Evidence map›Paper›PMID 40777758›Full record

ArticleGlobal qualitative nursing research

The Barriers to Nurses with Prescriptive Authority in Exercising Their Prescriptive Role: A Systematic Review and Thematic Synthesis of Qualitative Studies.

Jiaxi Xu, Lu Qi, Aimei Mao

Abstract read
In one paragraph

Article in Global qualitative nursing research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Review
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

3 authors.

Jiaxi XuKiang Wu Nursing College of Macau, Macau, China.ORCID https://orcid.org/0009-0003-7613-4101
Lu QiKiang Wu Nursing College of Macau, Macau, China.
Aimei MaoKiang Wu Nursing College of Macau, Macau, China.ORCID https://orcid.org/0000-0001-8894-4943

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review investigates the barriers experienced by nurses with prescriptive authority and their required supports to strengthen and sustain nurse prescribing. Empirical qualitative studies indexed in Embase, MEDLINE, CINAHL, and ProQuest from inception through 31 December 2023 were screened, yielding 27 eligible articles. Data were synthesized with Thomas and Harden's three-stage inductive approach which included: line-by-line coding, construction of descriptive themes, and generation of analytical themes. Two overarching analytical themes were constructed - "The Undervaluing of Nurse Prescribers" and "The Need for a Supportive System". Each encompassed several subthemes that expose pervasive misconceptions about, and systemic undervaluation of, nurse prescribers' expertise. The review underscores the imperative for comprehensive organizational and policy support to strengthen nurse prescribers' autonomy, confidence, and effectiveness. Because most of the included studies originated from high-income Western countries, future research is needed to examine nurse prescribing in low- and middle-income settings.

Indexed as

barriers to practicenurse prescribingprescriptive authorityqualitative synthesissystematic reviewthematic analysis

Identifiers

PMID40777758
PMCPMC12329191

What OpenQuestion holds

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LicenceCC BY-NC
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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.