Walsh Julia
Stockport Primary Care Trust, Cheshire, UK.
Br J Nurs. 2006;15(11):S14-6. doi: 10.12968/bjon.2006.15.Sup2.21236.
Over the past decade, nurse prescribing in the community has improved clinical care, providing timely access to many products required for patients to receive appropriate treatment. Until recently, nurses who have qualified as nurse prescribers have only been able to prescribe from a limited list of products. Within the leg ulcer clinic environment, the majority of prescriptions written have been related to wound care. This article describes the introduction of extended independent prescribing (now known as non-medical prescribing) and how this type of prescribing has scope for revolutionizing clinical practice in all healthcare settings. There are, however, many contentious issues for clinicians prescribing in this new role, including systems for communication, clinical governance, and attitudes of other professionals.
在过去十年中,社区护士开处方改善了临床护理,为患者获得适当治疗所需的许多产品提供了及时的途径。直到最近,具备护士开处方资格的护士只能从有限的产品清单中开处方。在腿部溃疡诊所环境中,所开具的大多数处方都与伤口护理有关。本文介绍了扩展独立处方(现称为非医疗处方)的引入,以及这种类型的处方如何有潜力在所有医疗环境中彻底改变临床实践。然而,临床医生在担任这一新角色开处方时存在许多有争议的问题,包括沟通系统、临床治理以及其他专业人员的态度。