Sunzi Kejimu, Luo Hui, Li Yadi, Zhou Xin, Lei Cheng
Department of Nursing, Deyang People's Hospital, Deyang, Sichuan, China.
Sichuan Nursing Vocational College, Deyang, Sichuan, China.
BMJ Open. 2024 Dec 12;14(12):e084103. doi: 10.1136/bmjopen-2024-084103.
With the development of the medical system and the diversification of patient needs, nurse practitioners (NPs) play an increasingly important role in medical practice, assuming more responsibilities and powers, including the right to prescribe. However, in the process of exercising the right to prescribe, NPs may face various obstacles, and there are also some promoting factors. Therefore, this study aims to deeply explore the obstacles and promoting factors in the prescription process of NPs through a qualitative meta-analysis and comprehensive method, so as to provide a basis for improving the prescription practice of NPs, improving nursing quality and patient satisfaction.
This study will adhere to the Joanna Briggs Institute framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols. A comprehensive literature search and analysis of studies on nurse are prescribed via PubMed, Embase, Web of Science, CINAHL and the Cochrane Library. Two independent reviewers will select articles, extract data and appraise study quality. Content analysis will be used to synthesise outcomes, and methodological quality and evidence quality will be assessed. The quality of the articles will be assessed using the 10-item Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research.
Ethical approval will not be required for this study, as it solely encompasses data derived from previously published research. The findings will be disseminated through publication in a peer-reviewed journal. In addition, the results will be actively shared at major academic conferences focused on nursing research and healthcare policy to ensure that the study's outcomes reach key stakeholders, including healthcare practitioners, policymakers and researchers. This targeted dissemination strategy aims to promote the integration of the findings into practice and future research. This protocol is registered with the PROSPERO prospective database of systematic review.
CRD42023398567.
随着医疗体系的发展和患者需求的多样化，执业护士（NP）在医疗实践中发挥着越来越重要的作用，承担着更多的责任和权力，包括处方权。然而，在行使处方权的过程中，执业护士可能会面临各种障碍，也存在一些促进因素。因此，本研究旨在通过定性荟萃分析和综合方法深入探讨执业护士处方过程中的障碍和促进因素，为改善执业护士的处方实践、提高护理质量和患者满意度提供依据。
本研究将遵循乔安娜·布里格斯研究所框架和系统评价与荟萃分析方案的首选报告项目。通过PubMed、Embase、科学网、CINAHL和考科蓝图书馆对有关执业护士处方的研究进行全面的文献检索和分析。两名独立的评审员将筛选文章、提取数据并评估研究质量。将采用内容分析法综合研究结果，并评估方法学质量和证据质量。将使用乔安娜·布里格斯研究所定性研究10项关键评价清单评估文章质量。
本研究无需伦理批准，因为它仅包含从先前发表的研究中获取的数据。研究结果将通过在同行评审期刊上发表进行传播。此外，研究结果将在专注于护理研究和医疗政策的主要学术会议上积极分享，以确保研究结果传达给关键利益相关者，包括医疗从业者、政策制定者和研究人员。这种有针对性的传播策略旨在促进研究结果融入实践和未来研究。本方案已在PROSPERO前瞻性系统评价数据库中注册。
PROSPERO注册号：CRD42023398567。
