Herklots Annie, Baileff Anne, Latter Sue
Advanced Nurse Practitioner/Nurse Independent Prescriber, Southampton.
Br J Community Nurs. 2015 May;20(5):217-8, 220-3. doi: 10.12968/bjcn.2015.20.5.217.
Community matrons prescribe medications and treatments for arguably the most complex patients in the community setting, yet little is known about their experiences of prescribing. Drug events and inappropriate prescribing are known to account for around 16% of hospital admissions. With a remit of reducing unplanned admissions to hospital, it is important to understand community matrons' experiences as prescribers and to examine the role of prescribing in fulfilling this agenda with consideration given to the adequacy of the prescribing support available. In this study, a qualitative research design was used and a purposive sample of seven community matrons from the south of England took part in the study. Semi-structured interviews were carried out and analysed using Braun and Clarke's six phases of thematic analysis. The findings show that community matrons consider prescribing-related knowledge to be essential in fulfilling their role and that the ability to prescribe speeds patient access to medicines. In some instances it may be instrumental in preventing hospital admission. Community matrons prescribe a limited range of medicines regularly, while referring to GPs for other prescribing that they consider outside their competency. Community matron prescribers mostly access their support from GPs and this is considered adequate in supporting them in their prescribing role.
社区护士长为社区环境中可能是最复杂的患者开药方并进行治疗，但对于她们的开药经历却知之甚少。已知药物事件和不适当开药约占医院入院人数的16%。为了减少计划外住院人数，了解社区护士长作为开药者的经历，并考虑到现有开药支持的充分性，审视开药在实现这一目标中的作用非常重要。在本研究中，采用了定性研究设计，从英格兰南部选取了7名社区护士长作为有目的的样本参与研究。进行了半结构化访谈，并使用布劳恩和克拉克的六个主题分析阶段进行分析。研究结果表明，社区护士长认为与开药相关的知识对于履行其职责至关重要，开药能力能加快患者获得药物的速度。在某些情况下，这可能有助于防止患者住院。社区护士长定期开出的药物种类有限，而对于她们认为超出其能力范围的其他开药则会转诊给全科医生。社区护士长开药者大多从全科医生那里获得支持，并且认为这足以支持她们的开药工作。
