Otago Polytechnic, Dunedin 9054, New Zealand.
Int Nurs Rev. 2010 Mar;57(1):92-7. doi: 10.1111/j.1466-7657.2009.00749.x.
To identify the activities senior nurses report undertaking that may influence the prescription and use of medicines.
While much attention has focused on the role of nurse prescribing, little is known about the extent to which non-prescribing nurses influence medication decision making. The pharmaceutical industry recognizes this influence in its marketing strategies, and courts nurses by provision of promotional material and sponsorship of nursing professional development.
We undertook parallel web- and paper-based surveys of 100 senior registered nurses employed by government-funded health boards in two distinct New Zealand regions.
Only 2/96 (2%) of nurses had prescribing rights, yet 74/94 (79%) reported recommending treatments to the prescribing doctor, 74/95 (79%) stated they provided advice to patients about over-the-counter medications and 71/92 (77%) participated in the development of guidelines or policies that include the use of medications. All nurses in this sample reported influencing the prescription of medicines in one way or another.
From actually writing prescriptions to providing feedback on treatment outcomes, there are many opportunities for nurses to influence the decision making of medical and other prescribers, which open nurses to exploitation from commercial forces. Policy and education regarding prescriber relationships with the pharmaceutical industry should also recognize the role of non-prescribing nurses.
确定资深护士所从事的可能影响药物处方和使用的活动。
虽然人们对护士处方的作用给予了极大关注，但对于非处方护士在多大程度上影响药物决策知之甚少。制药行业在其营销策略中认识到了这种影响力，并通过提供促销材料和赞助护理专业发展来争取护士。
我们对两个不同的新西兰地区由政府资助的卫生委员会雇用的 100 名资深注册护士进行了平行的网络和纸质调查。
仅有 2/96（2%）的护士拥有处方权，但 74/94（79%）的护士报告向处方医生推荐治疗方案，74/95（79%）的护士表示他们向患者提供有关非处方药的建议，71/92（77%）的护士参与制定包括用药在内的指南或政策。该样本中的所有护士都以某种方式报告影响了药物的处方。
从实际开处方到提供治疗结果的反馈，护士有很多机会影响医疗和其他处方者的决策，这使护士容易受到商业力量的影响。关于处方者与制药行业关系的政策和教育也应认识到非处方护士的作用。
