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Nurse prescribing: radicalism or tokenism?

W McCartney¹, S Tyrer, M Brazier

¹Department of Nursing, University of Salford, Eccles, Manchester, England.

Journal of Advanced Nursing

|April 10, 1999

Summary

The Medical Products Act 1992 introduced nurse prescribing, a move with underlying economic and political motivations. This challenges the traditional medical profession

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Area of Science:

Healthcare Policy
Nursing Professionalization
Pharmaceutical Regulation

Background:

The Medical Products (Prescription by Nurses, etc.) Act 1992 was enacted, generally accepted by nurses.
Analysis of legal, ethical, economic, and political factors surrounding nurse prescribing.
Nursing has historically sought to enhance its professional standing by adopting tasks previously performed by physicians.

Purpose of the Study:

To critically examine the motivations behind the introduction of nurse prescribing.
To analyze nurse prescribing within the broader context of medicine de-regulation and increased consumer choice.
To investigate the potential underlying economic and political drivers influencing nurse prescribing.

Main Methods:

Legal, ethical, economic, and political analysis of the Act.
Review of the historical relationship between nursing and medicine.
Examination of the nursing formulary and its limitations.

Main Results:

Nurse prescribing aligns with the de-regulation of medicines, driven by a 'liberation ideology'.
The limited nursing formulary presents an anomaly within this de-regulation context.
Stated reasons for nurse prescribing may be secondary to deeper institutional aims.

Conclusions:

The primary drivers for nurse prescribing include cost savings, shifting routine medical tasks to nursing, and challenging the medical profession's dominance.
Nurse prescribing can be viewed as a strategic move to redefine professional boundaries and enhance nursing's role.
The Act's introduction serves institutional interests beyond the explicitly stated justifications.

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