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Changes in nurses' views and practices concerning nurse prescribing between 2006 and 2012: results from two national surveys

Authors

  • Marieke Kroezen MSc,

    PhD Researcher, Corresponding author
    1. NIVEL, Netherlands Institute for Health Services Research, Utrecht, the Netherlands
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  • Anke de Veer PhD,

    Senior Researcher/Coordinator Nursing Staff Panel
    1. NIVEL, Netherlands Institute for Health Services Research, Utrecht, the Netherlands
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  • Anneke Francke PhD RN,

    Programme Coordinator Nursing Care
    1. NIVEL, Netherlands Institute for Health Services Research, Utrecht, the Netherlands
    2. Department of Public and Occupational Health, EMGO Institute for Health and Care Research (EMGO+) of VU University Medical Center, Amsterdam, the Netherlands
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  • Peter Groenewegen PhD,

    NIVEL Director
    1. NIVEL, Netherlands Institute for Health Services Research, Utrecht, the Netherlands
    2. Department of Sociology and Department of Human Geography, Utrecht University, the Netherlands
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  • Liset van Dijk PhD

    Programme Coordinator Pharmaceutical Care
    1. NIVEL, Netherlands Institute for Health Services Research, Utrecht, the Netherlands
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Abstract

Aims

To assess changes in the prescribing practices and views about nurse prescribing of Registered Nurses in the Netherlands between 2006 and 2012.

Background

Considering the developments that took place in the Netherlands between 2006 and 2012, such as increased opportunities for nurse prescribing education and stricter control of nurses' prescribing practices, this study examines the extent to which nurses' prescribing practices and views have changed in the intervening years. In both years, nurses were not legally allowed to prescribe.

Design

Survey study.

Methods

Surveys were conducted in 2006 and 2012. Questionnaires were sent to a national sample of nurses. The questionnaires addressed nurses' views on nurse prescribing and the extent to which nurse prescribing took place in the respondents' work setting.

Results

There were 386 and 644 respondents to the 2006 and 2012 surveys respectively. The proportion of nurses who said that they felt adequately equipped to prescribe medicines remained constant around 12%. Insufficient knowledge to prescribe remained the most important reason for feelings of inadequacy. More than a quarter of the nurses in both surveys stated that nurses in their team sometimes write prescriptions. There were few changes in views on the consequences of nurse prescribing for nurses' practice.

Conclusion

Overall, nurses' support for nurse prescribing remained stable at a fairly cautious level, while the number of nurses feeling inadequately equipped to prescribe remained high. As nurse prescribing is expected to improve the quality and continuity of care, this should be taken into account in policy expectations.

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