Description
The foundations of good prescribing are quality engagement with trusted healthcare staff, access to knowledgeable and skilled personnel, and full involvement in decisions about care. Beginning with a discussion of how prescribing practices have evolved, this book then proceeds to outline how non-medical prescribing is now implemented from the perspectives of nurses, pharmacists and allied health professionals. It explores the impact on practice, and integrates the views and experiences of patients and service users, as individuals assume responsibility for their own health and select from a range of treatment options. The findings reported in this book describe the challenges posed by policy initiatives, the implications they have for healthcare personnel, and highlight areas in which further organisational change is required before the full impact of non-medical prescribing will be felt.
Chapter
Problems around role creation
1 Medicines and prescribing – past and present
The regulation of medicines
Current issues with medicines
Non-doctor prescribing in the UK
Nursing and the current NHS context
2 Nurse prescribing – impact, education and sustainability
The impact of prescribing within nursing
Education, roles and practice relating to nurse prescribing
Education for nurse prescribing
Influences on prescribing education
The role of service providers in influencing education for prescribing
Pharmacology within nurse prescribing education
Prescribing and advanced practice
The impact of prescribing on the nursing role
Operational aspects of nurse prescribing
Continuing professional development
The future non-medical prescribers
3 Nurse prescribers: from 2003 to 2006
The Pioneers: who are they?
Skills base of trainee prescribers
Expectations of future prescribing roles
Perceived impact of prescribing
Concerns about prescribing
4 Nurse prescribing experienced
Starting out as a prescriber: overcoming anxiety
Starting out as a prescriber: giving information and advice
Becoming confident and competent
Prescribing decision making
Clinical management plans
‘Knowing’ the service user
Benefits of nurse prescribing
Difficulties with implementation
Role change and service development
5 Nurse prescribing observed
Service user perspectives
Increased access and continuity of care
Reservations about nurse prescribers
Team understanding of nurse prescribing
Consequences of incorporating nurse prescribing
Implementing nurse prescribing within the team
Team barriers to nurse prescribing
6 Pharmacists and prescribing
What motivated pharmacists to become prescribers?
Key benefits of becoming a prescriber
Putting prescribing into practice
Information technology (IT) support
Prescribing, not diagnosing
Pharmacist prescribers – a different style of patient management
Barriers to pharmacists becoming prescribers
Technical/operational difficulties
Doubts about the usefulness of pharmacist prescribing
The views of the medical profession
Factors that enable pharmacists to take up prescribing in primary care
The future of pharmacist prescribing
7 Professions allied to medicine and prescribing
Medicines and the allied health professions: a brief historical context
Benefits for service users
Prescribing: pre-requisite skills and training
Current issues in prescribing training
Non-medical prescribers and doctors
Non-Medical Prescribing
：Multidisciplinary Perspectives
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