Weglicki Robert S, Reynolds Julie, Rivers Peter H
University of Derby, UK.
De Montfort University, UK.
Nurse Educ Today. 2015 Jan;35(1):227-31. doi: 10.1016/j.nedt.2014.08.009. Epub 2014 Aug 27.
Continuing professional development (CPD) for non-medical prescribers is recognised as being pivotal in maintaining up -to -date knowledge and skills influencing prescribing competence. This study was, therefore, designed to ascertain the aspirations, priorities and preferred mode of CPD for non-medical prescribers.
Qualitative data were derived from semi-structured in-depth interviews and a focus group given by 16 allied health professionals working in primary and secondary care settings. A topic guide was used to cover clinical decision-making (including difficult decisions), legal aspects of prescribing and diagnostic issues. A content analysis of the verbatim transcripts enabled four key emerging themes to be identified, thus offering a basis for developing a greater understanding of the CPD needs of non-medical prescribers.
The four key emerging themes identified are the following: Theme 1: "Personal anxiety undermining confidence to prescribe", Theme 2: "External barriers and other factors that exacerbate anxiety", Theme 3: "Need for support identified through coping strategies", and Theme 4: "Preferred mode or style of learning".
The findings suggest that anxiety and lack of confidence in non-medical prescribing pose a significant challenge for CPD. Strategies that are most likely to improve prescribing confidence are through a blended learning approach. Local higher education and workplace employer collaboration is an appropriate step forward to achieve this.
非医学开处方者的持续专业发展(CPD)被认为对于保持影响开处方能力的最新知识和技能至关重要。因此,本研究旨在确定非医学开处方者的期望、优先事项和首选的CPD模式。
定性数据来自对16名在初级和二级护理环境中工作的专职医疗人员进行的半结构化深入访谈和焦点小组讨论。使用主题指南涵盖临床决策(包括困难决策)、开处方的法律方面和诊断问题。对逐字记录进行内容分析,确定了四个关键的新出现主题,从而为更深入了解非医学开处方者的CPD需求提供了基础。
确定的四个关键新出现主题如下:主题1:“个人焦虑削弱开处方信心”,主题2:“加剧焦虑的外部障碍和其他因素”,主题3:“通过应对策略确定的支持需求”,主题4:“首选的学习模式或风格”。
研究结果表明,非医学开处方中的焦虑和缺乏信心对CPD构成了重大挑战。最有可能提高开处方信心的策略是采用混合学习方法。地方高等教育机构与工作场所雇主合作是实现这一目标的适当举措。