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District nurses' prescribing practice and its link to structural conditions.
Susanne Blanck1, Maria Engström2,3
1Baldersnäs Din Hälsocentral, Bollnäs, Sweden.
Summary
District nurses
Area of Science:
- Nursing Practice
- Healthcare Management
- Organizational Psychology
Background:
- District nurses (DNs) possess prescribing qualifications.
- The extent of DN prescribing and influencing factors require investigation.
Purpose of the Study:
- To describe district nurses' prescribing practices.
- To examine associations between prescribing frequency, opinions, and structural empowerment.
Main Methods:
- Cross-sectional, correlational study design.
- Data collected via questionnaires and prescribing register in 2012.
- Random sample of 150 DNs from 32 Swedish primary care centers.
Main Results:
- DN prescribing is utilized to a limited extent.
- Access to "opportunities" and "informal power" are key structural empowerment conditions.
- These conditions correlate with increased prescribing frequency and positive prescribing opinions.
Conclusions:
- Structural empowerment significantly influences DN prescribing.
- Employers should enhance access to "opportunities" and "informal power" for nurses.
- Targeted support and training are necessary to maximize DN prescribing potential.
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