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Preparation for non medical prescribing: a review
1Alder Hey Children's Hospital, Liverpool.
Insights
Non-medical prescribing for children requires better nurse training in medicines management. Enhancing pre-registration education is crucial for safe and effective paediatric care and non-medical prescribing roles.
Area of Science:
- Nursing Education
- Pharmacology
- Paediatric Healthcare
Background:
- National Service Framework (England) promotes non-medical prescribing for pediatric patients.
- Non-medical prescribing aims to enhance children's access to necessary medications.
Purpose of the Study:
- To evaluate non-medical prescribing by pediatric nurses in North West England.
- To identify areas for improvement in pediatric nurse education regarding medicines management.
Main Methods:
- Qualitative and quantitative data collection.
- Facilitated workshops, surveys of nurse prescribers, and higher education institution scoping.
- Evaluation of non-medical prescribing practices in Merseyside, Manchester, and Cheshire.
Main Results:
- Significant need for enhanced pediatric nurse preparation in all aspects of medicines management.
- Identified deficiencies in pre-registration training concerning drug administration, pharmacology, pharmacokinetics, and pharmacodynamics.
- Current educational preparation is insufficient for effective non-medical prescribing.
Conclusions:
- A standardized, comprehensive medicines management education plan is essential for pediatric nurses.
- Education must begin at the pre-registration level and continue through to non-medical prescribing roles.
- Improved nurse education is vital for delivering services aligned with best practice guidelines for pediatric medicine management.
Abstract:
The National Service Framework (England) standards related to medicines for children and young people promote the use of non medical prescribing to improve children's access to appropriate medicines. A project was carried out to evaluate non medical prescribing by paediatric nurses across Merseyside, Manchester and Cheshire in the north west of England. Several qualitative and quantitative data collection methods were used including facilitated workshops, a questionnaire survey of the current independent/supplementary paediatric nurse prescribers and a scoping exercise of four higher education institutions. A major finding was the need for improved preparation of children's nurses in all aspects of medicines management, particularly practical drug administration at pre-registration level and knowledge of pharmacology, pharmacokinetics and pharmacodynamics. If services are to be delivered in line with best practice guidance there needs to be a comprehensive, standardised medicines management education plan that is initiated in pre-registration nurse training, leading to appropriate education for non-medical prescribing roles.
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