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精神健康领域的护士处方:全国性调查。

Nurse prescribing in mental health: national survey.

机构信息

Research and Development Department, South Staffordshire and Shropshire Health Care NHS Foundation Trust, St George's Hospital, Corporation Street Stafford, UK.

出版信息

J Psychiatr Ment Health Nurs. 2010 Aug;17(6):487-93. doi: 10.1111/j.1365-2850.2009.01541.x.

Abstract

Mental health nurses can now train to become independent prescribers as well as supplementary prescribers. Independent nurse prescribing can potentially help to reorganize mental health services, increase access to medicines and improve service user information, satisfaction and concordance. However, mental health nursing has been slow to undertake prescribing roles, and there has been little work conducted to look at where nurse prescribing is proving successful, and those areas where it is less so. This survey was designed to collect information from directors of nursing in mental health trusts about the numbers of mental health prescribers in England, gather views about prescribing in practice, and elicit intentions with regards to the development of nurse prescribing. In some Trusts, the number of mental health nurse prescribers has increased to the point where wider impacts on workforce, the configuration of teams and services are inevitable. Currently, the way that prescribing is used within different organizations, services and teams varies and it is unclear which setting is most appropriate for the different modes of prescribing. Future work should focus on the impact of mental health nurse prescribing on service delivery, as well as on service users, colleagues and nurses themselves.

摘要

精神健康护士现在可以接受培训成为独立处方者和补充处方者。独立护士处方可能有助于重新组织精神健康服务,增加药物的可及性,并改善服务使用者的信息、满意度和一致性。然而,精神健康护理在承担处方角色方面进展缓慢,很少有工作来研究哪些领域的护士处方是成功的,哪些领域则不然。这项调查旨在从精神健康信托机构的护理主任那里收集有关英格兰精神健康处方者人数的信息,收集有关实践中处方的意见,并了解有关护士处方发展的意图。在一些信托机构,精神健康护士处方者的数量已经增加到了不可避免地会对劳动力、团队和服务配置产生广泛影响的程度。目前,不同组织、服务和团队使用处方的方式各不相同,不清楚哪种设置最适合不同的处方模式。未来的工作应侧重于精神健康护士处方对服务提供的影响,以及对服务使用者、同事和护士自身的影响。

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