Downer Frances, Shepherd Chew Kim
University of the West of Scotland.
Br J Community Nurs. 2010 Jul;15(7):348-52. doi: 10.12968/bjcn.2010.15.7.48774.
Nurse prescribing has been established in the UK since 1994, however, limited focus has been placed on the experiences of district nurses adopting this additional role. This phenomenological study explores the experiences of district nurses prescribing as nurse independent prescribers across the West of Scotland. A qualitative Heideggarian approach examined the every-day experiences of independent prescribing among district nurses. A purposive sample was used and data collected using audio taped one-to-one informal interviews. The data was analysed thematically using Colaizzi's seven procedural steps. Overall these nurses reported that nurse prescribing was a predominantly positive experience. Participants identified improvements in patient care, job satisfaction, level of autonomy and role development. However, some of the participants indicated that issues such as support, record keeping, confidence and ongoing education are all major influences on prescribing practices.
自1994年以来,英国已确立了护士处方权,然而,对于承担这一额外职责的社区护士的经历,人们关注有限。这项现象学研究探讨了苏格兰西部担任独立处方护士的社区护士的经历。采用定性的海德格尔方法,审视了社区护士独立处方的日常经历。使用了目的抽样法,并通过一对一的录音非正式访谈收集数据。运用科莱齐的七个程序步骤对数据进行了主题分析。总体而言,这些护士报告称,护士处方权带来的主要是积极体验。参与者指出患者护理、工作满意度、自主程度和角色发展都有所改善。然而,一些参与者表示,诸如支持、记录保存、信心和持续教育等问题,对处方实践都有重大影响。