Child D
Clinical Services, South Manchester University Hospitals NHS Trust, School of Pharmacy and Pharmaceutical Sciences, University of Manchester.
Br J Nurs. 2001;10(1):48-54. doi: 10.12968/bjon.2001.10.1.5402.
The final report from the Crown review team was published in March 1999. It proposed that new groups of healthcare professionals should be permitted to prescribe medicines. Most of the recent progress has centred on the extension of community nurse prescribing. However, changes have also been proposed to prescribing practices within the hospital setting to include nurses, pharmacists, and other healthcare professionals. This study is an initial piece of work examining hospital nurses' perceptions of pharmacist prescribing to identify if there are issues that warrant further investigation. Postal questionnaires, seeking responses to statements describing pharmacists writing prescriptions for drug treatment, were sent to 200 nurses at five NHS teaching hospitals in Birmingham. Completed questionnaires were received from 115 nurses (a response rate of 57.5%). Fifty-four respondents added comments to the questionnaire, giving some insight into their responses to the statements on pharmacist prescription-writing and prescribing. These comments indicated five key issues that may warrant further investigation: (1) pharmacists' knowledge of the patient (2) doctors losing the opportunity to review drug treatment (3) potential communication problems (4) pharmacists' workload, and (5) legal and professional accountability.
皇家审查小组的最终报告于1999年3月发布。报告提议应允许新的医疗专业人员群体开药。最近的进展大多集中在社区护士处方权的扩大上。然而,医院环境中的处方做法也有了一些改变,包括护士、药剂师和其他医疗专业人员。本研究是一项初步工作,旨在调查医院护士对药剂师开处方的看法,以确定是否存在值得进一步调查的问题。向伯明翰五家国民保健服务教学医院的200名护士发送了邮政调查问卷,问卷内容是关于描述药剂师开具药物治疗处方的陈述,询问他们的看法。共收到115名护士填写的问卷(回复率为57.5%)。54名受访者在问卷上添加了评论,这让我们对他们对药剂师处方开具陈述的回答有了一些了解。这些评论指出了五个可能值得进一步调查的关键问题:(1)药剂师对患者的了解;(2)医生失去审查药物治疗的机会;(3)潜在的沟通问题;(4)药剂师的工作量;(5)法律和专业责任。