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Related Experiment Videos

Advancing practice through prescribing: is there a better way?

Stephen Harding1, Andrew Gardner

  • 1School of Nursing and Midwifery, Division of Health Sciences, University of South Australia - City East Campus, Adelaide SA, Australia.

Contemporary Nurse
|July 26, 2006
PubMed
Summary

Nurses prescribing may increase adverse effects. Collaborative care and academic detailing, where nurses offer expert advice, benefit patients more than additional prescribing roles.

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Area of Science:

  • Nursing Practice
  • Pharmacotherapy
  • Healthcare Collaboration

Background:

  • Increased adverse effects are linked to a higher number of prescribers for service users.
  • The benefits of nurses acting as prescribers are questioned due to potential risks.
  • Complex care needs, particularly in older populations, highlight the importance of interprofessional collaboration.

Purpose of the Study:

  • To explore the implications of nurses engaging in pharmacotherapy prescribing.
  • To propose alternative models for enhancing nurses' contributions to patient care.
  • To advocate for collaborative practice models that leverage nursing expertise.

Main Methods:

  • Literature review on adverse event rates and prescriber numbers.
  • Analysis of collaborative care models in complex patient groups.

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  • Conceptualization of an 'academic detailing' approach for advanced nursing practice.

    • Main Results:

    • A higher number of prescribers correlates with increased adverse events.
    • Collaborative practice, with nurses providing informed advice, is suggested as more beneficial.
    • Nurses developing expert knowledge can enhance diagnosis and management through specialist advice.

    Conclusions:

    • Shifting focus from nurse prescribing to collaborative care models is recommended.
    • An 'academic detailing' approach can empower nurses to provide specialist advice.
    • Enhancing nursing expertise in diagnosis and management supports better patient outcomes.