SynthesisPloS one2018
Facilitators and barriers to non-medical prescribing - A systematic review and thematic synthesis.
Synthesis in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
35 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- A conceptual model of factors potentially influencing prescribing decisions for chronic conditions: an overview of systematic reviews.BMC medicine · 2025Pooled it
- Pooled it
- Exploring the barriers and facilitators to non-medical prescribing experienced by pharmacists and physiotherapists, using focus groups.BMC health services research · 2022Pooled it
- Article
- Antibiotic prescribing by non-medical healthcare professionals in primary care: a systematic review of effects on antibiotic use, patient experience, interprofessional relationships and job satisfaction.JAC-antimicrobial resistance · 2026Review
- Pharmacists' views on potential non-medical prescribing for pharmacists in Sweden: a nationwide survey study.International journal of clinical pharmacy · 2026Article
- Essential Factors That Support National Implementation of Designated Registered Nurse Prescribing: A Systems-Thinking Approach.Journal of advanced nursing · 2026Article
- Exploring the Learning Experiences of Non-Medical Prescribing Among Podiatry Students on Clinical Placement.Journal of foot and ankle research · 2026Article
- Developing a pharmacist preceptorship programme to support UK advanced level practice: a consensus study.International journal of clinical pharmacy · 2025Article
- Exploring non-medical prescribing for patients with mental illness: a scoping review.BMC psychiatry · 2025Article
- Pharmacists' perspectives on potential pharmacist prescribing: a nationwide survey in the Netherlands.International journal of clinical pharmacy · 2025Article
- Contested role boundaries and professional title: Implications of the independent review of podiatric surgery in Australia.Journal of foot and ankle research · 2024Article
- The impact and value of the Parkinson's nurse specialist to people with Parkinson's and their care partners: a grounded theory qualitative study.BMC nursing · 2024Article
- Exploring the Perceptions and Behaviours of UK Prescribers Concerning Novel Lipid-Lowering Agent Prescriptions: A Qualitative Study.Pharmacy (Basel, Switzerland) · 2024Article
- Implementation of Nurse Prescriptions throughout the Public Health System in Catalonia (2021-2022).Healthcare (Basel, Switzerland) · 2024Article
- One Year Evaluation of Pharmacist Medication Charting Service in a Principal Referral Women and Newborn Hospital.Hospital pharmacy · 2024Article
- Integration of pharmacist independent prescribers into general practice: a mixed-methods study of pharmacists' and patients' views.Journal of pharmaceutical policy and practice · 2023Article
- Community Pharmacists' Views on the Early Stages of Implementation of a National Pilot Independent Prescribing Service in Wales: A Qualitative Study.Integrated pharmacy research & practice · 2023Article
- South African physiotherapists' attitudes to medicine prescription as an extension of practice.The South African journal of physiotherapy · 2023Article
- Translation, Cross-Cultural Adaptation, and Validation of the Galician Version of the Nurse Prescribing Self-Efficacy Scale.Healthcare (Basel, Switzerland) · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionNon-medical prescribing has the potential to deliver innovative healthcare within limited finances. However, uptake has been slow, and a proportion of non-medical prescribers do not use the qualification. This systematic review aimed to describe the facilitators and barriers to non-medical prescribing in the United Kingdom.
methodsThe systematic review and thematic analysis included qualitative and mixed methods papers reporting facilitators and barriers to independent non-medical prescribing in the United Kingdom. The following databases were searched to identify relevant papers: AMED, ASSIA, BNI, CINAHL, EMBASE, ERIC, MEDLINE, Open Grey, Open access theses and dissertations, and Web of Science. Papers published between 2006 and March 2017 were included. Studies were quality assessed using a validated tool (QATSDD), then underwent thematic analysis. The protocol was registered with PROSPERO (CRD42015019786).
resultsOf 3991 potentially relevant identified studies, 42 were eligible for inclusion. The studies were generally of moderate quality (83%), and most (71%) were published 2007-2012. The nursing profession dominated the studies (30/42). Thematic analysis identified three overarching themes: non-medical prescriber, human factors, and organisational aspects. Each theme consisted of several sub-themes; the four most highly mentioned were 'medical professionals', 'area of competence', 'impact on time' and 'service'. Sub-themes were frequently interdependent on each other, having the potential to act as a barrier or facilitator depending on circumstances. DISCUSSION: Addressing the identified themes and subthemes enables strategies to be developed to support and optimise non-medical prescribing. Further research is required to identify if similar themes are encountered by other non-medical prescribing groups than nurses and pharmacists.
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Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.