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District nurses' prescribing practice and its link to structural conditions
Baldersnäs Din Hälsocent, S-82143 Bollnäs, Sweden..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Univ Gavle, Dept Hlth & Caring Sci, Fac Hlth & Occupat Studies, Gavle, Sweden..
2015 (English)In: Journal of the American Association of Nurse Practitioners, ISSN 2327-6886, E-ISSN 2327-6924, Vol. 27, no 10, 568-575 p.Article in journal (Refereed) PublishedText
Abstract [en]

Purpose: To describe district nurses' (DNs') prescribing practice and examine associations between DNs' self-reported prescribing frequency, opinions about prescribing, and structural conditions/empowerment. Data sources: A cross-sectional and correlational design was employed. Data were collected during 2012 using questionnaires and a prescribing register. A random sample of 150 DNs from 32 primary care centers in Sweden was invited. Conclusions: DNs' ability to prescribe is used to a relatively small extent and access to "opportunities" and "informal power" seems to be the most important structural empowerment conditions for increased prescribing frequency and positive opinions about prescribing. The results support Kanter's theory of structural empowerment. Implications for practice: This article regarding restricted prescribing shows how important structural conditions/empowerment is to DNs' prescribing and employers have to enhance nurses' access to especially the structures "opportunities" and "informal power" to increase nurse prescribing. More targeted support and training are needed in different prescribing areas to make use of DNs' prescription qualification to a greater extent.

Place, publisher, year, edition, pages
2015. Vol. 27, no 10, 568-575 p.
Keyword [en]
District nurses, prescribing, structural empowerment, advanced practice nurses, nurse practitioners, international, Sweden
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy
URN: urn:nbn:se:uu:diva-268705DOI: 10.1002/2327-6924.12234ISI: 000363925300008PubMedID: 25728919OAI: oai:DiVA.org:uu-268705DiVA: diva2:879826
Available from: 2015-12-09 Created: 2015-12-09 Last updated: 2016-01-04

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