Pub Date : 2024-01-02DOI: 10.12968/jprp.2024.6.1.27
Saja Alhawas, Catherine Langran, Kat Hall
Independent prescribing was introduced in the UK in 2006, allowing qualified nurses and pharmacists to prescribe medicines independently; however, only 13% of nurses and 15% of pharmacists are currently independent prescribers (IPs). This study aimed to explore the factors that influence the intended behaviours of pharmacists and nurses enrolled on an independent prescribing course, and identifies enablers and barriers to becoming IPs. A cross-sectional qualitative study used semi-structured interviews based on two models of health behaviour: social cognitive theory and the theory of planned behaviour. A total of 20 interviews were completed with 15 pharmacists and five nurses. Themes that emerged related to attitudes, facilitators, barriers, social and environmental influences, and optimism. Participants demonstrated a positive attitude and a willingness to progress in their roles, but some participants stated that time constraints were the most significant barrier to becoming IPs. Consideration of the results of this study will reinforce the intention of these groups to become prescribers and engage in the role of enhancing healthcare outcomes.
英国于 2006 年引入了独立处方制度，允许合格的护士和药剂师独立开具处方；然而，目前只有 13% 的护士和 15% 的药剂师是独立处方者 (IP)。本研究旨在探讨影响药剂师和护士参加独立处方课程的预期行为的因素，并确定成为 IP 的促进因素和障碍。这项横断面定性研究采用了半结构式访谈，基于两种健康行为模型：社会认知理论和计划行为理论。共完成了 20 次访谈，其中包括 15 名药剂师和 5 名护士。出现的主题涉及态度、促进因素、障碍、社会和环境影响以及乐观主义。参与者表现出积极的态度，并愿意在自己的岗位上取得进步，但一些参与者表示，时间限制是成为 IP 的最大障碍。对本研究结果的考虑将加强这些群体成为处方医生并参与提高医疗保健成果的意愿。
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Pub Date : 2024-01-02DOI: 10.12968/jprp.2024.6.1.12
Deborah Robertson
Deborah Robertson provides an overview of recently published articles that may be of interest to non-medical prescribers. Should you wish to look at any of the papers in more detail, a full reference is provided
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Pub Date : 2024-01-02DOI: 10.12968/jprp.2024.6.1.5
P. Moffat
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Pub Date : 2024-01-02DOI: 10.12968/jprp.2024.6.1.22
Suzanne Bell, Arlene Coulson, Sue Cole, David Barrowman
There is national recognition that the participation of the public in educational curricula of health professionals benefits all. Feedback from both service users and students confirms that collaborative working should be considered as best practice, particularly in healthcare education. The evidence suggests that these developing models of educational delivery can lead to a change in health professionals’ perceptions, enhancing practice that may be far reaching and helping to support future service delivery.
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Pub Date : 2024-01-02DOI: 10.12968/jprp.2024.6.1.6
Dr Sharon Rees
In this column, Sharon Rees aims to refresh knowledge and interest in some of the commonly used drugs in a series of posts on X. This month she is talking about #vortioxetine
在本专栏中，莎伦-里斯（Sharon Rees）希望通过一系列关于 X 的文章，让大家重新认识和了解一些常用药物。
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Pub Date : 2023-12-02DOI: 10.12968/jprp.2023.5.12.510
Laura King
Maintenance and reliever therapy (MART) is one device, which serves as both preventer and reliever. In children and young people, the choice is more limited in terms of device and this is called Symbicort MART (SMART). One of the most common modifiable factors for optimal asthma control at any age is adherence to prescribed preventer therapy ( British Thoracic Society(BTS)/Scottish Intercollegiate Guideline Network (SIGN), 2019 ). As young patients grow and take increasing responsibility for their own health, perfect adherence can feel impossible for the developing brain (and with this, the ability to effectively analyse risk). As health professionals, it can be easy to focus on the adherence issue as a failure to organise, and to assume all have the capacity to optimally administer a medication twice daily. What we are increasingly learning through the multiple health inequality and psychosocial workstreams is that there are families who are fundamentally less likely to achieve this, even with additional support from their health team, due to an actual or perceived inability to deal with the modifiable factors highlighted by BTS/SIGN.
维持和缓解治疗(MART)是一种既起到预防作用又起到缓解作用的装置。在儿童和年轻人中，设备的选择更有限，这被称为Symbicort MART (SMART)。在任何年龄，最佳哮喘控制最常见的可改变因素之一是坚持规定的预防治疗(英国胸科学会(BTS)/苏格兰校际指南网络(SIGN)， 2019)。随着年轻患者的成长，对自己的健康承担越来越多的责任，对发育中的大脑(以及有效分析风险的能力)来说，完美的坚持可能是不可能的。作为卫生专业人员，很容易把注意力集中在依从性问题上，认为这是组织失败，并假设所有人都有能力以最佳方式每天两次用药。通过多重健康不平等和心理社会工作流程，我们越来越多地了解到，有些家庭即使有健康团队的额外支持，也从根本上不太可能实现这一目标，因为他们实际或被认为无法处理BTS/SIGN强调的可改变因素。
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