Jodaki Kurosh, Abbasi Mohammad, Nayeri Nahid Dehghan
Assistant Professor of Nursing, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shohadaye Haft-e Tir Hospital, Iran University of Medical Sciences, Tehran, Iran.
Nursing Care Research Center, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Iran J Nurs Midwifery Res. 2024 Jan 9;29(1):105-112. doi: 10.4103/ijnmr.ijnmr_316_22. eCollection 2024 Jan-Feb.
Because nurse prescription has numerous benefits for the health systems, in many countries around the world, nurses are given the right to prescribe medication. In Iran, the role of nurses in prescription drugs is not well understood, and nurses face various challenges in this regard.
A qualitative content analysis methodology based on the Graneheim and Lundman model was used. Thirteen nurses working in medical wards of hospitals affiliated with the Tehran University of Medical Science were selected to participate in this study by purposeful sampling. Participants were interviewed via telephone using a semi-structured tool. After thirteen interviews, data saturation was reached. Data collection was undertaken between April 2020 and April 2021.
The results of this study are summarized in one theme, four categories, and ten subcategories. The theme extracted from the data analysis was "the practical challenges of nurse prescription," which included four main categories: structure challenges, personnel-related barriers, interprofessional separation, and society's attitudes.
The results of this study explain the barriers and practical challenges of nurse prescription in Iran. Identifying these challenges and barriers provides the necessary evidence for policymakers to remove and adjust these challenges and barriers. Moreover, the elimination of identified challenges will help nurses better perform their new roles and develop the nursing scope and profession.
由于护士开处方对卫生系统有诸多益处,世界上许多国家赋予了护士开处方的权利。在伊朗,护士在处方药方面的作用尚未得到充分理解,护士在这方面面临各种挑战。
采用基于格兰海姆和伦德曼模型的定性内容分析法。通过目的抽样法,选取了13名在德黑兰医科大学附属医院内科病房工作的护士参与本研究。使用半结构化工具通过电话对参与者进行访谈。进行了13次访谈后达到了数据饱和。数据收集于2020年4月至2021年4月期间进行。
本研究结果归纳为一个主题、四个类别和十个子类别。从数据分析中提取的主题是“护士开处方的实际挑战”,包括四个主要类别:结构挑战、人员相关障碍、跨专业隔阂和社会态度。
本研究结果解释了伊朗护士开处方的障碍和实际挑战。识别这些挑战和障碍为政策制定者消除和调整这些挑战与障碍提供了必要证据。此外,消除已识别的挑战将有助于护士更好地履行其新职责,并拓展护理范围和发展护理专业。