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Roles of the non-medical prescribing leads within organisations across a Strategic Health Authority: Perceived functions and factors supporting the role

机译:跨战略卫生局的组织内非医疗处方负责人的角色:支持角色的感知功能和因素

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Objectives Extending the roles of nurses, pharmacists and allied health professionals to include prescribing has been identified as one way of improving service provision. In the UK, over 50 000 non-medical healthcare professionals are now qualified to prescribe. Implementation of non-medical prescribing (NMP) is crucial to realise the potential return on investment. The UK Department of Health recommends a NMP lead to be responsible for the implementation of NMP within organisations. The aim of this study was to explore the role of NMP leads in organisations across one Strategic Health Authority (SHA) and to inform future planning with regards to the criteria for those adopting this role, the scope of the role and factors enabling the successful execution of the role. Methods Thirty-nine NMP leads across one SHA were approached. Semi-structured telephone interviews were conducted. Issues explored included the perceived role of the NMP lead, safety and clinical governance procedures and facilitators to the role. Transcribed audiotapes were coded and analysed using thematic analytical techniques. Key findings In total, 27/39 (69.2%) NMP leads were interviewed. The findings highlight the key role that the NMP lead plays with regards to the support and development of NMP within National Health Service trusts. Processes used to appoint NMP leads lacked clarity and varied between trusts. Only two NMP leads had designated or protected time for their role. Strategic influence, operational management and clinical governance were identified as key functions. Factors that supported the role included organisational support, level of influence and dedicated time. Conclusion The NMP lead plays a significant role in the development and implementation of NMP. Clear national guidance is needed with regards to the functions of this role, the necessary attributes for individuals recruited into this post and the time that should be designated to it. This is important as prescribing is extended to include other groups of non-medical healthcare professionals.
机译:目标已经确定,扩大护士,药剂师和专职医疗人员的作用以包括开处方是改善服务质量的一种方法。在英国,现在有超过5万名非医疗保健专业人员有资格开处方。实施非医疗处方(NMP)对于实现潜在的投资回报至关重要。英国卫生部建议由NMP负责组织内NMP的实施。这项研究的目的是探索NMP领导者在一个战略卫生局(SHA)中的组织中的作用,并就采用该角色的人员的标准,角色的范围以及使成功执行的因素,为将来的计划提供参考角色。方法对一条SHA上的39条NMP引线进行了研究。进行了半结构化电话采访。探索的问题包括NMP领导者的角色,安全性和临床治理程序以及角色扮演者。使用主题分析技术对转录的录音带进行编码和分析。主要发现总共采访了27/39(69.2%)NMP线索。调查结果凸显了NMP领导在国家卫生服务信托机构中NMP的支持和发展方面所起的关键作用。用于指定NMP线索的过程缺乏明确性,并且在信任之间有所不同。只有两名NMP负责人指定或保护了他们的角色时间。战略影响,运营管理和临床治理被确定为关键职能。支持该角色的因素包括组织支持,影响程度和奉献时间。结论NMP牵头人在NMP的开发和实施中起着重要作用。关于这一职能的职能,招聘该职位的个人的必要属性以及应指定的时间,需要明确的国家指导。这很重要,因为处方已扩展到其他非医疗保健专业人员组。

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