Nurse prescribing: Attitudes of medical doctors towards expanding professional competencies of nurses and midwives

To identify the attitudes of doctors regarding prescriptive competences of nurses and midwives since these have been recently regulated in several countries. . The cross-sectional study was conducted at the Medical University of Warsaw from February 1to7, 2016 and comprised doctors working at the Pr...

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Veröffentlicht in:Journal of the Pakistan Medical Association 2019-08, Vol.69 (8), p.1199-1204
Hauptverfasser: Zarzeka, Aleksander, Panczyk, Mariusz, Belowska, Jaroslawa, Mazur, Nicole, Lourido, Berta Paz, Gotlib, Joanna
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container_end_page 1204
container_issue 8
container_start_page 1199
container_title Journal of the Pakistan Medical Association
container_volume 69
creator Zarzeka, Aleksander
Panczyk, Mariusz
Belowska, Jaroslawa
Mazur, Nicole
Lourido, Berta Paz
Gotlib, Joanna
description To identify the attitudes of doctors regarding prescriptive competences of nurses and midwives since these have been recently regulated in several countries. . The cross-sectional study was conducted at the Medical University of Warsaw from February 1to7, 2016 and comprised doctors working at the Prof. Jan Nielubowicz Regional Medical Chamber in Warsaw, Poland. A specially designed 36-item questionnaire that had 22 statements was used regarding the role of the reform in the healthcare system; the need of granting nurses and midwives particular competencies; and their preparation and readiness for these competencies. The respondents assessed the statements using a Likert scale (1=strongly disagree; 5=strongly agree). STATISTICA 13.2 was used for data analysis. . Of the 436 doctors, 245(56%) were women. The subjects presented different opinions about the reforms, especially about possible improvement in patient care with nurses prescribing, or the process getting simplified for the care-seekers. Most doctors believed that nurses and midwives were not yet equipped enough to prescribe certain medicines or issue prescriptions (1,79/5). Only in case of nurses and midwives being able to 're-order' medicines earlier prescribed by a doctor, the attitudes of primary care physicians was significantly different than those involved with hospital care (p=0.048). Doctors were sceptical about expanding professional competences of nurses and midwives regarding drug prescription.
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The cross-sectional study was conducted at the Medical University of Warsaw from February 1to7, 2016 and comprised doctors working at the Prof. Jan Nielubowicz Regional Medical Chamber in Warsaw, Poland. A specially designed 36-item questionnaire that had 22 statements was used regarding the role of the reform in the healthcare system; the need of granting nurses and midwives particular competencies; and their preparation and readiness for these competencies. The respondents assessed the statements using a Likert scale (1=strongly disagree; 5=strongly agree). STATISTICA 13.2 was used for data analysis. . Of the 436 doctors, 245(56%) were women. The subjects presented different opinions about the reforms, especially about possible improvement in patient care with nurses prescribing, or the process getting simplified for the care-seekers. Most doctors believed that nurses and midwives were not yet equipped enough to prescribe certain medicines or issue prescriptions (1,79/5). Only in case of nurses and midwives being able to 're-order' medicines earlier prescribed by a doctor, the attitudes of primary care physicians was significantly different than those involved with hospital care (p=0.048). 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Only in case of nurses and midwives being able to 're-order' medicines earlier prescribed by a doctor, the attitudes of primary care physicians was significantly different than those involved with hospital care (p=0.048). 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source MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals
subjects Adult
Aged
Analysis
Attitude of Health Personnel
Clinical Competence
Cross-Sectional Studies
Female
Humans
Legislation, Nursing
Male
Medical care quality
Medical equipment
Medical practice
Middle Aged
Midwives
Nurse's Role
Nurses
Nursing
Nursing research
Patient care
Pharmaceutical policy
Physician-Nurse Relations
Physicians
Poland
Practice
Practice Patterns, Nurses
Prescription writing
Prescriptions (Drugs)
Scope of Practice
Surveys and Questionnaires
Young Adult
title Nurse prescribing: Attitudes of medical doctors towards expanding professional competencies of nurses and midwives
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