Viale Pamela Hallquist, Sanchez Yamamoto Deanna
Santa Clara Valley Medical Center, San Jose, CA, USA.
Oncol Nurs Forum. 2004 Jul 13;31(4):777-83. doi: 10.1188/04.ONF.777-783. Print 2004 Jul.
PURPOSE/OBJECTIVES: To obtain information about the knowledge and attitudes of oncology nurse practitioners (ONPs) concerning the effect of direct-to-consumer (DTC) advertising of prescription medications on prescribing patterns.
Exploratory survey.
Oncology Nursing Society Nurse Practitioner Special Interest Group members in the United States.
221 of 376 ONPs completed the survey (58%).
Researcher-developed 12-question postal survey.
Knowledge and attitudes of ONPs on DTC advertising effects on prescribing patterns.
The findings were similar to those of previous studies of physicians regarding the number of visits when patients requested DTC-advertised medications. Major differences were the positive attitudes of ONPs toward potentially longer patient visits to explain and educate patients regarding medication requests based on DTC advertising and smaller percentages of ONPs who felt "pressured" to prescribe requested medications.
ONPs have mixed opinions regarding the practice of DTC advertising but do not believe that they are influenced heavily by advertising with regard to prescriptive practices. ONPs consider patient encounters for education purposes as appropriate and include information about requested DTC-advertised medications in their approach to patient care.
This is an exploratory survey of a specialty group of ONPs. More research is needed to further explore the practice of DTC advertising and potential influences on the prescribing patterns of ONPs. DTC advertising of prescription medications is increasing; ONPs need to increase their knowledge base about the potential for influences of prescriptive practices.
目的/目标:获取肿瘤学执业护士(ONP)关于处方药直接面向消费者(DTC)广告对处方模式影响的知识和态度方面的信息。
探索性调查。
美国肿瘤护理协会执业护士特别兴趣小组成员。
376名ONP中的221名完成了调查(58%)。
研究人员编制的12个问题的邮寄调查问卷。
ONP对DTC广告对处方模式影响的知识和态度。
关于患者要求使用DTC广告宣传药物时的就诊次数,研究结果与之前对医生的研究相似。主要差异在于,ONP对基于DTC广告的药物请求向患者进行解释和教育时,倾向于进行可能更长时间的患者就诊;而感到开具所要求药物“有压力”的ONP比例较小。
ONP对DTC广告做法看法不一,但不认为他们在处方行为方面受到广告的严重影响。ONP认为出于教育目的与患者接触是合适的,并在其患者护理方法中纳入有关所要求的DTC广告宣传药物的信息。
这是对ONP专业群体的一项探索性调查。需要更多研究来进一步探讨DTC广告做法及其对ONP处方模式的潜在影响。处方药的DTC广告正在增加;ONP需要增加其关于处方行为潜在影响的知识储备。