Courtenay Molly, Carey Nicola
School of Health and Social Care, University of Reading, Reading, UK.
J Clin Nurs. 2009 Sep;18(18):2668-75. doi: 10.1111/j.1365-2702.2009.02799.x. Epub 2009 Jul 8.
To explore the views of doctors and clinical leads (CLs), who care for children and young people, on nurse prescribing in one specialist children's hospital.
Nearly 14,000 nurses in the UK have virtually the same prescribing rights as doctors. Benefits of nurses adopting this role have been reported, but doctors do have some concerns. Increasing numbers of specialist nurses involved in the care of children in the hospital setting are undertaking prescribing training. No research has explored the views of health care professionals on nurse prescribing in this setting.
A subset of qualitative data taken from a larger study that adopted an intrinsic case study design.
Interviews were conducted between October 2006-July 2007 with 11 doctors and three clinical leads in one specialist children's hospital. A thematic analysis was conducted on the interview data.
Nurse prescribing improved access to medicines and continuity of care. Concerns included the need for doctors to have confidence in the ability of the nurse who wanted to become a prescriber, the selection of nurses for prescribing training, the effects of nurse prescribing on the individual roles and responsibilities of doctors and nurses' clinical skills.
Doctors and clinical leads working in a specialist children's hospital in the UK recognise that nurse prescribing makes a positive contribution to the delivery of services. However, it is important that nurses have the appropriate clinical skills and doctors understand nurse prescribing. This will only take place if there is good communication across professional boundaries.
Selection processes for the prescribing programmes must ensure that students have the necessary course prerequisites. Communication across professional boundaries is crucial to the successful implementation of nurse prescribing in the care of children and young people in the hospital setting.
探讨在一家专科儿童医院中，负责照顾儿童和青少年的医生及临床负责人（CLs）对护士处方权的看法。
在英国，近14000名护士拥有与医生几乎相同的处方权。已有报道称护士承担这一角色有诸多益处，但医生确实存在一些担忧。在医院环境中，越来越多参与儿童护理的专科护士正在接受处方培训。尚无研究探讨医疗保健专业人员在此环境下对护士处方权的看法。
从一项采用内在案例研究设计的大型研究中选取的定性数据子集。
于2006年10月至2007年7月期间，对一家专科儿童医院的11名医生和3名临床负责人进行了访谈。对访谈数据进行了主题分析。
护士处方权改善了药物获取途径及护理的连续性。担忧包括医生需要对希望成为开处方者的护士的能力有信心、开处方培训护士的选拔、护士处方权对医生个人角色和职责以及护士临床技能的影响。
在英国一家专科儿童医院工作的医生和临床负责人认识到护士处方权对服务提供有积极贡献。然而，护士具备适当的临床技能且医生理解护士处方权很重要。只有在跨专业界限有良好沟通的情况下才会实现这一点。
处方项目的选拔过程必须确保学生具备必要的课程先决条件。跨专业界限的沟通对于在医院环境中成功实施儿童和青少年护理中的护士处方权至关重要。
