Evidence-informed implementation of nurse prescribing under supervision: An integrative review.

Fox, A; Joseph, R; Cardiff, L; Thoms, D; Yates, P; Nissen, L; Chan, RJ

Evidence-informed implementation of nurse prescribing under supervision: An integrative review.

Fox, A Joseph, R Cardiff, L Thoms, D Yates, P Nissen, L Chan, RJ

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Journal of Advanced Nursing, 2022, 78, (2), pp. 301-313
Issue Date:: 2022-02

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Field	Value	Language
dc.contributor.author	Fox, A
dc.contributor.author	Joseph, R
dc.contributor.author	Cardiff, L
dc.contributor.author	Thoms, D
dc.contributor.author	Yates, P
dc.contributor.author	Nissen, L
dc.contributor.author	Chan, RJ
dc.date.accessioned	2022-11-02T02:52:55Z
dc.date.available	2021-07-11
dc.date.available	2022-11-02T02:52:55Z
dc.date.issued	2022-02
dc.identifier.citation	Journal of Advanced Nursing, 2022, 78, (2), pp. 301-313
dc.identifier.issn	0309-2402
dc.identifier.issn	1365-2648
dc.identifier.uri	http://hdl.handle.net/10453/163140
dc.description.abstract	AIM: To explore evidence reporting facilitators and barriers to implementation of nurse prescribing and provide practical recommendations for evidence-informed implementation and adoption of nurse prescribing under a supervision model. BACKGROUND: As demand for access to quality health care services increases, health professional roles are expanding to meet population needs. Nurse prescribing has been effective in some countries and is being considered globally to address growing health care demand. Successful implementation of health service models requires careful planning and consideration. No existing reviews have examined implementation factors in the literature. DESIGN: Integrative review. DATA SOURCES: CINAHL, MEDLINE, PubMed and EMBASE databases were searched from inception to 15 April 2020. REVIEW METHODS: This integrative review is guided by Whittemore and Knafl and adheres to PRISMA reporting guidelines. The sustainability of innovation framework was used to synthesize data concerning implementation and sustainability factors (i.e. innovation, organizational, political, workforce and financial) for nurse prescribing. RESULTS: A total of 39 articles were reviewed with literature predominantly reporting findings related to non-medical and nurse prescribing under various models. Variable evidence was found to inform nurse prescribing across five implementation and sustainability factors identifying several areas that require in-depth consideration. Very little evidence is available on nurse prescribing under supervision. CONCLUSION: Introduction of service reform is often costly. This review highlights gaps in the literature and raises areas for consideration prior to implementation of this new service delivery model. The introduction of nurse prescribing must be planned and informed by available evidence to support effective adoption, practice and patient outcomes. IMPACT: There are significant gaps in evidence related to nurse prescribing under a supervision model. Based on the evidence synthesized in this review, this paper provides practical recommendations for health service providers, managers, clinicians, educators and researchers to support implementation and adoption of nurse prescribing.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	Journal of Advanced Nursing
dc.relation.isbasedon	10.1111/jan.14992
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1110 Nursing
dc.subject.classification	Nursing
dc.subject.mesh	Delivery of Health Care
dc.subject.mesh	Health Personnel
dc.subject.mesh	Humans
dc.subject.mesh	Workforce
dc.subject.mesh	Delivery of Health Care
dc.subject.mesh	Health Personnel
dc.subject.mesh	Humans
dc.subject.mesh	Workforce
dc.subject.mesh	Humans
dc.subject.mesh	Health Personnel
dc.subject.mesh	Delivery of Health Care
dc.subject.mesh	Workforce
dc.title	Evidence-informed implementation of nurse prescribing under supervision: An integrative review.
dc.type	Journal Article
utslib.citation.volume	78
utslib.location.activity	England
utslib.for	1110 Nursing
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2022-11-02T02:52:54Z
pubs.issue	2
pubs.publication-status	Published
pubs.volume	78
utslib.citation.issue	2

Abstract:

AIM: To explore evidence reporting facilitators and barriers to implementation of nurse prescribing and provide practical recommendations for evidence-informed implementation and adoption of nurse prescribing under a supervision model. BACKGROUND: As demand for access to quality health care services increases, health professional roles are expanding to meet population needs. Nurse prescribing has been effective in some countries and is being considered globally to address growing health care demand. Successful implementation of health service models requires careful planning and consideration. No existing reviews have examined implementation factors in the literature. DESIGN: Integrative review. DATA SOURCES: CINAHL, MEDLINE, PubMed and EMBASE databases were searched from inception to 15 April 2020. REVIEW METHODS: This integrative review is guided by Whittemore and Knafl and adheres to PRISMA reporting guidelines. The sustainability of innovation framework was used to synthesize data concerning implementation and sustainability factors (i.e. innovation, organizational, political, workforce and financial) for nurse prescribing. RESULTS: A total of 39 articles were reviewed with literature predominantly reporting findings related to non-medical and nurse prescribing under various models. Variable evidence was found to inform nurse prescribing across five implementation and sustainability factors identifying several areas that require in-depth consideration. Very little evidence is available on nurse prescribing under supervision. CONCLUSION: Introduction of service reform is often costly. This review highlights gaps in the literature and raises areas for consideration prior to implementation of this new service delivery model. The introduction of nurse prescribing must be planned and informed by available evidence to support effective adoption, practice and patient outcomes. IMPACT: There are significant gaps in evidence related to nurse prescribing under a supervision model. Based on the evidence synthesized in this review, this paper provides practical recommendations for health service providers, managers, clinicians, educators and researchers to support implementation and adoption of nurse prescribing.

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http://hdl.handle.net/10453/163140