Nurse practitioner prescribing in Australia: A comprehensive literature review.

Fong, J; Buckley, T; Cashin, A; Pont, L

Nurse practitioner prescribing in Australia: A comprehensive literature review.

Fong, J Buckley, T Cashin, A Pont, L

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Publisher:: ELSEVIER SCIENCE INC
Publication Type:: Journal Article
Citation:: Australian critical care : official journal of the Confederation of Australian Critical Care Nurses, 2017, 30, (5), pp. 252-259
Issue Date:: 2017-09

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Field	Value	Language
dc.contributor.author	Fong, J
dc.contributor.author	Buckley, T
dc.contributor.author	Cashin, A
dc.contributor.author	Pont, L https://orcid.org/0000-0002-8545-716X
dc.date.accessioned	2022-01-25T01:14:53Z
dc.date.available	2016-11-14
dc.date.available	2022-01-25T01:14:53Z
dc.date.issued	2017-09
dc.identifier.citation	Australian critical care : official journal of the Confederation of Australian Critical Care Nurses, 2017, 30, (5), pp. 252-259
dc.identifier.issn	1036-7314
dc.identifier.issn	1878-1721
dc.identifier.uri	http://hdl.handle.net/10453/153529
dc.description.abstract	In Australia, the nurse practitioner (NP) obtained prescriptive authority in some jurisdictions in 2001. One of the key aspects in which the scope of NPs differs from Registered Nurses (RNs) relates to the legal privilege to prescribe medications. Although NPs have had prescriptive authority in Australia since 2001, with access to the Commonwealth subsidy scheme (PBS) since 2010, little is known about NPs prescriptive patterns or outcomes of prescriptive practice.The aim of this scoping review was to examine the extent, range and nature of research conducted in relation to NP prescribing in the Australian health context as well as identify gaps in the existing literature. Whilst considerable research has been undertaken on medical prescribing, to date there is no published review of studies regarding NP prescribing in the Australian context.A structured search of the literature was undertaken using permutations of the following key words ’nurse practitioner prescribing Australia’, ’nurse practitioner and prescribing’, ’advanced practice nurse and prescribing’, ’nurse practitioner and Australia’. Databases where searched from January 2000 to January 2016. Databases searched include PsycInfo, Pubmed, CINAHL and Medline.There are a number of distinguishing features of NP prescribing practices in the Australian context. Little is known about the prescribing behaviours of critical care NPs in both the international and Australian context. Key themes identified were: barriers to prescribing, attitudes to NP prescribing, frequency of prescribing, types of medications prescribed, prescribing practice behaviours and confidence in prescribing.The impact of legislative changes on Australian NPs clinical practice and service delivery is still evolving. This review should create impetus for further research to determine the outcomes of NP prescribing on both patient and health service outcomes in the Australian healthcare context including critical care settings.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	ELSEVIER SCIENCE INC
dc.relation.ispartof	Australian critical care : official journal of the Confederation of Australian Critical Care Nurses
dc.relation.isbasedon	10.1016/j.aucc.2016.11.003
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1110 Nursing
dc.subject.classification	Nursing
dc.subject.mesh	Australia
dc.subject.mesh	Clinical Competence
dc.subject.mesh	Drug Prescriptions
dc.subject.mesh	Humans
dc.subject.mesh	Nurse Practitioners
dc.subject.mesh	Practice Patterns, Nurses'
dc.subject.mesh	Humans
dc.subject.mesh	Clinical Competence
dc.subject.mesh	Nurse Practitioners
dc.subject.mesh	Australia
dc.subject.mesh	Drug Prescriptions
dc.subject.mesh	Practice Patterns, Nurses'
dc.title	Nurse practitioner prescribing in Australia: A comprehensive literature review.
dc.type	Journal Article
utslib.citation.volume	30
utslib.location.activity	Australia
utslib.for	1103 Clinical Sciences
utslib.for	1110 Nursing
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Pharmacy
utslib.copyright.status	closed_access	*
dc.date.updated	2022-01-25T01:14:51Z
pubs.issue	5
pubs.publication-status	Published
pubs.volume	30
utslib.citation.issue	5

Abstract:

In Australia, the nurse practitioner (NP) obtained prescriptive authority in some jurisdictions in 2001. One of the key aspects in which the scope of NPs differs from Registered Nurses (RNs) relates to the legal privilege to prescribe medications. Although NPs have had prescriptive authority in Australia since 2001, with access to the Commonwealth subsidy scheme (PBS) since 2010, little is known about NPs prescriptive patterns or outcomes of prescriptive practice.The aim of this scoping review was to examine the extent, range and nature of research conducted in relation to NP prescribing in the Australian health context as well as identify gaps in the existing literature. Whilst considerable research has been undertaken on medical prescribing, to date there is no published review of studies regarding NP prescribing in the Australian context.A structured search of the literature was undertaken using permutations of the following key words ’nurse practitioner prescribing Australia’, ’nurse practitioner and prescribing’, ’advanced practice nurse and prescribing’, ’nurse practitioner and Australia’. Databases where searched from January 2000 to January 2016. Databases searched include PsycInfo, Pubmed, CINAHL and Medline.There are a number of distinguishing features of NP prescribing practices in the Australian context. Little is known about the prescribing behaviours of critical care NPs in both the international and Australian context. Key themes identified were: barriers to prescribing, attitudes to NP prescribing, frequency of prescribing, types of medications prescribed, prescribing practice behaviours and confidence in prescribing.The impact of legislative changes on Australian NPs clinical practice and service delivery is still evolving. This review should create impetus for further research to determine the outcomes of NP prescribing on both patient and health service outcomes in the Australian healthcare context including critical care settings.

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http://hdl.handle.net/10453/153529