School of Health and Social Care, University of Surrey, Guilford, UK.
J Clin Nurs. 2013 Jul;22(13-14):2064-76. doi: 10.1111/jocn.12271.
To explore the practice of nurses who prescribe medication for patients with skin conditions.
Nurses have lead roles in dermatology services. In the United Kingdom, nurses in primary care frequently prescribe medicines for skin conditions, but there are concerns about role preparation and access to continuing professional development. The prescribing practices of nurse independent supplementary prescribers who care for patients with skin conditions are under-researched.
Cross-sectional survey.
An online questionnaire was used to survey 186 nurses who prescribed for skin conditions from May-July 2010. Data were analysed using descriptive statistics and nonparametric tests.
The majority worked in primary care (78%) and general practice (111, 59.7%). Twenty (10.8%) had specialist modules (at diploma, degree or master's level), 104 (55.9%) had dermatology training (e.g. study days), 44 (23.7%) had no training, and a further 18 (9.6%) did not respond. Oral antibiotics, topical antifungal and antibacterial drugs were frequently prescribed. Nurses with specialist dermatology training used their qualification in a greater number of ways, prescribed the broadest range of products and prescribed more items per week. Over 70% reporting on continuing professional development had been able to access it.
A large number of nurses in primary care prescribe medicines for skin conditions and are involved in medicines management activities. Lack of specialist dermatology training is a concern and associated with lower prescribing-related activities. Access to dermatology training and continuing professional development are required to support nurse development in this area of practice and maximise benefits.
Nurse prescribers' involvement in medicines management activities has important implications in terms of improving access to services, efficiency and cost savings. To maximise their contribution, improved provision of specialist dermatology training is required. This will be of interest to education providers and service planners in the UK and countries around the world.
探索为皮肤状况患者开处方的护士的实践。
护士在皮肤科服务中扮演着重要的角色。在英国，初级保健护士经常为皮肤状况开处方，但人们对角色准备和获得继续教育的机会表示担忧。对护理皮肤状况患者的独立补充处方护士的处方实践的研究还很不足。
横断面调查。
2010 年 5 月至 7 月，使用在线问卷对 186 名开具皮肤状况处方的护士进行了调查。使用描述性统计和非参数检验对数据进行分析。
大多数人在初级保健（78%）和全科医生（111，59.7%）工作。20 人（10.8%）有专科模块（文凭、学位或硕士水平），104 人（55.9%）有皮肤病学培训（如学习日），44 人（23.7%）没有接受培训，还有 18 人（9.6%）未回复。口服抗生素、局部抗真菌和抗菌药物经常被开处方。具有专科皮肤病学培训的护士以更多的方式使用他们的资格，开出处方的产品范围更广，每周开出处方的项目更多。超过 70%的人报告能够获得继续教育。
初级保健中有大量的护士为皮肤状况开处方，并参与药物管理活动。缺乏专科皮肤病学培训是一个令人关注的问题，这与较低的处方相关活动有关。需要获得皮肤病学培训和继续教育，以支持护士在这一实践领域的发展，并最大限度地提高效益。
护士处方者参与药物管理活动对改善服务获取、提高效率和节省成本具有重要意义。为了最大限度地发挥他们的作用，需要更好地提供专科皮肤病学培训。这将引起英国和世界各地的教育提供者和服务规划者的兴趣。
