Patient group directions : the application and integration of knowledge in advancing nursing practice

Christensen, Martin (2015) Patient group directions : the application and integration of knowledge in advancing nursing practice. Journal of Nursing Education and Practice, 5(2), pp. 103-109.

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The introduction of Patient Group Directions (PGD) has changed significantly the way in which nurses can now administer prescription only medicines as a one-off for patients requiring this level of service. PGD’s are a written authority to administer drugs to patients that are not identified at the time of treatment.


The aim of this project was to develop a PGD for use within an Outreach team to administer colloid boluses to patients presenting with hypovolemia.


Using a case exemplar this paper will discuss the development of a PGD using aspects of transitional change theory to highlight the potential barriers that were encountered.

Implications for Practice:

The implications for this PGD are wide reaching. First it now enables members from the nursing Outreach team to administer colloid fluid boluses to a prescribed patient cohort without the need for prescription. Second, it ensures the deteriorating patient has interventions initiated in a timely and appropriate manner to reduce inadvertent admission to high care areas. Last, it will improve inter-professional team-working and communication so much so that collaborative patient care reduces health costs and identifies earlier those patients requiring substantially greater nursing and medical input.


The experience of developing a working PGD for fluid administration has meant that the Outreach team is able to respond to patients in a more effective way. In addition, it is the experience of developing this PGD that has enabled the team to contemplate other PGD’s in the execution of Outreach work.

Impact and interest:

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ID Code: 79419
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: patient group directions, outreach, change theory
DOI: 10.5430/jnep.v5n2p103
ISSN: 1925-4059
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Clinical Nursing - Secondary (Acute Care) (111003)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2014 please consult author.
Copyright Statement: Creative Commons Attribution License 3.0
Deposited On: 15 Dec 2014 05:00
Last Modified: 15 Dec 2014 23:40

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