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Knowledge, Attitudes, Beliefs and Hesitancy towards Nurse Prescribing

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Guest Editor
Department of Psychiatry, Radiology, Public Health, Nursing and Medicine, University of Santiago de Compostela, Faculty of Nursing, C/ Xoán XXIII, s/n, 15782 Santiago de Compostela, Spain
Interests: nursing; oncology; dentistry; education; infection; neurodegenerative diseases

Special Issue Information

Dear Colleagues,

Over the past several hundred years, nursing practice has drastically changed in response to the need to provide services to patients in remote geographical areas, reduce the workload, and/or to address the shortage of doctors and physicians, among other reasons. In this sense it is worth mentioning nurse prescribing, an independent or supplementary process in which nurses, based on their clinical judgment, make decisions in order to initiate, continue, or cease pharmacological treatments. Despite barriers that have hampered nurses’ ability to prescribe, such as doctors’ reticence, evidence suggests that nurse prescribing could be very useful. It has been linked not only to positive patient outcomes (for example, improved quality of life in patients with chronic conditions) but also to higher patient safety and satisfaction, enhanced health promotion, and increased job satisfaction among nurses.

Nurse prescribing started in the late 1960s in the United States and nowadays it is a reality in many countries worldwide; however, educational and legal conditions, models of nurse prescribing, types of drugs and/or devices that can be prescribed, etc., vary widely across countries. Likewise, research on the current situation of nurse prescribing is very limited.

Due to the boom of nurse prescribing in the last few decades, evaluating its impact is an urgent priority. This Special Issue focuses on the current state of knowledge on the links between nurse prescribing and human health care. New research papers, reviews, case reports, and conference papers are welcome.

Dr. Silvia Novío
Guest Editor

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Keywords

  • attitudes
  • beliefs
  • health care
  • hesitancy
  • knowledge
  • nurse prescribing
  • nursing process/legislation and jurisprudence
  • pharmacology
  • satisfaction

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Published Papers (2 papers)

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Research

12 pages, 857 KiB  
Article
Identifying the Enablers and Barriers to Advance Nurse Prescribing of Medication in Spain According to Experts’ Views: A Delphi Study
by Francisco Javier Gomis-Jimeno and Manuel Lillo-Crespo
Int. J. Environ. Res. Public Health 2023, 20(6), 4681; https://doi.org/10.3390/ijerph20064681 - 7 Mar 2023
Cited by 3 | Viewed by 2620
Abstract
Nurses play an important role in pharmaceutical care worldwide in detecting clinical changes, communicating and discussing pharmacotherapy with patients, their families, and other healthcare professionals, proposing and implementing drug-related interventions, and ensuring the monitoring of patients and their medication regimens, among others. However, [...] Read more.
Nurses play an important role in pharmaceutical care worldwide in detecting clinical changes, communicating and discussing pharmacotherapy with patients, their families, and other healthcare professionals, proposing and implementing drug-related interventions, and ensuring the monitoring of patients and their medication regimens, among others. However, there is no global consensus across countries regarding the prescribing of medication by nurses. In Spain, for example, this topic is currently in transition since the approval of the Royal Decree 1302/2018 of October 22nd, which regulates the indication, use, and authorization for dispensing human-use medication by nurses. Our study aims to identify the enablers and barriers to advancing the nurse prescribing of medication in Spain through the views of experts in the field and according to the latest Royal Decree approved and the steps taken by the different Spanish autonomous communities. A modified qualitative Delphi study with three iterations was performed online through the perspectives of experts from the field of healthcare education, research, practice, management, and policy. Data extracted from the literature review were used to formulate the open-ended questions utilized in the three rounds. The experts involved (n = 15) belonged to different Spanish regions where the Royal Decree is being implemented with different speeds, and had distinct backgrounds and experiences. Our results highlight the importance of prospectively developing additional protocols based on chronic diseases as well as scaling up towards independent nursing prescription, the inclusion of a joint multidisciplinary pharmaceutical care model, the controversial role played by national nursing councils and boards, the variability in the speed of implementation among the autonomous communities, and the lack of nursing training in the field of medication prescription. Full article
(This article belongs to the Special Issue Knowledge, Attitudes, Beliefs and Hesitancy towards Nurse Prescribing)
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9 pages, 320 KiB  
Article
Factors Influencing Nurses’ Opinions on the Implementation of Nursing Advice in Poland
by Kinga Harpula and Anna Bartosiewicz
Int. J. Environ. Res. Public Health 2022, 19(13), 7764; https://doi.org/10.3390/ijerph19137764 - 24 Jun 2022
Cited by 1 | Viewed by 1615
Abstract
In the past five years, nursing practice has changed drastically in Poland. Nurses have received many new competencies in response to the need to provide services to patients. The purpose of the study was to analyze nurses’ opinions on the new rights to [...] Read more.
In the past five years, nursing practice has changed drastically in Poland. Nurses have received many new competencies in response to the need to provide services to patients. The purpose of the study was to analyze nurses’ opinions on the new rights to provide nursing advice and to identify factors that influence their opinions in this regard. A descriptive cross-sectional study was conducted among 798 nurses who work in various medical facilities. The influence of selected variables on nurses’ opinions on the provision of nursing advice to patients was evaluated using logistic regression. The nurses surveyed had a positive attitude towards new competencies and believed that they were able to independently provide the patient with advice within the scope provided by Polish legislation. Logistic regression showed that the factors that statistically significantly influenced nurses’ opinions on particular types of nursing advice were age (p = 0.038), education (p = 0.000), and the place of work of the respondents; that is, hospital (p = 0.016). More research is needed to demonstrate the effectiveness and quality of the implemented nursing advice and its impact on the functioning of the health system. Full article
(This article belongs to the Special Issue Knowledge, Attitudes, Beliefs and Hesitancy towards Nurse Prescribing)
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