Creedon Rena, O'Connell Elizabeth, McCarthy Geraldine, Lehane Brenda
University College Cork, Ireland.
Br J Nurs. 2009;18(21):1322-7. doi: 10.12968/bjon.2009.18.21.45366.
Prescriptive authority for nurses was first introduced by America in 1969, followed later by the UK, Canada, New Zealand, Australia and Sweden. A review of research conducted internationally was performed to inform the development of prescribing policies and practice and to guide future research.
This article, the first of a 2-part literature review, aims to provide a summary of the research conducted in relation to nurse prescribing and confidence in prescribing, the impact of prescribing on relationships, and education for prescribing.
A number of electronic databases were searched in March 2009 and 155 results were retrieved. Forty-four studies satisfied the criteria for inclusion. Twenty-two of these studies are included in this part of the review.
Seventeen studies were UK based, with USA, Australia and Sweden represented by a minority of studies. Seven studies addressed nurse prescribers' confidence, while eight studies focused on the impact nurse prescribing has on interprofessional relationships. The final seven studies addresses the knowledge base and educational preparation of nurses for the prescribing role.
This review has demonstrated the diversity of research conducted in the area of confidence in prescribing, interprofessional relationships and education. It has identified areas which require further investigation, which will inform the future development of nurse and midwife prescribing.
1969年美国率先引入护士处方权，随后英国、加拿大、新西兰、澳大利亚和瑞典也相继引入。对国际上开展的相关研究进行综述，以为处方政策和实践的制定提供参考，并指导未来的研究。
本文是一篇分两部分的文献综述中的第一篇，旨在总结与护士处方及处方信心、处方对医患关系的影响以及处方教育相关的研究。
2009年3月检索了多个电子数据库，共检索到155项结果。44项研究符合纳入标准。本综述的这一部分纳入了其中22项研究。
17项研究来自英国，少数研究来自美国、澳大利亚和瑞典。7项研究探讨了护士处方者的信心，8项研究关注护士处方对跨专业关系的影响。最后7项研究涉及护士担任处方角色所需的知识基础和教育准备。
本综述展示了在处方信心、跨专业关系和教育领域开展的研究的多样性。它确定了需要进一步调查的领域，这将为护士和助产士处方的未来发展提供参考。
