Non-Medical Prescribing: Multidisciplinary Perspectives

✍ Scribed by Eleanor Bradley, Peter Nolan

• Publisher: Cambridge University Press
• Year: 2008
• Tongue: English
• Leaves: 208
• Edition: 1
• Category: Library

✦ Synopsis

The foundations of good prescribing are quality engagement with trusted healthcare staff, access to knowledgeable and skilled personnel, and full involvement in decisions about care. Beginning with a discussion of how prescribing practices have evolved, this book then proceeds to outline how non-medical prescribing is now implemented from the perspectives of nurses, pharmacists and allied health professionals. It explores the impact on practice, and integrates the views and experiences of patients and service users, as individuals assume responsibility for their own health and select from a range of treatment options. The findings reported in this book describe the challenges posed by policy initiatives, the implications they have for healthcare personnel, and highlight areas in which further organisational change is required before the full impact of non-medical prescribing will be felt.

✦ Table of Contents

Cover......Page 1
Half-title......Page 3
Title......Page 5
Copyright......Page 6
Contents......Page 9
Contributors......Page 11
Foreword......Page 13
Guide to prescribing in the UK......Page 15
REFERENCES......Page 16
Acknowledgements......Page 17
Introduction......Page 19
Modernisation......Page 21
Problems around role creation......Page 22
REFERENCES......Page 24
1 Medicines and prescribing – past and present......Page 27
The regulation of medicines......Page 28
The rise of the NHS......Page 31
Current issues with medicines......Page 34
Modernising healthcare......Page 41
Non-doctor prescribing in the UK......Page 42
Nursing and the current NHS context......Page 44
REFERENCES......Page 47
Introduction......Page 53
The impact of prescribing within nursing......Page 55
Education, roles and practice relating to nurse prescribing......Page 56
Influences on prescribing education......Page 57
The role of service providers in influencing education for prescribing......Page 58
Education in context......Page 59
Pharmacology within nurse prescribing education......Page 60
The impact of prescribing on the nursing role......Page 61
New roles in healthcare......Page 62
Operational aspects of nurse prescribing......Page 63
Pay and prescribing......Page 64
Continuing professional development......Page 65
Conclusion......Page 66
REFERENCES......Page 67
The Pioneers: who are they?......Page 69
Skills base of trainee prescribers......Page 75
Expectations of future prescribing roles......Page 79
Perceived impact of prescribing......Page 81
Concerns about prescribing......Page 84
Preparation......Page 85
Mentors/clinical tutors......Page 87
REFERENCES......Page 89
Starting out as a prescriber: overcoming anxiety......Page 91
Starting out as a prescriber: giving information and advice......Page 94
Becoming confident and competent......Page 95
Prescribing decision making......Page 97
Clinical management plans......Page 99
‘Knowing’ the service user......Page 100
Benefits of nurse prescribing......Page 101
Difficulties with implementation......Page 103
Support and remuneration......Page 104
Role change and service development......Page 105
REFERENCES......Page 106
5 Nurse prescribing observed......Page 107
Stigma......Page 108
Time to talk......Page 110
Concordance......Page 113
Increased access and continuity of care......Page 114
Reservations about nurse prescribers......Page 115
Doctors’ perspectives......Page 117
Team understanding of nurse prescribing......Page 122
Consequences of incorporating nurse prescribing......Page 123
Team barriers to nurse prescribing......Page 126
REFERENCES......Page 127
Introduction......Page 131
The pioneers......Page 133
What motivated pharmacists to become prescribers?......Page 135
Key benefits of becoming a prescriber......Page 137
Types of patients seen......Page 139
Prescribing, not diagnosing......Page 140
Pharmacist prescribers – a different style of patient management......Page 141
Funding issues......Page 142
Lack of support......Page 143
The views of the medical profession......Page 144
Factors that enable pharmacists to take up prescribing in primary care......Page 147
The future of pharmacist prescribing......Page 148
REFERENCES......Page 149
7 Professions allied to medicine and prescribing......Page 151
Medicines and the allied health professions: a brief historical context......Page 153
Podiatry......Page 154
Optometry......Page 160
Ambulance paramedics......Page 164
Radiography......Page 165
Physiotherapy......Page 170
Conclusion......Page 173
REFERENCES......Page 177
8 Conclusions......Page 183
Prescribing: pre-requisite skills and training......Page 188
Current issues in prescribing training......Page 190
Non-medical prescribers and doctors......Page 192
REFERENCES......Page 193
Index......Page 195