Nurse–patient relationships: the context of nurse prescribing

Journal of Advanced Nursing - Tập 28 Số 2 - Trang 235-242 - 1998
Karen Luker1, Lynn Austin2, Hogg3, Pamela R. Ferguson4, Smith5
1Department of Nursing, University of Manchester, England.
2Research Fellow, Department of Nursing, University of Manchester,
3Formerly Research Associate, Department of Nursing, University of Liverpool, Liverpool,
4Deputy Director, Centre for Health Economics, University of York,
5Formerly Research Fellow, Centre for Health Economics, University of York, York

Tóm tắt

Nurse prescribing was initiated in the United Kingdom in October 1994 in eight demonstration sites. The evaluation of this extension to the community nurses’ role explored both economic and qualitative benefits to patients, carers, nurses and other health care professionals. In this paper the impact of nurse prescribing on patients is explored. Benefits experienced by patients are described along with the difficulties encountered. The patients’ views regarding nurses as prescribers are also explored. Data were collected by means of interviews with patients/carers, the focus of which was to evaluate changes associated with nurse prescribing. Patients raised a number of issues associated with their relationship with nurses. Patients valued nurses for both their accessibility and approachability, which led them to discuss health issues which would not otherwise have been brought to the attention of the general practitioner. The arguments which support the incorporation of these qualities into an expanded nursing role are presented.

Từ khóa


Tài liệu tham khảo

10.1046/j.1365-2648.1996.12519.x

10.1093/fampra/11.4.468

CartrightA.&SmithC.1988Elderly People and their Medicines. Routledge London.

DHSS1986Neighbourhood Nursing — A Focus for Care.Report of the Community Nursing Review(Cumberlege Report). HMSO London.

DHSS1987Promoting Better Health. HMSO London.

DoH1989aReport of the Advisory Group on Nurse Prescribing(Crown Report). Department of Health London.

DoH1989bWorking for Patients. HMSO London.

DoH1991Nurse Prescribing Final Report: A Cost Benefit Study(Touche Ross study). Department of Health London.

Drury M., 1988, A nurse practitioner in general practice: patient perceptions and expectations., Journal of the Royal College of General Practitioners, 38, 503

Fawcett‐HenesyA.1991The British scene.In Nurse Practitioners(Salvage J. ed.) Kings Fund London pp. 4450

Fawcett‐Henesy A., 1995, Nurse practitioners: the South Thames RHA experience., Nursing Times, 91, 40

Graffy J., 1990, Patient choice in a practice with men and women general practitioners., British Journal of General Practice, 40, 30

Gray J., 1982, The effect of the doctor’s sex on the doctor‐patient relationship., Journal of the Royal College of General Practitioners, 32, 167

10.1093/fampra/10.1.82

Howie J.G.R., 1991, Long to short consultation ratio: a proxy measure of quality of care for general practice., British Journal of General Practice, 41, 48

10.7748/ns1997.02.11.22.33.c2442

10.12968/bjch.1997.2.2.69

10.12968/bjch.1997.2.2.75

Luker K.A., 1997, Patients’ views of nurse prescribing., Nursing Times, 93, 51

10.7748/ns1996.04.10.28.34.c6220

MilesA.1991Women Health and Medicine. Open University Press Milton Keynes.

10.1136/bmj.292.6524.870

Nichols S., 1987, Women’s preferences for sex of doctor: a postal survey., Journal of the Royal College of General Practitioners, 37, 540

Paxton F., 1996, Evaluating the workload of practice nurses: a study., Nursing Standard, 10, 33

Preston‐Whyte M.E., 1983, Effect of principal’s gender on consultation patterns., Journal of the Royal College of General Practitioners, 33, 654

RCN1980Nurse Prescribers of Oral Contraceptives for the Well Woman: Report of the RCN Family Planning Nurses’ Forum. Royal College of Nursing London.

RCN1995Whose Prescription? A Survey to Examine the Influence of the Practice Nurse on GP Prescribing Patterns for the Therapeutic Categories of Asthma Diabetes and Hypertension.Royal College of Nursing London.

Risdale L., 1989, Study of the effect of time availability on the consultation., Journal of the Royal College of General Practitioners, 39, 488

Salisbury C.J., 1988, Comparison of the work of the nurse practitioner with that of a general practitioner., Journal of the Royal College of General Practitioners, 38, 314

10.1136/bmj.299.6697.494

South Thames Regional Health Authority1994Evaluation of Nurse Practitioner Pilot Projects.Summary Report. NHS Executive and STRHA London.

StilwellB.1988Patients’ attitudes to the availability of a nurse practitioner in general practice.In The Nurse in Family Practice(Bowling A. & Stilwell B. eds) Scutari Press London pp. 111120

StilwellB. RestallD. Burke‐MastersB.1988Nurse practitioners in British General Practice.In The Nurse in Family Practice(Bowling A. & Stilwell B. eds) Scutari Press London pp. 6982

StilwellB.1991An ideal consultation.In Nurse Practitioners(Salvage J. ed.) Kings Fund London pp. 6773

StraussA.&CorbinJ.1990Basics of Qualitative ResearchSage Newbury Park California.

Williams S.J., 1991, Convergence and divergence: assessing criteria of consumer satisfaction across general practice, dental and hospital care settings., Social Science and Medicine, 6, 701

10.1093/fampra/8.3.237

Wilson A., 1991, Consultation length in general practice: a review., British Journal of General Practice, 41, 119

Thông tin
Thông tin xuất bản

Journal of Advanced Nursing

Tập 28 Số 2

235-242

Thông tin tác giả