Kroezen Marieke, de Veer Anke, Francke Anneke, Groenewegen Peter, van Dijk Liset
NIVEL, Netherlands Institute for Health Services Research, Utrecht, the Netherlands.
J Adv Nurs. 2014 Nov;70(11):2550-61. doi: 10.1111/jan.12404. Epub 2014 Mar 26.
To assess changes in the prescribing practices and views about nurse prescribing of Registered Nurses in the Netherlands between 2006 and 2012.
Considering the developments that took place in the Netherlands between 2006 and 2012, such as increased opportunities for nurse prescribing education and stricter control of nurses' prescribing practices, this study examines the extent to which nurses' prescribing practices and views have changed in the intervening years. In both years, nurses were not legally allowed to prescribe.
Survey study.
Surveys were conducted in 2006 and 2012. Questionnaires were sent to a national sample of nurses. The questionnaires addressed nurses' views on nurse prescribing and the extent to which nurse prescribing took place in the respondents' work setting.
There were 386 and 644 respondents to the 2006 and 2012 surveys respectively. The proportion of nurses who said that they felt adequately equipped to prescribe medicines remained constant around 12%. Insufficient knowledge to prescribe remained the most important reason for feelings of inadequacy. More than a quarter of the nurses in both surveys stated that nurses in their team sometimes write prescriptions. There were few changes in views on the consequences of nurse prescribing for nurses' practice.
Overall, nurses' support for nurse prescribing remained stable at a fairly cautious level, while the number of nurses feeling inadequately equipped to prescribe remained high. As nurse prescribing is expected to improve the quality and continuity of care, this should be taken into account in policy expectations.
评估2006年至2012年间荷兰注册护士的处方开具行为变化以及对护士处方权的看法。
考虑到2006年至2012年间荷兰发生的一些变化，如护士处方权教育机会增加以及对护士处方开具行为的管控更加严格，本研究考察了在此期间护士的处方开具行为和看法发生了多大程度的改变。在这两个年份，护士在法律上均不被允许开具处方。
调查研究。
分别在2006年和2012年进行调查。向全国范围内的护士样本发放问卷。问卷涉及护士对护士处方权的看法以及护士在其工作环境中开具处方的程度。
2006年和2012年的调查分别有386名和644名受访者。表示认为自己有足够能力开具药物的护士比例一直保持在12%左右。知识不足仍是感觉能力不够的最重要原因。两项调查中均有超过四分之一的护士表示其团队中的护士有时会开具处方。对护士处方权给护士工作带来的影响的看法几乎没有变化。
总体而言，护士对护士处方权的支持保持在相当谨慎的稳定水平，而感觉自己没有足够能力开具处方的护士人数仍然很多。鉴于护士处方权有望改善护理质量和连续性，政策预期中应考虑到这一点。
