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Related Experiment Videos

Nurses' confidence and pharmacological knowledge: a study.

M Sodha1, M McLaughlin, G Williams

  • 1Chelmsford Primary Care Trust, Chelmsford, Essex.

British Journal of Community Nursing
|June 18, 2002
PubMed
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Community nurse prescribing aims for faster patient access. While nurse prescribers felt more confident, their actual medication knowledge and performance on case scenarios, especially for over-the-counter (OTC) medications, were not superior to non-prescribers, indicating a need for improved training.

Area of Science:

  • Nursing
  • Pharmacology
  • Health Services Research

Background:

  • The UK government aims to improve patient access to healthcare advice and services through initiatives like nurse prescribing.
  • Community nurses play a vital role in delivering primary care services and managing patient medications.

Purpose of the Study:

  • To evaluate the knowledge base, self-rated knowledge, and confidence levels of community nurses in Essex regarding their prescribing role.
  • To compare the prescribing knowledge and performance of nurse prescribers with non-prescribing community nurses.

Main Methods:

  • A questionnaire was distributed to 183 randomly selected, stratified community nurses in Essex.
  • 110 nurses completed and returned the questionnaire.
  • Performance was assessed using medication-related case scenarios, including over-the-counter (OTC) and prescription cases.

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Main Results:

  • Nurse prescribers reported higher confidence and self-rated knowledge compared to non-prescribers.
  • However, nurse prescribers' performance on medication-related case scenarios did not consistently outperform non-prescribers.
  • Performance on OTC medication case scenarios was notably poorer than on prescription cases for all nurses.

Conclusions:

  • Despite increased confidence, nurse prescribers' objective medication knowledge may not align with their self-perception.
  • There is a clear need to enhance community nurses' confidence and competence in managing medication-related issues.
  • Improvements in medication knowledge and skills are recommended at both pre-registration and post-registration nursing education levels.