Evidence map›Paper›PMID 35855569›Full record

ArticleJournal of advanced nursing2022

Is the Australian nursing workforce ready to embrace prescribing under supervision? A cross-sectional survey.

Amanda Fox, Fiona Crawford-Williams, Joseph Ria, Cardiff Lynda, Thoms Debra, Yates Patsy, Nissen Lisa, Raymond Javan Chan

Open access · hybridAbstract read
In one paragraph

Article in Journal of advanced nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
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  6. Nurses' readiness to prescribe under supervision in Saudi Arabia: A cross-sectional study.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Amanda FoxCentre for Healthcare Transformation, Queensland University of Technology, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0002-4947-339X
Fiona Crawford-WilliamsCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Joseph RiaCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Cardiff LyndaSchool of Clinical Sciences, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia.
Thoms DebraSchool of Nursing, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia.
Yates PatsyCentre for Healthcare Transformation, Queensland University of Technology, Brisbane, Queensland, Australia.
Nissen LisaCentre for Healthcare Transformation, Queensland University of Technology, Brisbane, Queensland, Australia.
Raymond Javan ChanCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Queensland University of Technology · AU

Funding

National Health and Medical Research Council APP1194051
6 · The paper itself

Abstract

aimThe aim was to explore nurses' preparedness to expand their practice to prescribe medicines under a supervision model.

designThis was a cross-sectional study.

methodsA 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.

resultsA 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.

conclusionsMost 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.

Indexed as

Attitude of Health PersonnelProfessional AutonomyAustraliaCross-Sectional StudiesDrug PrescriptionsHumansWorkforceadvanced practiceexpanding scopemodels of carenursenurse prescribingpolicyworkforce preparation

Identifiers

PMID35855569
PMCPMC9796876
OpenAlexW4286215671

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.