Kroezen Marieke, van Dijk Liset, Groenewegen Peter P, de Rond Marlies, de Veer Anke J E, Francke Anneke L
NIVEL, Netherlands Institute for Health Services Research, PO Box 1568, 3500 BN Utrecht, The Netherlands.
NIVEL, Netherlands Institute for Health Services Research, PO Box 1568, 3500 BN Utrecht, The Netherlands.
Int J Nurs Stud. 2014 Apr;51(4):539-48. doi: 10.1016/j.ijnurstu.2013.08.002. Epub 2013 Aug 29.
Over the last two decades, the number of countries where nurses are legally permitted to prescribe medication has grown considerably. A lack of peer support and/or objections by physicians can act as factors hampering nurse prescribing. Earlier research suggests that physicians are generally less supportive and more concerned about nurse prescribing than nurses are. However, direct comparisons between doctors' and nurses' views are scarce and are often based on small sample sizes.
To gain insight into the views of Dutch registered nurses (RNs), nurse specialists (with a master's in Advanced Nursing Practice) and physicians on the consequences of nurse prescribing.
Survey study.
Survey questionnaires were sent to national samples of RNs, nurse specialists and physicians.
The questionnaire addressed, among others, respondents' general views on the consequences of nurse prescribing for the quality of care, the nursing and medical professions, and the relationship between the medical and nursing professions.
The net response rate was 66.0% for RNs (n=617), 28.3% for nurse specialists (n=375) and 33.7% for physicians (n=265). It was found that all groups agreed that nurse prescribing benefits nurses' daily practice and the nursing profession. There were few concerns about negative consequences for physicians' practice and the medical profession. Nurse specialists gave significantly (P<0.05) more positive scores on most items than RNs and physicians. We found relatively little difference in views between RNs and physicians. It was only on issues surrounding the quality of care and patient safety that doctors showed more concerns, albeit mild, than RNs and nurse specialists.
RNs, nurse specialists and physicians generally hold neutral to moderately positive views on nurse prescribing. This is beneficial for the implementation and potential success of nurse prescribing in practice, as a lack of peer support and/or objections from physicians can be a hampering factor. However, concerns about the consequences of nurse prescribing for the quality of care and patient safety remain a point for attention, especially among physicians.
在过去二十年中，法律允许护士开药的国家数量大幅增加。缺乏同行支持和/或医生的反对可能成为阻碍护士开药的因素。早期研究表明，与护士相比，医生通常对护士开药的支持较少且更为担忧。然而，医生和护士观点的直接比较很少，且往往基于小样本量。
深入了解荷兰注册护士、专科护士（拥有高级护理实践硕士学位）和医生对护士开药后果的看法。
调查研究。
向注册护士、专科护士和医生的全国样本发放调查问卷。
问卷涉及受访者对护士开药对护理质量、护理和医疗行业以及医疗与护理行业关系影响的总体看法等内容。
注册护士的净回复率为66.0%（n = 617），专科护士为28.3%（n = 375），医生为33.7%（n = 265）。结果发现，所有群体都认为护士开药有利于护士的日常工作和护理行业。对医生的工作和医疗行业的负面影响几乎没有担忧。在大多数项目上，专科护士给出的积极分数显著（P<0.05）高于注册护士和医生。我们发现注册护士和医生的观点差异相对较小。只有在护理质量和患者安全相关问题上，医生比注册护士和专科护士表现出更多担忧，尽管程度较轻。
注册护士、专科护士和医生对护士开药总体持中立到适度积极的看法。这有利于护士开药在实践中的实施和潜在成功，因为缺乏同行支持和/或医生的反对可能是一个阻碍因素。然而，对护士开药对护理质量和患者安全后果的担忧仍然是一个需要关注的问题，尤其是在医生中。
