Nurse practitioner prescribing: an international perspective

Jacqueline Fong,1,2 Thomas Buckley,2 Andrew Cashin3 1St George Hospital, Kogarah, 2Sydney Nursing School, University of Sydney, Camperdown, NSW, Australia; 3School of Health and Human Sciences, Southern Cross University, Lismore, NSW, Australia Background: Internationally, the delivery of care prov...

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Autores principales: Fong J, Buckley T, Cashin A
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Lenguaje:EN
Publicado: Dove Medical Press 2015
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Acceso en línea:https://doaj.org/article/194dbeb8c1144366b9d20799547106f0
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spelling oai:doaj.org-article:194dbeb8c1144366b9d20799547106f02021-12-02T05:03:48ZNurse practitioner prescribing: an international perspective2230-522Xhttps://doaj.org/article/194dbeb8c1144366b9d20799547106f02015-10-01T00:00:00Zhttps://www.dovepress.com/nurse-practitioner-prescribing-an-international-perspective-peer-reviewed-article-NRRhttps://doaj.org/toc/2230-522XJacqueline Fong,1,2 Thomas Buckley,2 Andrew Cashin3 1St George Hospital, Kogarah, 2Sydney Nursing School, University of Sydney, Camperdown, NSW, Australia; 3School of Health and Human Sciences, Southern Cross University, Lismore, NSW, Australia Background: Internationally, the delivery of care provided by nurses and midwives has undergone a significant change due to a variety of interrelated factors, including economic circumstances, a diminishing number of medical providers, the unavailability of adequate health care services in underserved and rural areas, and growing specialization among the professions. One solution to the challenges of care delivery has been the introduction of nurse practitioners (NPs) and the authorization of NPs to prescribe medicines. Aim: The aim of this paper was to review the current international literature related to NP prescribing and compare the findings to the Australian context. The review focuses on literature from the United States, Canada, Europe, Australia, and New Zealand. Methods: Databases were searched from January 2000 to January 2015. The following keywords: “nurse practitioner”, “advanced nurse”, “advanced practice nurse”, “prescri*”, “Australia”, “United States America”, “UK”, “New Zealand”, “Canada”, “Europe”, “drug prescri*”, “prescri* authority”, and “prescri* legislation” were used. Findings: NPs tend to prescribe in differing contexts of practice to provide care in underserved populations and require good systems literacy to practice across complex systems. The key themes identified internationally related to NP prescribing relate to barriers to prescribing, confidence in prescribing, and the unique role of NPs in prescribing medicines, eg, the high prevalence of prescribing pain medicines in several countries, including Australia. Conclusion: Across all countries reviewed, there appears a need for further research into the organizational and financial conditions/climate in which NPs prescribe. Such research may give a better understanding of not only NP's true prescribing capacity currently but also inform future NP prescribing policy. Keywords: nurse practitioner, prescribingFong JBuckley TCashin ADove Medical PressarticleNursingRT1-120ENNursing: Research and Reviews, Vol 2015, Iss default, Pp 99-108 (2015)
institution DOAJ
collection DOAJ
language EN
topic Nursing
RT1-120
spellingShingle Nursing
RT1-120
Fong J
Buckley T
Cashin A
Nurse practitioner prescribing: an international perspective
description Jacqueline Fong,1,2 Thomas Buckley,2 Andrew Cashin3 1St George Hospital, Kogarah, 2Sydney Nursing School, University of Sydney, Camperdown, NSW, Australia; 3School of Health and Human Sciences, Southern Cross University, Lismore, NSW, Australia Background: Internationally, the delivery of care provided by nurses and midwives has undergone a significant change due to a variety of interrelated factors, including economic circumstances, a diminishing number of medical providers, the unavailability of adequate health care services in underserved and rural areas, and growing specialization among the professions. One solution to the challenges of care delivery has been the introduction of nurse practitioners (NPs) and the authorization of NPs to prescribe medicines. Aim: The aim of this paper was to review the current international literature related to NP prescribing and compare the findings to the Australian context. The review focuses on literature from the United States, Canada, Europe, Australia, and New Zealand. Methods: Databases were searched from January 2000 to January 2015. The following keywords: “nurse practitioner”, “advanced nurse”, “advanced practice nurse”, “prescri*”, “Australia”, “United States America”, “UK”, “New Zealand”, “Canada”, “Europe”, “drug prescri*”, “prescri* authority”, and “prescri* legislation” were used. Findings: NPs tend to prescribe in differing contexts of practice to provide care in underserved populations and require good systems literacy to practice across complex systems. The key themes identified internationally related to NP prescribing relate to barriers to prescribing, confidence in prescribing, and the unique role of NPs in prescribing medicines, eg, the high prevalence of prescribing pain medicines in several countries, including Australia. Conclusion: Across all countries reviewed, there appears a need for further research into the organizational and financial conditions/climate in which NPs prescribe. Such research may give a better understanding of not only NP's true prescribing capacity currently but also inform future NP prescribing policy. Keywords: nurse practitioner, prescribing
format article
author Fong J
Buckley T
Cashin A
author_facet Fong J
Buckley T
Cashin A
author_sort Fong J
title Nurse practitioner prescribing: an international perspective
title_short Nurse practitioner prescribing: an international perspective
title_full Nurse practitioner prescribing: an international perspective
title_fullStr Nurse practitioner prescribing: an international perspective
title_full_unstemmed Nurse practitioner prescribing: an international perspective
title_sort nurse practitioner prescribing: an international perspective
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/194dbeb8c1144366b9d20799547106f0
work_keys_str_mv AT fongj nursepractitionerprescribinganinternationalperspective
AT buckleyt nursepractitionerprescribinganinternationalperspective
AT cashina nursepractitionerprescribinganinternationalperspective
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