Velindre Cancer Centre, Cardiff, UK.
Aston Pharmacy School, Aston University, Birmingham, UK.
Int J Clin Pharm. 2022 Jun;44(3):698-708. doi: 10.1007/s11096-022-01396-6. Epub 2022 Apr 5.
Within the UK, a non-medical prescriber is a non-medical healthcare professional who has undertaken post-registration training to gain prescribing rights. Lack of post-qualification NMP training has previously been identified as a barrier to the development of oncology non-medical prescribing practice.
To explore the experiences and opinions of multi-professional non-medical oncology prescribers on post-qualification training.
Nine out of 30 oncology non-medical prescribers (three nurses, three pharmacists and three radiographers) from a single cancer centre in Wales, were selected from a study site NMP database using randomisation sampling within Microsoft® Excel. Participants were interviewed using a validated and piloted semi-structured interview design on the topic of post-qualification training for non-medical prescribers. Participants were invited via organisational email. Interviews were audio-recorded and transcribed verbatim. Anonymised data were thematically analysed aided by NVivo® software.
Main themes identified: experience related to training, competency, support and training methods. Competency assessment methods discussed were the annual non-medical prescriber appraisal, peer review and a line manager's overarching appraisal. Support requirements identified included greater consultant input to help non-medical prescribers identify training and peer support opportunities. Organisational support was requested regarding regular study leave and governance around clinical judgement and errors. The need for regular structured in-house training related to non-medical prescriber's level of experience was identified.
Development of organisation-led governance strategies and in-house training programmes will support training equity for all non-medical prescribers within the organisation.
在英国，非医疗从业者是指接受过注册后培训以获得处方权的非医疗保健专业人员。缺乏资格后 NMP 培训以前被认为是发展肿瘤学非医疗处方实践的障碍。
探讨多专业肿瘤学非医疗从业者对资格后培训的经验和看法。
从威尔士一个癌症中心的研究地点 NMP 数据库中，使用 Microsoft®Excel 中的随机抽样，从 30 名肿瘤学非医疗从业者（3 名护士、3 名药剂师和 3 名放射技师）中选择了 9 名非医疗从业者。使用经过验证和试点的半结构化访谈设计，就非医疗从业者资格后培训的主题对参与者进行访谈。参与者通过组织电子邮件邀请。访谈以音频记录并逐字转录。使用 NVivo®软件辅助对匿名数据进行主题分析。
确定的主要主题：与培训相关的经验、能力、支持和培训方法。讨论的能力评估方法包括年度非医疗从业者评估、同行审查和直线经理的总体评估。确定的支持要求包括增加顾问的投入，以帮助非医疗从业者确定培训和同行支持机会。要求组织提供支持，包括定期学习休假以及围绕临床判断和错误的治理。需要定期进行内部结构化培训，以满足非医疗从业者的经验水平。
制定组织主导的治理策略和内部培训计划将为组织内的所有非医疗从业者提供培训公平。
