Mithun Thampi1 and Biju Mathew2*
Background: Non-medical prescribing in England has empowered allied health professionals such as nurses, paramedics, and pharmacists working in acute and primary care settings to prescribe within their competency area in suitable work settings. The opportunities for non-medical staff to prescribe in respective clinical areas of expertise have increased substantially and continue to do so. Prescribing is now an integral part of advanced clinical practice, which is not limited to just nurses but has expanded to other allied health professionals.
Purpose: To analyse the factors and challenges influencing prescribing for non-medical prescribers, during consultations with patients in primary and urgent treatment centre facilities
Methods: This study employed a critical systematic review of relevant articles chosen from electronic databases including CINAHL, Medline, Cochrane library, and Scopus. Keywords were used to formulate a search pattern using Boolean operators and suitable qualitative studies relevant to the inclusion criteria were selected
Results: Thematic analysis of the articles concluded that there were a lot of sub-themes including a lack of protocols to support decision-making, peer support, and difficult patients which were interdependent posing as a potential barrier or acting as a facilitator in certain consultations
Conclusion: The findings have provided adequate reassurance that non-medical prescribers were aware of the facilitators and barriers to non-medical prescribing. Organizational support and continued professional development are key components of the barriers and enablers for non-medical prescribers working in urgent and primary care settings
Abuzour, A.S., Lewis, P.J. and Tully, M.P. (2018) ‘A qualitative study exploring how pharmacist and nurse in-dependent prescribers make clinical decisions’, Journal of Advanced Nursing, 74(1), pp. 65–74. Available at: https://doi.org/10.1111/jan.13375.
Armstrong, A., Manfrin, A. and Gibson, J. (2021) ‘non-medical prescribing in primary care in the United King-dom: an overview of the current literature’, Journal of Prescribing Prac-tice, 3(9), pp. 352–361. Available at: https://doi.org/10.12968/jprp.2021.3.9.352.
Atkins, L. et al. (2017) ‘A guide to using the Theoretical Domains Framework of behaviour change to investi-gate implementation problems’, Implementation Science, 12(1), p. 77. Available at: https://doi.org/10.1186/s13012-017-0605-9.
Aveyard, H. (2018) Doing a Literature Review in Health and Social Care: A Practical Guide. McGraw-Hill Edu-cation (UK).
Aveyard, H. and Bradbury-Jones, C. (2019) ‘An analysis of current practices in undertaking literature reviews in nursing: findings from a focused mapping review and synthesis’, BMC medical research methodology, 19(1), p. 105. Available at: https://doi.org/10.1186/s12874-019-0751-7.
Aveyard, H., Payne, S. and Preston, N. (2021) A Postgraduate’s Guide to Doing a Literature Review in Health and Social Care, 2e. McGraw-Hill Education (UK).
Beauchamp, T.L. and Childress, J.F. (2019) Principles of Biomedical Ethics. Oxford University Press.
Beech, E. (2015) ‘Promoting appropriate antimicrobial prescribing in primary care’.
Berry, D., Bradlow, A. and Courtenay, M. (2008) ‘Patients’ attitudes towards, and information needs in relation to, nurse prescribing in rheumatology’, Journal of Clinical Nursing, 17(2), pp. 266–273. Available at: https://doi.org/10.1111/j.1365-2702.2007.01980.x.
Bettany-Saltikov, J. and McSherry, R. (2016) How to do a Systematic Literature Review in Nursing: A step-by-step guide (2nd Edition).
Booth, A. et al. (2015) What is the evidence for the effectiveness, appropriateness and feasibility of group clin-ics for patients with chronic conditions? A systematic review. Southampton (UK): NIHR Journals Library (Health Services and Delivery Research). Available at: http://www.ncbi.nlm.nih.gov/books/NBK333454/.
Booth, A. (2016) ‘Searching for qualitative research for inclusion in systematic reviews: a structured methodo-logical review’, Systematic Reviews, 5, p. 74. Available at: https://doi.org/10.1186/s13643-016-0249-x.
Booth, A. and Carroll, C. (2015) ‘Systematic searching for theory to inform systematic re-views: is it feasible? Is it desirable?’, Health Information and Libraries Journal, 32(3), pp. 220–235. Available at: https://doi.org/10.1111/hir.12108.
Braun, V. and Clarke, V. (2013) Successful Qualitative Research: A Practical Guide for Beginners. SAGE Publi-cations.
Brett, E.A. and Palmer, M. (2022) ‘The influence of non-medical prescribers on antimicro-bial stewardship: a national evaluation of the prescribing of antibiotics by non-medical prescribers in England from 2016 to 2021 (part 1)’, Journal of Prescribing Practice, 4(10), pp. 452–462. Available at: https://doi.org/10.12968/jprp.2022.4.10.452.
Brún, C.D. (2013) ‘A key step in the information production process’.
Bryant-Lukosius, D. et al. (2016) ‘Framework for Evaluating the Impact of Advanced Prac-tice Nursing Roles’, Journal of Nursing Scholarship: An Official Publication of Sigma The-ta Tau International Honor Society of Nursing, 48(2), pp. 201–209. Available at: https://doi.org/10.1111/jnu.12199.
Buccheri, R.K. and Sharifi, C. (2017) ‘Critical Appraisal Tools and Reporting Guidelines for Evidence-Based Practice’, Worldviews on Evidence-Based Nursing, 14(6), pp. 463–472. Available at: https://doi.org/10.1111/wvn.12258.
Chater, N., 2020. Facing up to the uncertainties of COVID-19. Nature Human Behaviour, [online] 4(5), pp.439–439.Available at: https://doi.org/10.1038/s41562-020-0865-2.
Claydon, L.S. (2015) ‘Rigour in quantitative research’, Nursing Standard (Royal College of Nursing (Great Brit-ain): 1987), 29(47), pp. 43–48. Available at: https://doi.org/10.7748/ns.29.47.43.e8820.
Conner, M. and Norman, P. (2015) Predicting and Changing Health Behaviour: Research and Practice with So-cial Cognition Models. Open University Press.
Cope, L.C., Tully, M.P. and Hall, J. (2020) ‘An exploration of the perceptions of non-medical prescribers, re-garding their self-efficacy when prescribing, and their willingness to take responsibility for prescribing decisions’, Research in Social and Administrative Phar-macy, 16(2), pp. 249–256. Available at: https://doi.org/10.1016/j.sapharm.2019.05.013.
Courtenay, M. et al. (2017) ‘Overview of the uptake and implementation of non-medical prescribing in Wales: a national survey’, BMJ open, 7(9), p. e015313. Available at: https://doi.org/10.1136/bmjopen-2016-015313.
Courtenay, M. (2018) ‘An overview of developments in nurse prescribing in the UK’, Nurs-ing Standard (Royal College of Nursing (Great Britain): 1987), 33(1), pp. 40–44. Available at: https://doi.org/10.7748/ns.2018.e11078.
Courtenay, M. et al. (2019) ‘Examining influences on antibiotic prescribing by nurse and pharmacist prescrib-ers: a qualitative study using the Theoretical Domains Framework and COM-B’, BMJ Open, 9(6), p. e029177. Available at: https://doi.org/10.1136/bmjopen-2019-029177.
Courtenay, M. and Griffiths, M. (2022) Independent and Supplementary Prescribing: An Essential Guide. Cambridge University Press.
Cousins, R. and Donnell, C. (2012) ‘Nurse prescribing in general practice: a qualitative study of job satisfaction and work-related stress’, Family Practice, 29(2), pp. 223–227. Available at: https://doi.org/10.1093/fampra/cmr077.
Creswell, J.W. et al. (2007) ‘Qualitative Research Designs: Selection and Implementation’, The Counseling Psy-chologist, 35(2), pp. 236–264. Available at: https://doi.org/10.1177/0011000006287390.
Darvishpour, A., Joolaee, S. and Cheraghi, M.A. (2014) ‘A meta-synthesis study of literature review and sys-tematic review published in nurse prescribing’, Medical Journal of the Islamic Republic of Iran, 28, p. 77. Avail-able at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4219909/ (Accessed: 8 January 2023).
Day, M. (2005) ‘UK doctors protest at extension to nurses’ prescribing powers’, BMJ: British Medical Journal, 331(7526), p. 1159. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1285084/ (Accessed: 6 Jan-uary 2023).
Department of Health (2006) ‘Improving patients’ access to medicines: a guide to implementing nurse and pharmacist independent prescribing within the NHS in England’. Available at: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4133743.
Diggle, J. (2018) ‘The Diabetes Multidisciplinary Team: How do nurse prescribers’ demonstrate prescribing pro-ficiency? – DiabetesontheNet’, 31 May. Available at: https://diabetesonthenet.com/diabetes-primary-care/nurse-prescribers-prescribing-proficiency/.
Edwards, J., Coward, M. and Carey, N. (2022) ‘Barriers and facilitators to implementation of non-medical in-dependent prescribing in primary care in the UK: a qualitative systematic review’, BMJ open, 12(6), p. e052227. Available at: https://doi.org/10.1136/bmjopen-2021-052227.
Franklin, P.M. (2017) Non-medical Prescribing in the United Kingdom. Springer.
Gerrish, K. and Lacey, A. (2013) The Research Process in Nursing. John Wiley & Sons.
Graham-Clarke, E. et al. (2019) ‘Non-medical prescribing in the United Kingdom National Health Service: A systematic policy review’, PloS One, 14(7), p. e0214630. Available at: https://doi.org/10.1371/journal.pone.0214630.
Graham-Clarke, E., Rushton, A. and Marriott, J. (2021) ‘A Delphi study to explore and gain consensus regarding the most important barriers and facilitators affecting physiotherapist and pharmacist non-medical prescribing’, PLOS ONE, 16(2), p. e0246273. Available at: https://doi.org/10.1371/journal.pone.0246273.
Grant, M.J. and Booth, A. (2009) ‘A typology of reviews: an analysis of 14 review types and associated meth-odologies’, Health Information and Libraries Journal, 26(2), pp. 91–108. Available at: https://doi.org/10.1111/j.1471-1842.2009.00848.x.
Greenhalgh, T. (2010) How to Read a Paper: The Basics of Evidence-Based Medicine. John Wiley & Sons.
Griffith, R. and Tengnah, C. (2014) Law and Professional Issues in Nursing. Learning Mat-ters.
Hacking, S. and Taylor, J. (2010) ‘An evaluation of the scope and practice of Non-Medical Prescribing’, School of Nursing & Caring Sciences University of Central Lancashire [Pre-print].
Harden, A. and Gough, D. (2012) ‘Quality and relevance appraisal’, in. Sage Publications.
Harvey, G. and Kitson, A. (2015) Implementing Evidence-Based Practice in Healthcare: A Facilitation Guide. Routledge.
Health Education England (2015) The future of primary care Creating teams for tomorrow. Primary Care Workforce Commission. Available at: https://www.oxfordhealth.nhs.uk/library/wp-content/uploads/sites/3/2018/03/The-Future-of-Primary-Care-report-HEE.pdf.
Herklots, A., Baileff, A. and Latter, S. (2015) ‘Community matrons’ experience as inde-pendent prescribers’, British Journal of Community Nursing, 20(5), pp. 217–218, 220–223. Available at: https://doi.org/10.12968/bjcn.2015.20.5.217.
Higgins, J. and Thomas, J. (2022) Cochrane Handbook for Systematic Reviews of Interventions. Available at: https://training.cochrane.org/handbook/current.
Hindi, A.M.K. et al. (2019) ‘Independent prescribing in primary care: A survey of patients’, prescribers’ and col-leagues’ perceptions and experiences’, Health & Social Care in the Community, 27(4), pp. e459–e470. Availa-ble at: https://doi.org/10.1111/hsc.12746.
Holly, C., Salmond, S.W. and Saimbert, M. (2011) Comprehensive Systematic Review for Advanced Nursing Practice. Springer Publishing Company.
Hubbard, K. (2019) ‘My experience as a non-medical prescriber from 2012–2019: are we still facing the same problems?’, Journal of Prescribing Practice, 1(6), pp. 302–305. Availa-ble at: https://doi.org/10.12968/jprp.2019.1.6.302.
Jarmain, S. (2022) ‘Describing prescribing identities: a qualitative study exploring non-medical prescriber identi-ty’, Journal of Prescribing Practice, 4(7), pp. 300–307. Available at: https://doi.org/10.12968/jprp.2022.4.7.300.
Kumar, R. (2010) Research Methodology: A Step-by-Step Guide for Beginners. SAGE.
Lennon, R. and Fallon, A. (2018) ‘The experiences of being a registered nurse prescriber within an acute service setting’, Journal of Clinical Nursing, 27(3–4), pp. e523–e534. Available at: https://doi.org/10.1111/jocn.14087.
Lim, A.G., North, N. and Shaw, J. (2017) ‘Navigating professional and prescribing boundaries: Implementing nurse prescribing in New Zealand’, Nurse Education in Practice, 27, pp. 1–6. Available at: https://doi.org/10.1016/j.nepr.2017.08.009.
Maddox, C. et al. (2016) ‘Factors influencing nurse and pharmacist willingness to take or not take responsibility for non-medical prescribing’, Research in social & administrative pharmacy: RSAP, 12(1), pp. 41–55. Available at: https://doi.org/10.1016/j.sapharm.2015.04.001.
Magowan, J. (2020) ‘Barriers and enablers to nurse prescribing in primary care’, Journal of Prescribing Practice, 2(3), pp. 142–146. Available at: https://doi.org/10.12968/jprp.2020.2.3.142.
Mays, N., Pope, C. and Popay, J. (2005) ‘Systematically reviewing qualitative and quantitative evidence to in-form management and policy-making in the health field’, Journal of Health Services Research & Policy, 10 Suppl 1, pp. 6–20. Available at: https://doi.org/10.1258/1355819054308576.
McHugh, Á. et al. (2020) ‘non-medical prescribers: prescribing within practice’, Journal of Prescribing Practice, 2(2), pp. 68–77. Available at: https://doi.org/10.12968/jprp.2020.2.2.68.
McIntosh, T. et al. (2016) ‘Influences on prescribing decision-making among non-medical prescribers in the United Kingdom: systematic review’, Family Practice, 33(6), pp. 572–579. Available at: https://doi.org/10.1093/fampra/cmw085.
Moher, D. et al. (2009) ‘Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement’, PLoS medicine, 6(7), p. e1000097. Available at: https://doi.org/10.1371/journal.pmed.1000097.
Moule, P., Aveyard, H. and Goodman, M. (2016) Nursing Research: An Introduction. SAGE.
Munn, Z., Tufanaru, C. and Aromataris, E. (2014) ‘JBI’s Systematic Reviews: Data Extraction and Synthesis’, AJN The American Journal of Nursing, 114(7), p. 49. Available at: https://doi.org/10.1097/01.NAJ.0000451683.66447.89.
Nelson, P.A. et al. (2019) ‘Skill-mix change in general practice: a qualitative comparison of three “new” non-medical roles in English primary care’, British Journal of General Practice, 69(684), pp. e489–e498. Available at: https://doi.org/10.3399/bjgp19X704117.
NHS England (2013) NHS England » Updated NHS Constitution published. Available at: https://www.england.nhs.uk/2013/03/nhs-constitution/.
NHS England (2014) ‘Five Year Forward View’. Available at: https://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf.
NHS England (2018) NHS England » Non-medical prescribing by allied health professionals. Available at: https://www.england.nhs.uk/ahp/med-project/.
NHS England (2019) ‘The NHS Long Term Plan’. f. Available at: https://www.longtermplan.nhs.uk/wp-content/uploads/2019/08/nhs-long-term-plan-version-1.2.pdf.
NICE (2012) National Prescribing Centre/National Institute for Health and Clinical Excellence (NICE). The Pre-scribing Competency Framework for all prescribers. Available at: https://www.rpharms.com/resources/frameworks/prescribers-competency.
Nuttall, D. (2018) ‘Nurse prescribing in primary care: a Meta synthesis of the literature’, Primary Health Care Research & Development, 19(1), pp. 7–22. Available at: https://doi.org/10.1017/S1463423617000500.
Offredy, M. and Vickers, P. (2010) Developing a Healthcare Research Proposal: An Inter-active Student Guide. John Wiley & Sons.
Parahoo, K. (2014) Nursing Research: Principles, Process and Issues. Bloomsbury Publishing.
Paré, G. et al. (2015) ‘Synthesizing information systems knowledge: A typology of literature reviews’, Infor-mation & Management, 52(2), pp. 183–199. Available at: https://doi.org/10.1016/j.im.2014.08.008.
Park, J. et al. (2018) ‘To What Extent Are State Scope of Practice Laws Related to Nurse Practitioners’ Day-to-Day Practice Autonomy?’, Medical care research and review: MCRR, 75(1), pp. 66–87. Available at: https://doi.org/10.1177/1077558716677826.
Patton, M.Q. (1999) ‘Enhancing the quality and credibility of qualitative analysis’, Health Services Research, 34(5 Pt 2), pp. 1189–1208.
Pearce, L. (2016) The long road to full prescribing powers. RCNi. Available at: https://rcni.com/nursing-standard/features/long-road-full-prescribing-powers-56726 (Ac-cessed: 6 January 2023).
Polit, D.F. and Beck, C.T. (2017) Nursing Research: Generating and Assessing Evidence for Nursing Practice. Wolters Kluwer Health.
Popay, J. et al. (2006) ‘Guidance on the Conduct of Narrative Synthesis in Systematic Re-views’. Available at: https://www.lancaster.ac.uk/media/lancaster-university/content-assets/documents/fhm/dhr/chir/NSsynthesisguidanceVersion1-April2006.pdf.
Purssell, E. (2020) ‘Can the Critical Appraisal Skills Programme checklists be used along-side Grading of Rec-ommendations Assessment, Development and Evaluation to improve transparency and decision-making?’, Journal of Advanced Nursing, 76(4), pp. 1082–1089. Available at: https://doi.org/10.1111/jan.14303.
Pussegoda, K., Turner, L., Garritty, C., Mayhew, A., Skidmore, B., Stevens, A., Boutron, I., Sarkis-Onofre, R., Bjerre, L.M., Hróbjartsson, A., Altman, D.G. and Moher, D., 2017. Identifying approaches for assessing meth-odological and reporting quality of systematic reviews: a descriptive study. Systematic Reviews, [online] 6(1). https://doi.org/10.1186/s13643-017-0507-6.
Reeve, J. et al. (2018) ‘Identifying enablers and barriers to individually tailored prescribing: a survey of healthcare professionals in the UK’, BMC Family Practice, 19(1), p. 17. Availa-ble at: https://doi.org/10.1186/s12875-017-0705-2.
Ritchie, J. et al. (2013) Qualitative Research Practice: A Guide for Social Science Students and Researchers. SAGE.
Robertson, D. (2022) ‘Impact of non-medical prescribing’, Journal of Prescribing Practice, 4(1), pp. 12–13. Available at: https://doi.org/10.12968/jprp.2022.4.1.12.
Rowbotham, S. et al. (2012) ‘Challenges to nurse prescribers of a no-antibiotic prescribing strategy for manag-ing self-limiting respiratory tract infections’, Journal of Advanced Nursing, 68(12), pp. 2622–2632. Available at: https://doi.org/10.1111/j.1365-2648.2012.05960.x.
Royal Pharmaceutical Society (2016) Prescribing Competency Framework | RPS. Availa-ble at: https://www.rpharms.com/resources/frameworks/prescribers-competency-framework.
Smith, A., Latter, S. and Blenkinsopp, A. (2014) ‘Safety and quality of nurse independent prescribing: a nation-al study of experiences of education, continuing professional development clinical governance’, Journal of Ad-vanced Nursing, 70(11), pp. 2506–2517. Avail-able at: https://doi.org/10.1111/jan.12392.
Smith, J. and Noble, H. (2016) ‘Reviewing the literature’, Evidence-Based Nursing, 19(1), pp. 2–3. Available at: https://doi.org/10.1136/eb-2015-102252.
Stewart, D. et al. (2017) ‘Future perspectives on nonmedical prescribing’, Therapeutic Advances in Drug Safety, 8(6), pp. 183–197. Available at: https://doi.org/10.1177/2042098617693546.
Stewart, D., MacLure, K. and George, J. (2012) ‘Educating nonmedical prescribers’, British Journal of Clinical Pharmacology, 74(4), pp. 662–667. Available at: https://doi.org/10.1111/j.1365-2125.2012.04204.x.
Sun, N. et al. (2020) ‘A qualitative study on the psychological experience of caregivers of COVID-19 patients’, American Journal of Infection Control, 48(6), pp. 592–598. Available at: https://doi.org/10.1016/j.ajic.2020.03.018.
The King’s Fund (2019) The NHS long-term plan explained, The King’s Fund. Available at: https://www.kingsfund.org.uk/publications/nhs-long-term-plan-explained.
Thomas, D. and Hodges, I.D. (2010) Designing and Managing Your Research Project: Core Skills for Social and Health Research. SAGE.
Weeks, G. et al. (2016) ‘Non-medical prescribing versus medical prescribing for acute and chronic disease man-agement in primary and secondary care’, The Cochrane Database of Systematic Reviews, 11(11), p. CD011227. Available at: https://doi.org/10.1002/14651858.CD011227.pub2.
Weglicki, R.S., Reynolds, J. and Rivers, P.H. (2015) ‘Continuing professional development needs of nursing and allied health professionals with responsibility for prescribing’, Nurse Education Today, 35(1), pp. 227–231. Available at: https://doi.org/10.1016/j.nedt.2014.08.009.
Weiss, M.C. et al. (2015) ‘Medication decision making and patient outcomes in GP, nurse and pharmacist pre-scriber consultations’, Primary Health Care Research & Development, 16(5), pp. 513–527. Available at: https://doi.org/10.1017/S146342361400053X.
Whelehan, D.F., Conlon, K.C. and Ridgway, P.F. (2020) ‘Medicine and heuristics: cognitive biases and medical decision-making’, Irish Journal of Medical Science, 189(4), pp. 1477–1484. Available at: https://doi.org/10.1007/s11845-020-02235-1.
WHO (2021) Antibiotic resistance. Available at: https://www.who.int/news-room/fact-sheets/detail/antibiotic-resistance.
Williamson, G.R. and Whittaker, A. (2017) Succeeding in Literature Reviews and Research Project Plans for Nursing Students. Learning Matters.
Williamson, V., Murphy, D. and Greenberg, N. (2020) ‘COVID-19 and experiences of moral injury in front-line key workers’, Occupational Medicine (Oxford, England), 70(5), pp. 317–319. Available at: https://doi.org/10.1093/occmed/kqaa052.
Wilson, N. et al. (2020) ‘Limited pharmaceuticalisation: a qualitative case study of physiotherapist prescribing practices in an NHS Trust in England following the expansion of non-medical prescribing in the UK’, Sociology of Health & Illness, 42(3), pp. 643–659. Available at: https://doi.org/10.1111/1467-9566.13050.
Winter, G. (2019) ‘The NHS Long Term Plan’, Journal of Prescribing Practice, 1(3), pp. 114–114. Available at: https://doi.org/10.12968/jprp.2019.1.3.114.
| Periodicity | Biannually |
| Issue-1 | October |
| Issue-2 | April |
| ISSN Print | 2393-8536 |
| ISSN Online | 2393-8544 |
| RNI No. | CHAENG/2014/57978 |
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