Coull Alison, Murray Ian, Turner-Halliday Fiona, Watterson Andrew
School of Nursing, Midwifery and Health, University of Stirling.
Br J Community Nurs. 2013 May;18(5):234-42. doi: 10.12968/bjcn.2013.18.5.234.
Medicine prescribing by community nurses commenced in the UK in 1996. By 2001, nurse prescribing was extended to include more nurses and to cover a wider formulary. This research project provides an evaluation of the extension of prescribing powers to nurses in Scotland, following the introduction of legislation in 2001. It aimed to evaluate the impact of nurse prescribing powers on patients, nurses, prescribers, and other stakeholders. A range of methods were used, including two public surveys, stakeholder interviews, postal questionnaires and case studies. The benefits of extended nurse prescribing include: improved patient access to treatment; enhanced patient care; enabled more effective use of medical staff time and greater professional satisfaction for nurses who used nursing skills; and built inter-professional working. Some obstacles existed, including organisational, institutional and resource factors that restricted the overall success of the extension of nurse prescribing. There are high levels of agreement between patients, the public, nurse prescribers, physicians and other health professionals about the benefits of nurse prescribing to patients. The extension of nurse prescribing has been largely successful, with some organisational and procedural areas that could be addressed.
社区护士开药始于1996年的英国。到2001年，护士开药范围扩大到更多护士，并涵盖更广泛的处方集。本研究项目对2001年立法引入后苏格兰护士开药权的扩展进行了评估。其目的是评估护士开药权对患者、护士、开处方者及其他利益相关者的影响。采用了一系列方法，包括两项公众调查、利益相关者访谈、邮寄问卷和案例研究。扩展护士开药的益处包括：改善患者获得治疗的机会；提高患者护理水平；使医务人员时间得到更有效利用，并让运用护理技能的护士获得更高的职业满意度；以及建立跨专业合作。也存在一些障碍，包括组织、机构和资源因素，这些因素限制了护士开药扩展的总体成功。患者、公众、护士开处方者、医生和其他卫生专业人员在护士开药对患者的益处方面高度一致。护士开药的扩展在很大程度上是成功的，不过在一些组织和程序方面还有待解决。
