Almotairy Monir M, Alghamdi Amal T, Alzahrani Ali M, Alqarni Mohammed S, Alghamdi Sultan A, Alshahrani Mohammed A
Department of Nursing Administration and Education, College of Nursing, King Saud University, P.O. Box 642, Riyadh 11421, Saudi Arabia.
King Fahad Hospital, Al Baha 65732, Saudi Arabia.
Saudi Pharm J. 2023 Jul;31(7):1294-1305. doi: 10.1016/j.jsps.2023.05.019. Epub 2023 May 26.
To explore nurses' readiness to prescribe medications under supervision and identify associations between prescribing practices under supervision and demographic characteristics in Saudi Arabia.
A cross-sectional study.
Using convenience sampling, this study used a 32-item survey to collect data on nurses prescribing medications under supervision between December 2022 and March 2023.
A total of 379 nurses were recruited from different regions in Saudi Arabia. Approximately 7% (n = 30) of the participants were prescribing medications independently, and 70% (n = 267) expressed their likelihood of becoming prescribers. The highest motivating factors to become prescribers were improvement of patient care (52.2%) and contribution to the multidisciplinary team (52.0%). Most participants (60%-81%) agreed that prescribing medications under supervision would improve potential outcomes at the system, nurse, and patient levels. Availability of appropriate mentors or supervisors (72.9%) was the highest rated facilitating factor, followed by support of nursing colleagues (72%). Based on demographic characteristics, findings revealed significant differences in the: a) likelihood and motivators of becoming prescribers; b) required minimum qualification, years of experience, and continuing professional education hours to become prescribers; and c) type of organizations delivering educational programs for nurse prescribing.
Majority of nurses in Saudi Arabia favored becoming prescribers, and motivating factors were mostly relevant to optimizing patient care outcomes. Having the proper supervision was rated as the most facilitating factor for nurse prescribing. Nurses' views on potential outcomes, facilitating factors, and possible motivators varied based on nurses' demographical characteristics.
IMPLICATIONS FOR THE PROFESSIONAL AND/OR PATIENT CARE: Nurses favored prescribing under supervision to improve patient care outcomes, which is an opportunity to expand the benefits of health services, including easy access to healthcare.
Results revealed that nurses support the implementation of prescribing practice under supervision. Thus, the findings may inform practice change in Saudi Arabia to allow prescribing under supervision, which was perceived to have a positive impact on patient care outcomes.
This study adhered to STROBE guidelines.
探讨沙特阿拉伯护士在监督下开具药物处方的意愿，并确定监督下的处方实践与人口统计学特征之间的关联。
横断面研究。
本研究采用便利抽样法，于2022年12月至2023年3月期间，使用一份包含32个条目的调查问卷收集护士在监督下开具药物处方的数据。
共从沙特阿拉伯不同地区招募了379名护士。约7%（n = 30）的参与者独立开具药物处方，70%（n = 267）表示有成为处方开具者的可能性。成为处方开具者的最高激励因素是改善患者护理（52.2%）和对多学科团队的贡献（52.0%）。大多数参与者（60%-81%）认为在监督下开具药物处方会在系统、护士和患者层面改善潜在结果。合适的导师或监督者的可用性（72.9%）是评分最高的促进因素，其次是护理同事的支持（72%）。基于人口统计学特征，研究结果显示在以下方面存在显著差异：a）成为处方开具者的可能性和动机；b）成为处方开具者所需的最低资格、工作年限和继续职业教育时长；c）提供护士处方教育项目的组织类型。
沙特阿拉伯的大多数护士倾向于成为处方开具者，激励因素大多与优化患者护理结果相关。拥有适当的监督被评为护士处方开具最有利的因素。护士对潜在结果、促进因素和可能的激励因素的看法因护士的人口统计学特征而异。
对专业和/或患者护理的启示：护士倾向于在监督下开具处方以改善患者护理结果，这是扩大医疗服务益处的一个机会，包括更便捷地获得医疗保健。
结果显示护士支持在监督下实施处方实践。因此，研究结果可能为沙特阿拉伯的实践变革提供参考，以允许在监督下开具处方，这被认为对患者护理结果有积极影响。
本研究遵循STROBE指南。
