英国护士处方权的历史及现状

介绍英国医疗体系下,护士取得处方权的过程,明晰拥有处方权的护士、处方形式及处方内容,并对英国护士处方的现状进行分析,以全面系统的认识英国护士处方权.     

从国外护士处方权的发展看我国的护士处方权

护士处方权是指针对病人的心理、饮食、用药以及护理级别和疾病的发展所做出的判断和决策。这一概念是伴随着社区护理的发展而提出的。     

从国外护士处方权的发展到我国护士处方权的实施

正由于护士工作中需要直接与病人接触,所以,通常护士是患者病情的第一掌握者。而当遇到急危重的患者时,往往需要护士第一时间做出相应的治疗和护理,这种情况下,护士为了患者的最大利益,需要为病人进行紧急用药,所以从某种意义上说,护士已拥有了一定的处方权。然而从我国法律而言,《护士条例》只明确了护士对医生开具的处方有监督和报告的权利,却没有开具处方的权利。单从这一种情况来     

澳大利亚护士处方权的研究进展

回顾国际上有关护士处方的开展情况,并以澳大利亚护士处方权为例,对执业护士的引进、法律、申请与注册、处方模式和教育与培训等方面进行了综述,旨在借鉴澳大利亚护士处方权的发展经验,为我国护士处方权的发展提供一定的借鉴。     

国外重症监护室护士处方权及国内护士处方权发展现状

概括国外部分国家重症监护室专科护士处方权现状以及国内护士处方权研究发展现状,以期挖掘国内护士处方权下一步可研究的领域。     

护士独立处方权在中国实施的现状分析

随着国际护士处方权的发展,我国在面临医疗资源配置的不均衡,护理群体的职业需求无法得到充分满足的前提下,通过分析国内外护士独立处方权的发展现状,得出在中国实施护士处方权的必要性,护士处方权的落实和立法工作应尽快开展。     

授予护士处方权的新动向

本文阐述国外授予护士处方权的现状,对开处方护士进行的教育及开处方的注意事项,从而展示国外护理工作发展的动向。     

影像科护士处方权的研究进展

对国内外符合护士处方权申请资格的影像科护士从影像科护士处方权必要性、现状和内容等方面进行综述,以期为我国影像科护士处方权内容的制订提供参考。     

Benefits and challenges of nurse prescribing

BACKGROUND: Since 1999, all health visitors and district nurses in the United Kingdom (UK) have received additional education to permit their registration as independent prescribers from a limited list of medicinal products. Little research has investigated how more than 20 000 health visitor and district nurse prescribers have implemented their new role since the evaluation of the pilot sites. AIMS: The aims of the study were to describe prescribing practices of health visitors and district nurses, the factors (contextual and professional) which enable and facilitate nurse prescribing, and views about the Nurse Prescribers' Formulary. METHOD: A mail survey was conducted of all health visitors and district nurses working in three trusts in southern England. A 74% response rate was achieved (n = 91). FINDINGS: Most respondents prescribed less than three times a week, with district nurses prescribing significantly more than health visitors (P 相似文献   

The role of the nurse prescriber: the views of mental health and non-mental health nurses

Even though the introduction of the role of the nurse prescriber promises improved access to medicines and increased flexibility in the workforce, the take-up of this role to date has been variable across the UK. This questionnaire-based study sought to compare the expectations of two distinct groups of nurses, one from a mental health and the other from a non-mental health background prior to becoming prescribers. Non-mental health nurses were of the opinion that being able to prescribe would increase efficiency and maximize resources, while mental health nurses saw prescribing primarily in terms of the benefits to clients--increased choice, improved access to care, better information about treatments and better quality of care.     

Nurse independent prescribing and nurse supplementary prescribing practice: national survey

Title. Nurse independent prescribing and nurse supplementary prescribing practice: national survey Aim. This paper is a report of a survey to provide an overview of nurse independent prescribing and nurse supplementary prescribing across the United Kingdom. Background. Evidence examining the frequency of prescribing by nurses is conflicting, and it is evident that several factors hamper prescribing practice. As of May 2006, legislative changes gave appropriately qualified nurses virtually the same independent prescribing right as doctors. However, there is currently no evidence available about the prescribing practices of these nurses. Method. A random sample of 1992 qualified Nurse Independent/Nurse Supplementary Prescribers registered with the Nursing and Midwifery Council was sent a postal questionnaire in 2006. A total of 1400 (70%) questionnaires were returned, of which 1377 were completed. Findings. Eight hundred and ninety‐one (65%) respondents worked in primary care, and 333 (24·3%) worked in secondary care. Three quarters of the sample had more than 5‐year clinical experience in the area in which they prescribed prior to entering the prescribing programme. One thousand one hundred and seven (87%) participants had used nurse independent prescribing and 568 (44·6%) nurse supplementary prescribing. Restriction of local arrangements, implementation of the Clinical Management Plan and access to doctors hampered or prevented prescribing. Conclusion. The adoption of prescribing by nurses in the United Kingdom has increased patient choice with regard to access to medicines. A number of factors which hamper or prevent prescribing require further exploration.     

Decision making: the context of nurse prescribing

From October 1994 qualified district nurses and health visitors from eight demonstration sites in England have been able to prescribe from a limited list of formulary items. Data collected from nurses formed only one part of the evaluation of nurse prescribing. These data highlighted a number of areas where prescribing nurses were faced with difficult decisions. A number of authors have considered how both doctors and nurses make decisions, and the factors which may influence the decision making process. With reference to the literature this paper focuses on the findings related to decision making in the context of nurse prescribing.     

Independent extended nurse prescribing for patients with skin conditions: a national questionnaire survey

Aim. To examine the prescribing practices of independent extended nurse prescribers for patients with skin conditions. Background. Nurse‐led services are one means of improving healthcare provision for dermatology patients. The advent of nurse prescribing should optimize the role of the nurse in these situations. Medicines for skin conditions constitute a significant category within the Nurse Prescribers Extended Formulary. The impact and activity of independent extended nurse prescribing for patients with skin disease has yet to be evaluated. Methods. A convenience sample of 638 qualified independent extended nurse prescribers self completed a written questionnaire. spss and splus were used for data entry and analysis. Results. The majority of nurses (89·7%) were based in primary care and worked in general practice. Four hundred and seventy‐six (75%) participants held a degree level qualification or higher. Forty‐four (6·9%) held a diploma, degree or master's level module/s in dermatology, 433 (67·9%) had undertaken study day/s in dermatology. Five hundred and sixty (87·8%) had more than 10 years postregistration nursing experience. A significantly broader range of skin conditions, and more items for these conditions, were prescribed by nurses with higher academic qualifications, nurses with specialist dermatology training (i.e. a diploma, degree or master's level module in dermatology or dermatology study days), nurses over 45 years and nurses in general practice. A small number of nurses felt unconfident in their prescribing practice. Conclusion. The majority of nurses treating skin conditions work in general practice, are highly qualified, and have a wealth of clinical experience. Nurses’ dermatology training is inconsistent A small number of nurses feel unconfident in their prescribing practice. Relevance to clinical practice. Nurses prescribing for skin conditions must be provided with appropriate dermatological training in order to treat the enormous numbers of patients with skin conditions treated in primary care.     

Evaluating nurse prescribing behaviour using constipation as a case study

Non-medical nurse prescribing in the UK continues to evolve with new legislative frameworks. Studies evaluating patterns of prescribing by nurses remain scarce. This secondary data analysis of national prescribing data investigated the prescribing behaviours of community-based nurses and general practitioners (GPs), using constipation as a case study. Currently, 37 683 registered nurses, midwives and health visitors are qualified to independently prescribe in the UK; however, only 16.6% of nurses prescribed items for constipation. Prescribing practices differed between nurses employed by primary care trusts (PCTs) and general practice, between nurses and GPs, and across regions. PCT-employed nurses undertook 83% of nurse prescribing although activity increased steadily among general practice-employed nurses. Pharmacological treatment choices differed between nurses and GPs. Over 60% of all nurses predominantly prescribed from one class of laxative compared with a wider range prescribed by GPs. The extent, impact and outcomes of medical prescribing need further study.     

Mental health nurse prescribing: issues for the UK

Supplementary nurse prescribing holds the key to rapid developments in psychiatric nursing and the care received by patients. In this paper, the origins, context and research data on nurse prescribing are reviewed, as a backdrop to a discussion on potential application of supplementary prescribing in a number of mental health settings. We describe a number of practice settings where nurse prescribing could be implemented, and argue that given service changes and informative educational preparation, access to care and user experience of that care will be enhanced. We conclude the paper by reviewing a number of clinical, organizational and research factors important for the success of nurse prescribing.