Pat Matthews School of Nursing, Hillel Yaffe Medical Center, Hadera, Israel; Department of Nursing, School of Health Professions, Tel Aviv University, Hadera, Israel.
Int Nurs Rev. 2013 Dec;60(4):469-76. doi: 10.1111/inr.12043. Epub 2013 Jul 11.
To explore the attitudes of patients with chronic conditions towards the expansion of nurse authority, with an emphasis on nurse prescribing of medications for chronic conditions.
The rising number of chronically ill patients in Israel, concurrent with a shortage of physicians, has led to the delegation of authority from physicians to nurses, and this is particularly conspicuous in the prescribing of medication for chronic conditions.
In this correlational study, a questionnaire was distributed to 230 community-based chronically ill men and women aged 18 and older who take at least one regular medication. Data were collected from February to April 2012. Data analysis was performed with the SPSS 19 programme. It includes descriptive and inferential statistics.
Most respondents are in favour of expanding nurse authority to prescribing medication for chronic conditions but object to expanding nurse authority to prescribing new medication. Respondents also object to expanding nurse authority to prescribing medication for chronic conditions in the field of psychiatry. The older respondents and the higher their image of nursing, as well as their knowledge on expanding nurse authority to prescribing medication for chronic conditions, the more positive their attitudes towards this expansion of authority.
This study provides support for nurse prescribing of medication for chronic conditions in Israel. Policymakers in the field of nursing understand the national significance of increasing public awareness of expanding nurse authority to prescribe medication for chronic conditions.
探讨慢性病患者对扩大护士权限的态度，重点是护士对慢性病患者开具药物的权限。
以色列慢性病患者人数不断增加，同时医生短缺，导致医生向护士授权，这在慢性病患者的药物开具方面尤为明显。
在这项相关性研究中，向 230 名年龄在 18 岁及以上、正在服用至少一种常规药物的社区慢性病患者发放了问卷。数据收集于 2012 年 2 月至 4 月。使用 SPSS 19 程序进行数据分析，包括描述性和推论性统计。
大多数受访者赞成扩大护士对慢性病患者开具药物的权限，但反对扩大护士对新药物开具的权限。受访者还反对扩大护士对精神病学领域慢性病患者开具药物的权限。年龄较大的受访者、对护理的形象评价越高、对扩大护士对慢性病患者开具药物权限的了解越多，他们对这种权限扩大的态度就越积极。
本研究为以色列护士对慢性病患者开具药物提供了支持。护理领域的政策制定者了解提高公众对扩大护士对慢性病患者开具药物权限的认识的国家意义。
