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Stakeholders' views of UK nurse and pharmacist supplementary prescribing

Cooper, R., Anderson, C., Avery, T., Bissell, P., Guillaume, L., Hutchinson, A., Lymn, J., Murphy, E., Ratcliffe, J. and Ward, P. (2008) Stakeholders' views of UK nurse and pharmacist supplementary prescribing. Journal of Health Services Research and Policy, 13 (4). pp. 215-221. ISSN 1355-8196

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Objectives: Supplementary prescribing (SP) by pharmacists and nurses in the UK represents a unique approach to improving patients' access to medicines and better utilizing health care professionals' skills. Study aims were to explore the views of stakeholders involved in SP policy, training and practice, focusing upon issues such as SP benefits, facilitators, challenges, safety and costs, thereby informing future practice and policy.

Method: Qualitative, semi-structured interviews were conducted with 43 purposively sampled UK stakeholders, including pharmacist and nurse supplementary prescribers, doctors, patient groups representatives, academics and policy developers. Analysis of transcribed interviews was undertaken using a process of constant comparison and framework analysis, with coding of emergent themes.

Results: Stakeholders generally viewed SP positively and perceived benefits in terms of improved access to medicines and fewer delays, along with a range of facilitators and barriers to the implementation of this form of non-medical prescribing. Stakeholders' views on the economic impact of SP varied, but safety concerns were not considered significant. Future challenges and implications for policy included SP being potentially superseded by independent nurse and pharmacist prescribing, and the need to improve awareness of SP. Several potential tensions emerged including nurses' versus pharmacists' existing skills and training needs, supplementary versus independent prescribing, SP theory versus practice and prescribers versus non-prescribing peers.

Conclusion: SP appeared to be broadly welcomed by stakeholders and was perceived to offer patient benefits. Several years after its introduction in the UK, stakeholders still perceived several implementation barriers and challenges and these, together with various tensions identified, might affect the success of supplementary and other forms of non-medical prescribing. Journal of Health Services Research & Policy Vol 13 No 4, 2008: 215-221 (C) The Royal Society of Medicine Press Ltd 2008

Item Type: Article
Institution: The University of Sheffield
Academic Units: The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield)
Depositing User: Miss Anthea Tucker
Date Deposited: 02 Dec 2009 10:58
Last Modified: 02 Dec 2009 10:58
Published Version: http://dx.doi.org/10.1258/jhsrp.2008.008004
Status: Published
Publisher: Royal Society of Medicine
Identification Number: 10.1258/jhsrp.2008.008004
URI: http://eprints.whiterose.ac.uk/id/eprint/10204

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