Sydney Nursing School, University of Sydney, Sydney, NSW, Australia.
J Clin Nurs. 2013 Jul;22(13-14):2053-63. doi: 10.1111/jocn.12086. Epub 2013 Jan 24.
To explore which medications Australian nurse practitioners most frequently prescribe.
Although nurse practitioners in Australia have prescriptive authority, little is known about which specific medications nurse practitioners are prescribing and how frequently they do so.
Descriptive electronic survey.
A total of 209 nurse practitioners reported current prescribing practices. Medications reported were categorised according to the Australian Medicines Handbook major drug classifications and frequencies presented.
Seventy-eight per cent of respondents reported prescribing medications as part of their Nurse Practitioner practice. In total, participants reported prescribing 234 separate medications from most Australian Medicines Handbook major drug classifications. Medications from the classification anti-infective drugs were most frequently prescribed followed by medications from analgesic, psychotropic, cardiovascular, musculoskeletal, genitourinary and gastrointestinal classifications.
The majority of nurse practitioners in Australia prescribe medications in their clinical practice, although the proportion of nurse practitioners prescribing has not changed significantly in the past four years. The medications prescribed are comparable with those most frequently prescribed by all prescribers in Australia and highlight the diversity in scope of practice among nurse practitioners.
Findings highlight the importance of Nurse Practitioner's a capacity to prescribe wide variety of medications, especially in practice areas such acute, primary and emergency care. The unique role nurse practitioners in relation to management of patients with infective processes and patients requiring pain relief is highlighted. Insight into current Nurse Practitioner prescribing trends informs future Nurse Practitioner curricular and future continuing education programmes. Findings give unique insight for future service planning, especially service providers considering introducing nurse practitioners to their service. The finding that nurse practitioners prescribing patterns are similar to other non-nurse practitioner prescribers in Australia highlights the potential for service providers to introduce new models of care that are Nurse Practitioner lead.
探索澳大利亚执业护士最常开的药物。
尽管澳大利亚的执业护士有处方权，但对于他们具体开哪些药物以及开处方的频率知之甚少。
描述性电子调查。
共有 209 名执业护士报告了他们目前的开处方实践。报告的药物根据澳大利亚药品手册的主要药物分类进行分类，并呈现了频率。
78%的受访者报告在执业护士实践中开具药物。参与者总共报告了来自澳大利亚药品手册大多数主要药物分类的 234 种不同的药物。抗感染药物分类的药物是最常开的，其次是镇痛药、精神药物、心血管药物、肌肉骨骼药物、泌尿生殖系统药物和胃肠道药物。
大多数澳大利亚执业护士在临床实践中开具药物，但在过去四年中，开具药物的执业护士比例没有显著变化。所开药物与澳大利亚所有开处方者最常开的药物相似，突出了执业护士实践范围的多样性。
研究结果强调了执业护士广泛开具各种药物的能力的重要性，特别是在急性、初级和急诊护理等实践领域。突出了执业护士在处理感染过程患者和需要止痛的患者方面的独特作用。了解当前执业护士的开处方趋势为未来的执业护士课程和继续教育计划提供信息。这些发现为未来的服务规划提供了独特的见解，特别是服务提供者考虑向他们的服务中引入执业护士的情况。发现执业护士的开处方模式与澳大利亚其他非执业护士开处方者相似，这突出了服务提供者引入以执业护士为主导的新护理模式的潜力。
