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首页> 外文期刊>Journal of Nursing Education and Practice >Nova Scotia nurse practitioners understanding of inappropriate prescribing and using a prescribing evaluation tool: A pilot study
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Nova Scotia nurse practitioners understanding of inappropriate prescribing and using a prescribing evaluation tool: A pilot study

机译：新斯科舍省的护士执业医师对不适当处方的理解以及使用处方评估工具的初步研究

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Background and Objective: Over the past two decades nurse practitioners’ prescriptive authority, has evolved specifically in response to pressures from patients’ physicians, changing policies and preoccupation with the effectiveness and efficiency of care. However, little is known of the nurse practitioners’ understanding of appropriate and inappropriate prescribing and their views of using a prescribing evaluation tool in practice to ensure prescribing is optimal and can support national change. The aim of this research is to explore Nova Scotia nurse practitioners (with prescriptive authority) understanding of inappropriate prescribing and their experience of using a prescribing evaluation tool. Methods: This qualitative study used a phenomenology research design. A series of semi-structured telephone interviews were held with a purposive sample of nurse practitioners with prescriptive authority. Interviews were tape recorded and transcribed verbatim. Data were analysed using Colaizzi’s framework method. Results: The study identified four recurrent themes: competence and confidence, understanding inappropriate prescribing, consequences of inappropriate prescribing and the role screening tools play in prescribing. Conclusions: The potential for prescribing nurse practitioners to contribute positively to address the issues with increasing healthcare demands and associated problems and to improve quality of care in the Canadian health system is substantial given their insight to medication management.
机译：背景和目标：在过去的二十年中，护士执业医师的处方权威已得到了特别发展，以应对患者医师的压力，政策变化以及对护理有效性和效率的关注。但是，对于护士从业者对适当和不适当处方的理解以及他们在实践中使用处方评估工具以确保处方最佳并能支持国家变革的观点知之甚少。这项研究的目的是探索新斯科舍省的护士执业医师（具有处方授权）对不适当处方的理解以及他们使用处方评估工具的经验。方法：该定性研究使用了现象学研究设计。进行了一系列半结构化电话采访，目的是对具有规定权限的护士从业者进行有目的的抽样调查。采访记录录音，并逐字记录。使用Colaizzi的框架方法分析了数据。结果：该研究确定了四个经常性的主题：能力和信心，理解不合适的处方，不合适的处方的后果以及筛选工具在处方中的作用。结论：鉴于他们对药物管理的洞察力，处方护士从业者可以做出积极贡献，以解决日益增长的医疗保健需求和相关问题，并提高加拿大卫生系统的护理质量。

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