Authors
Hazel Philips, Jill Wilkinson
Publication date
2015/3/1
Journal
Nursing Praxis in New Zealand
Volume
31
Issue
1
Pages
5-17
Publisher
Nursing Praxis in New Zealand
Description
In 2011 a project to trial diabetes nurse specialist prescribing was implemented. Twelve diabetes nurse specialists took part in the project located in four sites throughout New Zealand. Evaluation of the project found diabetes nurse specialist prescribing to be safe, of high quality and appropriate. Consequently, a staged roll-out of prescribing to and approval for another 15 diabetes nurse specialists has taken place. Against that background, and with the aim of informing future workforce planning, this paper presents the results of a survey of non-prescribing diabetes nurse specialists views of nurse prescribing. Members of the diabetes nurse specialist section of the New Zealand Nurses Organisation completed an online survey between May and June 2012 (n= 92). All data were analysed descriptively. The results indicate that standing orders are not always adequate and that prescribing is recognised as a natural progression for nurses; 72.8% indicated interest in becoming a prescriber; 57.6% met the postgraduate study requirements and 35.9% had altered study plans to meet the requirements. A statistically significant relationship exists between being accredited as ‘specialist’with the New Zealand Nurses Organisation (n= 39) and the intention to become a prescriber (p=. 029). Diabetes nurse specialists agree that prescribing improves access to diabetes services, diabetes management, continuity and quality of care, the use of diabetes nurse specialist time and skills, team dynamics, and reduces delays for patients. Concerns include ongoing access to the required medical supervision. The study implications are that diabetes nurse specialists …
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