护士开处方者的职业概况及相关培训需求：对计划生育护士的实证研究

The occupational profile and associated training needs of the nurse prescriber: an empirical study of family planning nurses.

作者信息

Tyler C, Hicks C

机构信息

Central Family Planning Clinic, Norfolk and Norwich University Hospital NHS Trust, Norwich, UK.

出版信息

J Adv Nurs. 2001 Sep;35(5):644-53. doi: 10.1046/j.1365-2648.2001.01896.x.

DOI:10.1046/j.1365-2648.2001.01896.x

PMID:11529966

Abstract

RATIONALE, AIMS AND OBJECTIVES: The issue of nurse prescribing is highly topical, with various United Kingdom Government directives recommending this extension to the nursing role. However, despite an imperative to provide 23 000 nurse prescribers by March 2001 and to expand this function to half the nursing workforce by 2004, there is as yet no agreement as to the occupational profile of the nurse prescriber, nor the level and content of any pre-requisite educational programme. This study was an attempt to address these unresolved aspects with family planning nurses.

METHOD

A psychometrically valid and reliable training needs analysis instrument was distributed to 1142 family planning nurses, of which 388 were returned. This instrument required the respondents to assess 40 core clinical tasks according to three criteria: how critical each task was both to their current role as family planning nurses and to the role of the family planning nurse prescriber, and how well each was performed. Comparisons of the ratings provided an indicative profile of the role of the family planning nurse prescriber and a prioritized list of training needs to achieve this status.

RESULTS

Generally, and unsurprisingly, the nurse prescribing role was defined primarily in terms of prescribing functions, although advanced professional issues, communication, teamwork and business/administration were also deemed to be salient. Research was not identified as being important. However, with regard to the top 15 training needs, seven research tasks were recorded, with the remainder including advanced clinical activities, applied pharmacology, administration and technical activities.

CONCLUSION

This study offers a role definition of the nurse prescriber in family planning, and an indicative curriculum for cognate educational programmes.

摘要

基本原理、目的和目标：护士处方权问题是当前的热门话题，英国政府发布了多项指令，建议扩大护士的职责范围。然而，尽管迫切需要在2001年3月前培养出23000名护士处方医生，并在2004年前将这一职能扩大到一半的护理人员，但对于护士处方医生的职业概况以及任何必要教育项目的水平和内容，尚未达成共识。本研究试图解决计划生育护士中这些未解决的问题。

方法

向1142名计划生育护士发放了一份心理测量有效且可靠的培训需求分析工具，共收回388份。该工具要求受访者根据三个标准评估40项核心临床任务：每项任务对他们当前作为计划生育护士的角色以及对计划生育护士处方医生角色的关键程度，以及每项任务的执行情况。对评分进行比较，得出了计划生育护士处方医生角色的指示性概况以及实现这一角色所需培训需求的优先清单。