Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Iran.
Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Iran.
Asian Nurs Res (Korean Soc Nurs Sci). 2024 Aug;18(3):268-280. doi: 10.1016/j.anr.2024.07.006. Epub 2024 Jul 30.
Adequate medical knowledge and skills are fundamentals for nurse prescribing authority development. This study will explore the potential for developing nurse prescribing training in Iran, where nurses currently lack prescribing authority despite their strong academic nursing education.
This is a study with two phases. At first, in a conventional qualitative content analysis method, with purposive and snowball sampling, from June 2021 to March 2023, 20 participants, including 16 nurses in different clinical, managerial, educational, and policy-making settings, three physicians, and one clinical pharmacist were interviewed. Unstructured interviews were conducted face-to-face or virtually as the situation required during the pandemic period due to Coronavirus disease, 2019 (COVID-19). Qualitative content analysis as developed by Elo and Kyngäs in 2008 was used for data analysis. In the second comparative analysis phase, four masters of science and one doctor of nursing curricula analyzed in the existence of the nurse prescribing prerequisite courses and these five curricula and two potential masters of science in community health and critical care nursing curricula were compared with John Hopkins University curricula.
In the qualitative phase, two themes emerged: nursing education challenges and the potential for nurse prescribing training development. These were further broken down into four subthemes: inadequate nurses' knowledge in prerequisite nurse prescribing courses, unprepared educational infrastructure, treatment sector potentials, and educational potentials, with a total of 12 concepts identified. During the comparative phase, it was found that none of the nursing curricula had adequate prerequisite courses for nurse prescribing. However, the Community Health and Critical Care nursing curricula showed potential for developing nurse prescribing training.
In the nursing education system, there are some challenges and potentials for prescribing training, and the community health and critical care nursing curricula have the potential capacity to prepare the graduated nurses to prescribe. It needs educational and managerial policies. More developmental research and pilot studies are recommended.
足够的医学知识和技能是护士处方权发展的基础。本研究旨在探讨在伊朗发展护士处方培训的潜力，尽管伊朗的护士接受了很强的护理学术教育，但他们目前缺乏处方权。
这是一个具有两个阶段的研究。首先，在 2021 年 6 月至 2023 年 3 月期间，采用常规的定性内容分析法，通过目的性和滚雪球抽样，对 20 名参与者进行了访谈，包括 16 名来自不同临床、管理、教育和决策制定环境的护士，3 名医生和 1 名临床药剂师。由于 2019 年冠状病毒病（COVID-19）大流行，在面对面或虚拟的情况下根据情况需要进行了非结构化访谈。采用 Elo 和 Kyngäs 于 2008 年开发的定性内容分析法进行数据分析。在第二比较分析阶段，对四门护理学硕士和一门护理学博士课程进行了分析，以确定是否存在护士处方前提课程，然后将这五门课程与约翰霍普金斯大学课程进行了比较。
在定性阶段，出现了两个主题：护理教育挑战和护士处方培训发展的潜力。这进一步细分为四个子主题：护士在处方前提课程中的知识不足、准备不足的教育基础设施、治疗部门的潜力和教育潜力，共确定了 12 个概念。在比较阶段，发现没有一门护理课程有足够的护士处方前提课程。然而，社区卫生和重症监护护理课程显示出发展护士处方培训的潜力。
在护理教育系统中，存在一些挑战和处方培训的潜力，社区卫生和重症监护护理课程有潜力为毕业生提供处方培训。这需要教育和管理政策。建议进行更多的发展研究和试点研究。
