School of Healthcare Sciences, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK.
Department of Workforce Education and Department Service, NHS Wales Shared Services Partnership, Cardiff, UK.
BMJ Open. 2017 Sep 24;7(9):e015313. doi: 10.1136/bmjopen-2016-015313.
To identify (1) the non-medical healthcare professionals in Wales qualified to prescribe medicines (including job title, employer, where the prescribing qualification is used, care setting and service provided); (2) the mode of prescribing used by these healthcare professionals, the frequency with which medicines are prescribed and the different ways in which the prescribing qualification is used; and (3) the safety and clinical governance systems within which these healthcare professionals practise.
National questionnaire survey.
All three National Health Service (NHS) Trusts and seven Health Boards (HB) in Wales.
Non-medical prescribers.
379 (63%) participants responded to the survey. Most of these prescribers (41.1%) were specialist nurses who work in a variety of healthcare settings (primarily in secondary care) within each HB/NHS Trust, and regularly use independent prescribing to prescribe for a broad range of conditions. Nearly a quarter of the sample (22%) reported that prior to undertaking the prescribing programme, they had completed master's level specialist training and 65.5% had 5 years qualified experience. Over half (55.8%) reported that there were plans to increase non-medical prescriber numbers within the team in which they worked. Only 7.1% reported they did not prescribe and the median number of items prescribed per week was between 21 and 30. Nearly all (87.8%) of the sample reported that they perceived prescribing to have ensured better use of their skills and 91.5% indicated that they believed it had improved the quality of care they were able to provide.
Non-medical prescribing has been implemented across the whole of Wales; however, its uptake within HBs and NHS Trusts has been inconsistent, and it has not been considered across all services, particularly those in primary care. Opportunities therefore exist to share learning across organisations.
确定（1）有资格在威尔士开处方的非医疗保健专业人员（包括职称、雇主、开处方资格的使用地点、护理场所和提供的服务）；（2）这些医疗保健专业人员使用的处方模式、开具处方的频率以及使用处方资格的不同方式；（3）这些医疗保健专业人员执业的安全和临床治理体系。
全国问卷调查。
威尔士的所有三个国民保健服务信托基金（NHS）和七个健康委员会（HB）。
非医疗处方者。
379 名（63%）参与者对调查做出了回应。这些开处方者中大多数（41.1%）是专门护士，他们在每个 HB/NHS 信托的各种医疗保健环境（主要在二级保健）中工作，并经常使用独立处方为广泛的病症开处方。样本中近四分之一（22%）报告说，在参加处方计划之前，他们已经完成了硕士水平的专业培训，65.5%有 5 年的合格经验。超过一半（55.8%）报告说，他们所在的团队计划增加非医疗处方者的人数。只有 7.1%的人报告他们不开处方，每周开处方的数量中位数在 21 到 30 之间。样本中几乎所有人（87.8%）都报告说，他们认为处方确保了更好地利用他们的技能，91.5%的人表示，他们认为这提高了他们能够提供的护理质量。
非医疗处方已在整个威尔士实施；然而，它在 HB 和 NHS 信托基金中的采用情况并不一致，而且尚未在所有服务中得到考虑，特别是在初级保健中。因此，存在机会在组织之间共享学习。
