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The use of cognitive continuum theory and patient scenarios to explore nurse prescribers' pharmacological knowledge and decision­-making

Offredy, Maxine, Kendall, Sally, Goodman, Claire M. (2008) The use of cognitive continuum theory and patient scenarios to explore nurse prescribers' pharmacological knowledge and decision­-making. International Journal of Nursing Studies, 45 (6). pp. 855-868. ISSN 0020-7489. E-ISSN 1873-491X. (doi:10.1016/j.ijnurstu.2007.01.014) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided) (KAR id:55223)

The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided. (Contact us about this Publication)
Official URL
http://dx.doi.org/10.1016/j.ijnurstu.2007.01.014

Abstract

Background: Nurses have been involved in prescribing in England since 1996, and to date over 41,000 nurses are

prescribing is descriptive and relies on self-report and assessment of patient satisfaction.

Design: An exploratory approach to test the usefulness of patient scenarios in addressing the reasons why nurses decide

used as proxy methods of assessment of how nurses made their prescribing decisions.

Participants: Purposive sampling to ensure there was a mixed group of prescribers was used to enable detailed

prescribing.

Results: The majority of participants were unable to identify the issues involved in all the scenarios; they also failed to

A similar number described themselves as ‘very confident’ while seven participants felt that they were ‘not confident’ in

Conclusions: The effects of social and institutional factors are important in the decision-making process. The lack of

scenarios used in this study indicate that nurses are perhaps knowledgeable in their small area of practise but flounder

and the pharmacological knowledge base of nurse prescribers, particularly in the light of government policy to

extend prescribing rights to non-medical prescribers, including pharmacists.

Item Type: Article
DOI/Identification number: 10.1016/j.ijnurstu.2007.01.014
Uncontrolled keywords: Nurse prescribing; Decision-making; Patient scenarios; Cognitive continuum theory; Pharmacology
Subjects: R Medicine > RS Pharmacy and materia medica
R Medicine > RT Nursing
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies
Depositing User: Tony Rees
Date Deposited: 04 May 2016 10:53 UTC
Last Modified: 16 Feb 2021 13:34 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/55223 (The current URI for this page, for reference purposes)
Kendall, Sally: https://orcid.org/0000-0002-2507-0350
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