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Nurse Prescribing From the Global Vantage Point: The Intersection Between Role and Policy.
Elissa Ladd1, Madrean Schober2
11 School of Nursing, MGH Institute of Health Professions, Boston, MA, USA.
Nurse prescribing is expanding globally across diverse roles and continents. Strengthening educational and regulatory standards is crucial, particularly in low- to middle-income countries, to enhance healthcare capacity.
Area of Science:
- Global Health
- Nursing Practice
- Pharmaceutical Management
Background:
- Nurse prescribing is a growing global phenomenon.
- Practices vary significantly based on national and regional norms, roles, and regulatory frameworks.
- Existing reviews often overlook nurse prescribing in low- to middle-income nations.
Purpose of the Study:
- To describe the global landscape of nurse prescribing.
- To identify the various nursing roles involved in prescribing.
- To analyze the evolution and regulatory context of nurse prescribing worldwide.
Main Methods:
- Comprehensive literature review including gray and peer-reviewed sources.
- Searches across academic databases (PubMed, CINAHL) and internet search engines.
- Analysis of statutory and regulatory information from government websites and other sources.
Main Results:
- Nurse prescribing is prevalent across all six continents, not limited to high-income countries.
- Advanced practice nursing roles dominate prescribing in high-income nations.
- The predominant global model involves advanced-level roles (postbasic/postprofessional nurses), with task-sharing common in lower-income countries.
Conclusions:
- Nurse prescribing is rapidly evolving globally within diverse roles and regulatory structures.
- Formalizing these roles through enhanced educational and regulatory standards can bolster health system capacity.
- Particular attention is needed to support nurse prescribing in low- to middle-income countries.
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