Darvishpour Azar, Joolaee Soodabeh, Cheraghi Mohammad Ali
1. PhD Candidate, Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Iran University of Medical Science, Tehran, Iran & Social Determinants of Health (SDH) Research Center, School of Nursing and Midwifery, Guilan University of Medical Sciences (GUMS), Guilan, Iran.
2. Associate Professor of Nursing, Center for Nursing Care Research, Department of Nursing Management, Faculty of Nursing and Midwifery, Iran University of Medical Science, Tehran, Iran.
Med J Islam Repub Iran. 2014 Jul 22;28:77. eCollection 2014.
Prescribing represents a new aspect of practice for nurses. To make qualitative results more accessible to clinicians, researchers, and policy makers, individuals are urged to synthesize findings from related studies. Therefore this study aimed to aggregate and interpret existing literature review and systematic studies to obtain new insights on nurse prescription.
This was a qualitative meta synthesis study using Walsh and Downe process. In order to obtain data all Digital National Library of Medicine's databases, search engines and several related sites were used. Full texts with "review and nurs* prescri* " words in the title or abstract in English language and published without any time limitation were considered. After eliminating duplicate and irrelevant studies, 11 texts were selected. Data analysis was conducted using qualitative content analysis. Multiple codes were compared based on the differences and similarities and divided to the categories and themes.
The results from the meta synthesis of the 11 studies revealed 8 themes namely: leading countries in prescribing, views, features, infrastructures, benefits, disadvantages, facilitators and barriers of nursing prescription that are discussed in this article. The results led to a schematic model.
Despite the positive view on nurse prescribing, there are still issues such as legal, administrative, weak research and educational deficiencies in academic preparation of nurses that needs more effort in these areas and requires further research.
开处方是护士实践的一个新领域。为了让临床医生、研究人员和政策制定者更容易获取定性研究结果，鼓励个人对相关研究的结果进行综合分析。因此，本研究旨在汇总和解读现有文献综述及系统性研究，以获得有关护士开处方的新见解。
这是一项采用沃尔什和唐恩方法的定性元综合研究。为获取数据，使用了美国国立医学图书馆的所有数据库、搜索引擎及几个相关网站。纳入标题或摘要中带有“综述与护士开处方”字样、以英文发表且无时间限制的全文。在剔除重复及不相关研究后，选取了11篇文献。采用定性内容分析法进行数据分析。根据异同比较多个编码，并将其分类为不同的类别和主题。
对11项研究的元综合结果揭示了8个主题，即：开处方的领先国家、观点、特点、基础设施、益处、弊端、促进因素和护士开处方的障碍，本文将对此进行讨论。结果形成了一个示意图模型。
尽管对护士开处方持积极态度，但仍存在一些问题，如法律、管理、研究薄弱以及护士学术准备方面的教育缺陷，这些领域需要付出更多努力，并需要进一步研究。
