Is the Australian nursing workforce ready to embrace prescribing under supervision? A cross‐sectional survey

Aim The aim was to explore nurses' preparedness to expand their practice to prescribe medicines under a supervision model. Design This was a cross‐sectional study. Methods A convenience sample of Australian nurses recruited from memberships of State‐based Nursing and Midwifery Unions and profes...

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Vydáno v:Journal of advanced nursing Ročník 78; číslo 12; s. 4082 - 4091
Hlavní autoři: Fox, Amanda, Crawford‐Williams, Fiona, Ria, Joseph, Lynda, Cardiff, Debra, Thoms, Patsy, Yates, Lisa, Nissen, Chan, Raymond Javan
Médium: Journal Article
Jazyk:angličtina
Vydáno: England Wiley Subscription Services, Inc 01.12.2022
John Wiley and Sons Inc
Témata:
advanced practice
Attitude of Health Personnel
Australia
Baccalaureate degrees
Barriers
Cross-Sectional Studies
Demography
Drug Prescriptions
Drugs
expanding scope
Experience
Humans
Implementation
Job satisfaction
Medical personnel
Midwifery
models of care
nurse
nurse prescribing
Nurses
Nursing
Organizational support
Original Research: Empirical Research Quantitative
Patient satisfaction
Patients
policy
Polls & surveys
Prescribing
Prescriptions
Professional Autonomy
Professional practice
Research nurses
Research Papers
Satisfaction
Scope of practice
Supervision
Uptake
Workforce
workforce preparation
Workloads
Australia
nurse prescribing
models of care
workforce preparation
nurse
advanced practice
expanding scope
policy
ISSN:0309-2402, 1365-2648, 1365-2648
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Shrnutí:Aim The aim was to explore nurses' preparedness to expand their practice to prescribe medicines under a supervision model. Design This was a cross‐sectional study. Methods A convenience sample of Australian nurses recruited from memberships of State‐based Nursing and Midwifery Unions and professional bodies from diverse care settings. Nurses undertook an online researcher‐constructed survey between March and July 2021 to identify current prescribing practices, motivations for undertaking education in prescribing and perceived barriers to implementation of nurse prescribing under supervision. Data related to demographics, nursing experience and barriers to becoming a prescriber were analysed descriptively. Logistic regression was used to model nursing experience variables with desire to become a prescriber. Results A total of 4424 nurses participated with the majority (n = 3645, 82%) reporting they were highly likely to expand their practice to prescribe medicines under supervision. The main motivations to prescribe were to enhance patient care and job satisfaction. Nurses were more likely to want to prescribe if they had <10 years experience (95% CI = 0.3–0.5, p < 0.001), held a bachelor's degree (95% CI = 1.3–2.2, p < 0.001) or higher qualification (95% CI = 1.8–2.9, p < 0.001). Most reported lack of acknowledgement of increased responsibility and workloads (n = 4098, 93%), and insufficient organizational support (n = 4197, 95%) may prevent uptake of nurse prescribing. Conclusions Most Australian nurses demonstrated their preparedness to embrace the role of prescribing under supervision. The perceived barriers identified in this study can inform future implementation of this expanded nursing role. Impact The Nursing and Midwifery Board of Australia has proposed a standard of practice to enable nurses to prescribe under supervision. Models of nurse prescribing are being considered globally to address population needs. Successful adoption of this practice is dependent on aspects such as key personnel's acceptance of the initiative. The workforce readiness and barriers highlighted in this study can inform implementation at policy and organizational levels.
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ISSN:0309-2402
1365-2648
1365-2648
DOI:10.1111/jan.15367