Courtenay Molly, Franklin Penelope, Griffiths Matt, Hall Tracy, Macangus Julie, Myers Joan, Peniston-Bird Fiona, Radley Kathy
School of Healthcare Sciences, Cardiff University, Cardiff, UK.
Association of Prescribers, Chelmsford, Essex, UK.
J Adv Nurs. 2018 Apr 6. doi: 10.1111/jan.13584.
To provide national consensus on the range of conditions community practitioner nurse prescribers manage and for which it is considered important that they can prescribe.
Around 35,000 community practitioner nurse prescribers in the United Kingdom are able to prescribe from a limited formulary. Although prescribing is a key role for these nurses, there has been a decline in the numbers of community practitioner nurse prescribers who prescribe. It is evident that changing patterns of client and service delivery, changes the role of community nurses and the conditions they manage, however, little is known about the conditions community practitioner nurse prescribers manage.
A modified Delphi approach comprising three on-line surveys delivered to a national Expert Panel of 89 qualified community practitioner prescribers. Data collection took place between January-March 2017.
Panelists reached a consensus, with consistent high levels of agreement reached, on nineteen conditions for which it is believed community practitioner nurse prescribers should be able to prescribe. Conditions identified by school nurses (N = 12) and health visitors (N = 7) were mainly acutely focused, whereas those identified by district nurses (N = 9) and community staff nurses (N = 6) included both long-term and acute conditions.
Given the high degree of consensus, this list of conditions should influence any decisions about the items community and public health nurses should be able to prescribe. The findings should also influence the education and training of these nurses.
就社区执业护士处方者所管理的病症范围以及认为他们能够进行处方开具很重要的病症范围达成全国共识。
英国约35,000名社区执业护士处方者能够从有限的处方集进行处方开具。尽管处方开具是这些护士的一项关键职责，但开具处方的社区执业护士处方者数量却有所下降。显然，服务对象和服务提供模式的变化改变了社区护士的角色及其所管理的病症，然而，对于社区执业护士处方者所管理的病症却知之甚少。
采用改良的德尔菲法，向由89名合格的社区执业处方者组成的全国专家小组进行了三项在线调查。数据收集于2017年1月至3月期间进行。
专家小组成员就19种病症达成了共识，且达成了高度一致的意见，认为社区执业护士处方者应该能够对这些病症进行处方开具。学校护士（12人）和健康访视员（7人）所确定的病症主要集中在急性病症方面，而地区护士（9人）和社区 staff nurses（6人）所确定的病症则包括长期病症和急性病症。
鉴于高度的共识，这份病症清单应会影响有关社区和公共卫生护士应能够开具处方的项目的任何决策。这些研究结果也应会影响这些护士的教育和培训。
