Pan S, Straub L A, Geller J M
Rural Health Research Center, School of Medicine and Health Sciences, University of North Dakota, Grand Forks 58202-9037, USA.
J Am Acad Nurse Pract. 1997 Jan;9(1):9-15. doi: 10.1111/j.1745-7599.1997.tb01267.x.
This study analyzes the impacts of several variables, including a restrictive practice environment, on a nurse practitioner's level of autonomy with respect to prescribing selected categories of medicines. A general linear model is applied to data from the 1992 national sample of nurse practitioners. Results show that among the significant independent variables, a restrictive environment of imposed state laws and regulations reduces nurse practitioners' level of autonomy in prescribing medications and acts as a barrier to their practicing to full potential. Results and policy implications are discussed.
本研究分析了包括限制执业环境在内的几个变量对执业护士在选定药品类别处方方面的自主程度的影响。对1992年全国执业护士样本数据应用了一般线性模型。结果显示，在显著的自变量中，严格的州法律法规环境降低了执业护士在开药方面的自主程度，并成为阻碍他们充分发挥执业潜力的障碍。文中讨论了研究结果及政策含义。
