Physicians’ attitudes towards the development of the nurse prescribing role in critical care and emergency departments
Abstract Background The progression of the nurse prescribing role encounters numerous challenges, with physician resistance being a significant obstacle. This study aims to assess physicians’ perspectives regarding the expansion of the nurse prescribing role within critical care and emergency depart...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-12-01
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| Series: | BMC Nursing |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12912-023-01656-4 |
| _version_ | 1797377104243851264 |
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| author | Azam Naderi Maryam Janatolmakan Ziba Bolandi Shahab Rezaeian Alireza Khatony |
| author_facet | Azam Naderi Maryam Janatolmakan Ziba Bolandi Shahab Rezaeian Alireza Khatony |
| author_sort | Azam Naderi |
| collection | DOAJ |
| description | Abstract Background The progression of the nurse prescribing role encounters numerous challenges, with physician resistance being a significant obstacle. This study aims to assess physicians’ perspectives regarding the expansion of the nurse prescribing role within critical care and emergency departments. Methods This cross-sectional study employed convenience sampling to enroll 193 physicians. Data collection instruments included a demographic information form and a researcher-developed questionnaire. Descriptive and inferential statistics were used to analyze the data using SPSS-22 software. Results A total of 193 physicians participated in the survey, with a mean age of 41.9 ± 10.7 years. Among physicians from various age groups, genders, educational backgrounds, and clinical experiences, more than 60% acknowledged prescribing medicine as an essential component of their professional responsibilities. However, a significant majority of physicians in these categories agreed that in emergency situations, nurses should be allowed to prescribe medication to save patients’ lives. It is worth noting that, unlike specialist and fellowship physicians, a majority of general practitioners (83.3%) held the view that nurse-prescribed medications do not contribute to the professional development of nursing. The nurse prescribing role encountered several predominant obstacles, namely legal consequences (78.8%), interference of duties between physicians and nurses (74.1%), and a legal vacuum (77.2%). Conclusion The majority of physicians expressed a favorable attitude towards nurse prescribing in emergency and critical care departments. To facilitate the development of the nurse prescribing role, it is essential to ensure the acquisition of scientific qualifications and implement necessary changes in nursing curricula across bachelor’s, master’s, and doctoral programs. |
| first_indexed | 2024-03-08T19:48:08Z |
| format | Article |
| id | doaj.art-315dbcc395b745219fc89e5f83d7daed |
| institution | Directory Open Access Journal |
| issn | 1472-6955 |
| language | English |
| last_indexed | 2024-03-08T19:48:08Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj.art-315dbcc395b745219fc89e5f83d7daed2023-12-24T12:13:30ZengBMCBMC Nursing1472-69552023-12-0122111010.1186/s12912-023-01656-4Physicians’ attitudes towards the development of the nurse prescribing role in critical care and emergency departmentsAzam Naderi0Maryam Janatolmakan1Ziba Bolandi2Shahab Rezaeian3Alireza Khatony4School of Nursing and Midwifery, Kermanshah University of Medical SciencesSocial Development and Health Promotion Research Centre, Health Institute, Kermanshah University of Medical SciencesSocial Development and Health Promotion Research Centre, Health Institute, Kermanshah University of Medical SciencesInfectious Diseases Research Centre, Health Institute, Kermanshah University of Medical SciencesSocial Development and Health Promotion Research Centre, Health Institute, Kermanshah University of Medical SciencesAbstract Background The progression of the nurse prescribing role encounters numerous challenges, with physician resistance being a significant obstacle. This study aims to assess physicians’ perspectives regarding the expansion of the nurse prescribing role within critical care and emergency departments. Methods This cross-sectional study employed convenience sampling to enroll 193 physicians. Data collection instruments included a demographic information form and a researcher-developed questionnaire. Descriptive and inferential statistics were used to analyze the data using SPSS-22 software. Results A total of 193 physicians participated in the survey, with a mean age of 41.9 ± 10.7 years. Among physicians from various age groups, genders, educational backgrounds, and clinical experiences, more than 60% acknowledged prescribing medicine as an essential component of their professional responsibilities. However, a significant majority of physicians in these categories agreed that in emergency situations, nurses should be allowed to prescribe medication to save patients’ lives. It is worth noting that, unlike specialist and fellowship physicians, a majority of general practitioners (83.3%) held the view that nurse-prescribed medications do not contribute to the professional development of nursing. The nurse prescribing role encountered several predominant obstacles, namely legal consequences (78.8%), interference of duties between physicians and nurses (74.1%), and a legal vacuum (77.2%). Conclusion The majority of physicians expressed a favorable attitude towards nurse prescribing in emergency and critical care departments. To facilitate the development of the nurse prescribing role, it is essential to ensure the acquisition of scientific qualifications and implement necessary changes in nursing curricula across bachelor’s, master’s, and doctoral programs.https://doi.org/10.1186/s12912-023-01656-4PhysicianCritical careNurse prescribingNurseAttitude |
| spellingShingle | Azam Naderi Maryam Janatolmakan Ziba Bolandi Shahab Rezaeian Alireza Khatony Physicians’ attitudes towards the development of the nurse prescribing role in critical care and emergency departments BMC Nursing Physician Critical care Nurse prescribing Nurse Attitude |
| title | Physicians’ attitudes towards the development of the nurse prescribing role in critical care and emergency departments |
| title_full | Physicians’ attitudes towards the development of the nurse prescribing role in critical care and emergency departments |
| title_fullStr | Physicians’ attitudes towards the development of the nurse prescribing role in critical care and emergency departments |
| title_full_unstemmed | Physicians’ attitudes towards the development of the nurse prescribing role in critical care and emergency departments |
| title_short | Physicians’ attitudes towards the development of the nurse prescribing role in critical care and emergency departments |
| title_sort | physicians attitudes towards the development of the nurse prescribing role in critical care and emergency departments |
| topic | Physician Critical care Nurse prescribing Nurse Attitude |
| url | https://doi.org/10.1186/s12912-023-01656-4 |
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