Haririan Hamidreza, Seresht Deniz Manie, Hassankhani Hadi, Porter Joanne E, Wytenbroek Lydia
Assistant Professor of Nursing, School of Nursing & Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
MSc in Nursing, Tabriz University of Medical Sciences, Tabriz, Iran.
BMC Nurs. 2022 May 11;21(1):112. doi: 10.1186/s12912-022-00888-0.
One of the roles that nurses have acquired in recent years is the role of prescribing. This study aimed to investigate the knowledge and attitudes of critical care nurses, physicians and patients about nurse prescribing.
A descriptive cross-sectional study with the participation of 152 nurses, 53 physicians and 75 patients was carried out. Participants were selected by stratified random sampling from the critical care units of six hospitals in Tabriz, Iran. Demographics and participants' knowledge and attitudes about nurse prescribing questionnaires were used to collect data. The collected data were analyzed using SPSS-22 software.
The mean scores of total knowledge about nurse prescribing in nurses, patients and physicians' were 15.41 ± 1.85,16.45 ± 2.31, 14.74 ± 1.7 respectively (from a range of 10 -20), and the mean score of knowledge by physicians was significantly higher than others (P = 0.000) and they had more knowledge about nurse prescribing. The mean scores of the attitudes towards nurse prescribing in nurses, physicians and patients were 40.62 ± 3.68, 37.98 ± 5.92 and 39.38 ± 4.39 respectively (from a range of 10 -50). However, the total mean score of attitudes among nurses was significantly higher than others (P = 0.000) and nurses had more positive attitudes toward prescribing.
The results showed that the participants have a good understanding and attitudes toward nurse prescribing. Nurse prescribing as a new duty and authority can be considered in providing more effective care by specialist nurses. The results of this study can also be used in the future planning of health policy for nurses to have the right to prescribe and ultimately improve the quality of patient care.
近年来护士所承担的角色之一是处方开具角色。本研究旨在调查重症监护护士、医生和患者对护士处方开具的知识和态度。
开展了一项描述性横断面研究，有152名护士、53名医生和75名患者参与。参与者通过分层随机抽样从伊朗大不里士六家医院的重症监护病房中选取。使用人口统计学以及参与者关于护士处方开具问卷的知识和态度来收集数据。所收集的数据使用SPSS - 22软件进行分析。
护士、患者和医生关于护士处方开具的总知识平均得分分别为15.41±1.85、16.45±2.31、14.74±1.7（范围为10 - 20），医生的知识平均得分显著高于其他人（P = 0.000），他们对护士处方开具了解更多。护士、医生和患者对护士处方开具的态度平均得分分别为40.62±3.68、37.98±5.92和39.38±4.39（范围为10 - 50）。然而，护士的总体态度平均得分显著高于其他人（P = 0.000），护士对处方开具态度更积极。
结果表明参与者对护士处方开具有良好的理解和态度。护士处方开具作为一项新的职责和权力，可在专科护士提供更有效护理方面加以考虑。本研究结果还可用于未来护士有权开具处方的卫生政策规划，最终提高患者护理质量。
