Is the Australian nursing workforce ready to embrace prescribing under supervision? A cross-sectional survey
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Description
<p>Aim: The aim was to explore nurses' preparedness to expand their practice to prescribe medicines under a supervision model. Design: This was a cross-sectional study. Methods: A convenience sample of Australian nurses recruited from memberships of State-based Nursing and Midwifery Unions and professional bodies from diverse care settings. Nurses undertook an online researcher-constructed survey between March and July 2021 to identify current prescribing practices, motivations for undertaking education in prescribing and perceived barriers to implementation of nurse prescribing under supervision. Data related to demographics, nursing experience and barriers to becoming a prescriber were analysed descriptively. Logistic regression was used to model nursing experience variables with desire to become a prescriber. Results: A total of 4424 nurses participated with the majority (n = 3645, 82%) reporting they were highly likely to expand their practice to prescribe medicines under supervision. The main motivations to prescribe were to enhance patient care and job satisfaction. Nurses were more likely to want to prescribe if they had <10 years experience (95% CI = 0.3–0.5, p < 0.001), held a bachelor's degree (95% CI = 1.3–2.2, p < 0.001) or higher qualification (95% CI = 1.8–2.9, p < 0.001). Most reported lack of acknowledgement of increased responsibility and workloads (n = 4098, 93%), and insufficient organizational support (n = 4197, 95%) may prevent uptake of nurse prescribing. Conclusions: Most Australian nurses demonstrated their preparedness to embrace the role of prescribing under supervision. The perceived barriers identified in this study can inform future implementation of this expanded nursing role. Impact: The Nursing and Midwifery Board of Australia has proposed a standard of practice to enable nurses to prescribe under supervision. Models of nurse prescribing are being considered globally to address population needs. Successful adoption of this practice is dependent on aspects such as key personnel's acceptance of the initiative. The workforce readiness and barriers highlighted in this study can inform implementation at policy and organizational levels.</p>
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| ID Code: | 234398 | ||||||||
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| Item Type: | Contribution to Journal (Journal Article) | ||||||||
| Refereed: | Yes | ||||||||
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| Additional Information: | Funding Information: RJC receives salary support from the National Health and Medical Research Council (APP1194051). | ||||||||
| Measurements or Duration: | 10 pages | ||||||||
| Keywords: | advanced practice, expanding scope, models of care, nurse, nurse prescribing, policy, workforce preparation | ||||||||
| DOI: | 10.1111/jan.15367 | ||||||||
| ISSN: | 0309-2402 | ||||||||
| Pure ID: | 113675788 | ||||||||
| Divisions: | Current > Research Centres > Centre for Healthcare Transformation Current > Research Centres > Cancer and Palliative Care Outcomes Centre Current > QUT Faculties and Divisions > Faculty of Health Current > Schools > School of Clinical Sciences Current > Schools > School of Nursing |
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| Funding Information: | RJC receives salary support from the National Health and Medical Research Council (APP1194051). | ||||||||
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| Copyright Owner: | 2022 The Authors | ||||||||
| Copyright Statement: | This work is covered by copyright. Unless the document is being made available under a Creative Commons Licence, you must assume that re-use is limited to personal use and that permission from the copyright owner must be obtained for all other uses. If the document is available under a Creative Commons License (or other specified license) then refer to the Licence for details of permitted re-use. It is a condition of access that users recognise and abide by the legal requirements associated with these rights. If you believe that this work infringes copyright please provide details by email to qut.copyright@qut.edu.au | ||||||||
| Deposited On: | 08 Aug 2022 00:12 | ||||||||
| Last Modified: | 29 Feb 2024 20:24 |
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