Division of Health and Social Care, University of Surrey, Guildford, UK.
Diabet Med. 2010 Sep;27(9):1049-54. doi: 10.1111/j.1464-5491.2010.03051.x.
To explore the views of patients with diabetes about nurse prescribing and the perceived advantages and disadvantages.
Patients were recruited from the case-loads of seven nurse prescribers in six National Health Service sites in England. Sites reflected the key settings in which nurses typically prescribe for patients with diabetes within primary care. Forty-one interviews were undertaken by trained qualitative researchers. Interviews addressed opinions and experiences of nurse prescribing; audiotapes were transcribed, coded, and themes identified.
Patients were confident in nurse prescribing. Distinctions were made between the role of the nurse and that of the doctor, and views varied with regard to the extent patients felt nurses should work autonomously. Confidence in nurse prescribing was inspired by nurses' specialist knowledge and experience, a mutual trusting relationship, a thorough consultation, and experience of the benefits of nurse prescribing. Communication between nurses and doctors about patient care, awareness by nurses of their area of competence, training and experience, specialist diabetes knowledge and access to training updates were considered important for safe prescribing. Patterns of attendance had changed in some cases, with patients tending to see doctors less often. Access to medicines was improved for patients during non-routine/emergency situations.
Nurse prescribing is acceptable to patients and can increase the efficiency of diabetes service in primary care. Workforce planners need to include the services of nurse prescribers alongside those of doctors.
探讨糖尿病患者对护士处方的看法，以及他们认为的优势和劣势。
从英格兰六个国民保健服务站点的七名护士处方师的患者中招募参与者。这些站点反映了护士在初级保健中为糖尿病患者开处方的主要环境。由经过培训的定性研究人员进行了 41 次访谈。访谈内容涉及对护士处方的意见和经验；对录音带进行了转录、编码和主题识别。
患者对护士处方有信心。患者对护士和医生的角色有明确的区分，并且对于护士应在多大程度上自主工作的看法也有所不同。对护士处方的信心源于护士的专业知识和经验、相互信任的关系、彻底的咨询以及对护士处方益处的体验。护士和医生之间关于患者护理的沟通、护士对其能力范围的意识、培训和经验、专业的糖尿病知识以及获得培训更新的机会，都被认为是安全处方的重要因素。在某些情况下，患者的就诊模式发生了变化，他们看医生的频率降低了。在非例行/紧急情况下，患者获得药物的途径得到了改善。
护士处方得到了患者的认可，可以提高初级保健中糖尿病服务的效率。劳动力规划者需要将护士处方师的服务与医生的服务结合起来。
