa UK Limited
Date: 10-2018
DOI: 10.2147/JMDH.S169424
No related grants have been discovered for Lynda Cardiff.