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Journal of prescribing practice Apr 2, 2021 · According to statistics from the British Heart Foundation (BHF) there are 830 000 women in the UK living with coronary heart disease (CHD), and around 380 000 women in the UK have survived a heart attack (BHF, 2021). The Pharmaceutical Journal Oct 2, 2020 · With the help of Prescribing and Therapeutics Training Ltd and the Journal of Prescribing Practice, you can earn your 1-hour CPD certificate This website is intended for healthcare professionals Jan 2, 2024 · A total of 20 IP students agreed to be interviewed, of whom 15 were pharmacists and five nurses, representing 12% and 16%, respectively, of the total number of students in the IP course during the 2021–22 academic year (Table 3). 2012. This literature review will Two models are used in practice: supplementary prescribing and independent prescribing. The drive behind NMP in the UK is the need to deliver high-quality healthcare to patients where and when they require it, with limited financial resources (NHS England, 2015; NHS England, 2017). Mar 2, 2021 · It considers the sources of evidence that should be used to underpin prescribing decision-making, alongside how prescribing paramedics can apply critical appraisal skills to their practice. Independent nurse prescribers were invited to complete an online questionnaire with 17 antibiotic prescribing statements. Over a six-month period, the dietitian collected data on her prescribing practice using the hospital proforma and then transferred the information to Excel. Background: The development of core skills, knowledge and attitudes as a prescriber is among the present foci of current medical education, and the requirements for ongoing mentorship, support and education for novice medical prescribers have been identified as Jul 1, 2021 · Indicator 4. Journal of Prescribing Practice is the only monthly, peer-reviewed journal solely dedicated to addressing the clinical and professional issues relevant to all prescribing practitioners. There are advantages for practitioners who choose to take on this extended role, however, some nurse independent prescribers only use their prescribing qualification in a limited way and others not at all. An individualised approach considering health literacy, disease education, management and co-morbidities is necessary (Ogunbayo et al, 2017; Lenferink et al, 2017 Journal of Prescribing Practice shares the latest clinical expertise and professional guidance for non-medical prescribers. The range of pharmacists’ interviews was between 14 and 37 Feb 2, 2020 · This article outlines how physical and mental health issues impact on the health of an individual. This prevalence of errors Mar 2, 2020 · Its use by all prescribers in all settings will be illustrated, to support current and future prescribers to develop their practice. Journal of Prescribing Practice shares the latest clinical expertise and professional guidance for non-medical prescribers. This has been the case since the 1960s following the thalidomide tragedy (Collier, 1999), with the introduction of the Medicines Act in 1968. This resulted in unpleasant side effects including nausea and motor fluctuations. Findings. Topics The monthly journal is aimed at all prescribing practitioners; providing them with clinical research, pharmacology, professional and better practice papers, all aiming to improve and guide their professional development. This included strategies to develop traditional roles, allowing nurses opportunities to evolve and challenge boundaries in their career in ways that had not been accepted before. NI lacks a mechanism to allow many prescribers working at interfaces to prescribe medication directly to the patient. I studied full time for an FdSc in Paramedic Science, followed by part time completion of a BSc (hons) in Emergency Care and then an MSc in Advanced Practice. Licensed in 1987. You have managed this patient for many years in primary care and know his condition and treatment regime well. ‘Raminder Kaur’ is a 45-year old lady who has depression and type two diabetes mellitus (DMT2). From £16. Calculating dosage where the dose is expressed as mg/kg uses multiplication skills – this is similar to calculating the cooking time of turkey in minutes per kg. Jul 2, 2019 · There are two main changes in the guidelines that will have implications for prescribing practice. Jun 2, 2022 · The prescribing practice of a nutrition support dietitian specialising in intestinal rehabilitation was evaluated. Volume 5 | Issue 6 ISSN (Print): 2631-8385 ISSN (Online): 2631-8393 Jul 2, 2020 · James is 65 years old and currently shielding. Paramedic practice is evolving and the number of advanced paramedics in primary care roles in the UK has risen dramatically. Case studies and scenarios will be used to highlight workings of the various Dec 2, 2024 · Season's greetings to all of our readers from the Journal of Prescribing Practice. Apr 2, 2020 · Thank you for visiting Journal of Prescribing Practice and reading some of our peer-reviewed resources for prescribing professionals. It will highlight the need to be aware of professional competencies that are necessary, especially when a role was previously undertaken by a doctor, as is the case with prescribing. This website is intended for healthcare professionals Menu. In late 1996, the Department of Health funded a project to introduce an organisation to promote high-quality and cost-effective prescribing by supporting professionals in the NHS; this project formed the National Feb 2, 2020 · In order to provide some additional contextualisation, I will describe my own clinical practice and how prescribing fits this. Anxieties regarding the DPP's potential lack of knowledge regarding non-medical prescribing may have an impact on the relationship with the student, but the two-way learning process could be seen as May 2, 2022 · This piece of original research published in the BMJ Open online in January 2022, sought to explore the barriers to and facilitators of reporting detected prescribing errors in a primary care setting (Hall et al, 2022). Nov 2, 2024 · In the UK, the Medicines and Healthcare products Regulatory Agency (MHRA) grants licences that confirm the specific medical condition a drug should be used for, alongside the recommended dosage. To read more, please register today. Sep 2, 2024 · The neonatal period refers to the first 28 days of life for a term infant. Feb 3, 2020 · Non-medical prescribing has seen rapid growth in recent years in the United Kingdom. Subscribe With the help of Prescribing and Therapeutics Training Ltd and the Journal of Prescribing Practice, you can earn your 1-hour CPD certificate. Jan 2, 2024 · Distribution is the second part of the pharmacokinetic process after Absorption, and it is here where drugs pass from the bloodstream to the body’s organs and tissues. This is a shift in approach to patient care, but also terminology, where ‘compliance’ and . The average duration of the one-to-one interviews was 23 minutes for both pharmacists and nurses. Jan 2, 2023 · Non-medical prescribing is increasingly being recognised as an essential healthcare practice, with at least 18 countries adopting NMP across Europe, the Americas and Australasia (Courtenay et al, 2017). The article outlines the need for the guidance and discusses the rationale that led up to the update, including the existence of other evidence-based guidelines. You’ll enjoy the following great benefits: Aug 2, 2024 · Having originally been developed as an anti-seizure medication, gabapentinoids include gabapentin and pregabalin, which are now prescribed primarily for neuropathic pain, seizures and anxiety, but also for fibromyalgia, restless legs syndrome and complications of MS (Chan et al, 2023). A knowledge of physiological differences between children and adults is imperative to have a thorough understanding in differences in pharmacokinetics. It will focus on the professional and legal requirements, in particular in relation to prescribing medication for a patient; whether that consultation is face-to-face, or remotely via telephone, skype or email. It superseded existing data protection laws, including the UK Data Protection Acts of 1998 and 2018 (UK Data Protection, 2018). The use of critical appraisal checklists and research reporting tools to guide critical appraisal of the research underpinning prescribing practice is Journal of Prescribing Practice shares the latest clinical expertise and professional guidance for non-medical prescribers. Jul 2, 2022 · In a UK study that explored pharmacist prescribing for patients with chronic kidney disease, Alraiisi et al (2021) not only found enthusiasm among pharmacists ‘for the future development of prescribing practice including further establishment of clinics and taking responsibility for groups of patients’, but interviewees also indicated an Jan 8, 2019 · In this article, the various arenas where prescribers can be called to account for their prescribing decisions will be examined, such as their employers, clinical commissioning groups, professions as well as criminal and civil law. Initially the majority of levodopa was broken down in the small intestine without being absorbed into the bloodstream. Sep 2, 2020 · Thank you for visiting Journal of Prescribing Practice and reading some of our peer-reviewed resources for prescribing professionals. The quantitative findings are reported elsewhere (Casey et al, 2020). It will explore whether these issues still affect newly qualified prescribers in 2019. Nov 2, 2024 · This article, published in the Journal of American Directors Association, sought to demonstrate the potential impact of a pharmacist-led application of STOPPFrail criteria on reducing potentially inappropriate medications and clinical outcomes for frail older adults in nursing homes. As an educator, I am always on the lookout for safety warnings or updated advice on prescribing certain medications or in certain conditions. Emphasising the implications for prescribing practice, the article highlights common challenges and strategies for optimising pharmacotherapy in older patients. Over a 6 month period, the dietitian prescribed for 24 Apr 1, 2022 · Find the latest published papers in Journal of Prescribing Practice + Top authors, related hot topics, the most cited papers, and related journals Jun 2, 2020 · Abstract. One thing all prescribers strive for is safety in prescribing practice. However, registration numbers have declined in recent years, prompting changes to the registration processes. Feb 6, 2020 · This article will look at the importance of record keeping during the process of prescribing for the non-medical prescriber. Sep 2, 2024 · Non-medical prescribing (NMP) describes any prescribing by a health professional other than a doctor or dentist and was introduced in 1992, originally limited to nurses (Department of Health and Social Security (DHSS), 1992). It has been shown to be beneficial to patients and healthcare services. Domperidone Day 1: After recognition that early antipsychotic drugs acting on dopamine pathways had an impact on vomiting, the search was on for an anti-emetic without extra pyramidal side-effects (EPS). When prescribing for children, it is important to note that the specific properties of the drug have to be considered alongside the physiological aspects of the child or young person (Eidelman and Abdel-Rahman, 2016). As a result, drug dosages need to be modified constantly due to the infant's weight increase, and the gradual maturation of metabolic pathways Sep 2, 2024 · This article provides an overview of the pharmacokinetic changes that occur with ageing, including alterations in absorption, distribution, metabolism, and excretion. A search of English language literature was conducted through the online databases Academic Search Complete, CINAHL Complete, MEDLINE, SocINDEX and Google Scholar. There are several legal, professional, and regulatory frameworks to support prescribing practice (Table 1). Methods. This article present the findings of a study conducted on the prescribing behaviours Oct 1, 2019 · It will discuss the various legal cases that are used in establishing negligence, the role of the non-medical prescriber, and the possible pitfalls when prescribing. It will also address record keeping requirements during the Jan 10, 2019 · This article will examine the concept of negligence; its elements, the civil laws surrounding it, and how to ensure defences against negligence claims. For prescribers, the virtues of openness, transparency and duty of candour are imperative and should be embedded into clinical practice (Nuttall and Rutt-Howard Jun 2, 2020 · A medical record is defined by the Information Commissioners Office, in the General Data Protection Regulation (GDPR), that came into force on the 25 May 2018. Within this partnership, the IP is responsible for making the diagnosis, indicating which medications can be prescribed within the CMP, setting the parameters for its use and monitoring Jan 2, 2020 · Prescribers should continue to develop and maintain prescribing competency for all aspects of their prescribing practice, including the need for advanced decision-making skills in the exercise of clinical judgement, risk assessment, psychological and emotional screening, and the ability to make an informed decision with regard to differential Sep 23, 2021 · UK prescribing law is ever changing, so it is important that prescribers consistently update their knowledge of legislation. Should you wish to look at any of the papers in more detail, a full reference is provided. Citations (0) References (10) ResearchGate has not been able to resolve any citations for this publication. Feb 1, 2023 · To understand the experience of non-medical prescribers undertaking the role of designated prescribing supervisor with students on the non-medical prescribing course for the first time. Case studies and scenarios will be used to highlight workings of the various Nov 2, 2023 · It has been more widely accepted in recent years that the inclusion of patients in the therapeutic prescribing process is more beneficial to the patient, and concordance considers the wishes and expectations of both the prescriber and the patient (Atal et al, 2019), which also includes children. Many prescribers are familiar with Prochaska and DiClemente (1982) trans-theoretical stage of change model . Resist the temptation to adopt the role of fixer. The objectives of this arm of the study were to explore practitioners’ perspective on prescribing within practice, and their experiences in this area. There are still challenges to overcome, with no ability at this time to prescribe controlled drugs, issues with IT functionality in primary care as well as issues Feb 2, 2020 · This paper reports on the qualitative findings of a larger mixed method study that explores the prescribing practice behaviours and confidence of RNPs/RMPs in Ireland. . Prescribing for neonates differs from that for older children and adults due to differences in anatomy and physiology, impacting drug pharmacokinetics (Ku and Smith, 2015). This includes all combined hormonal contraceptives, all progestogen-only pills (POP), the etonogestrel implant and oral emergency contraception (EC). Jun 2, 2019 · The Gold Standards Framework (GSF) is a model of care that allows GP practices to proactively support patients with their palliative care needs. This article will give an overview of Parkinson's disease, including symptoms and diagnosis, and explore issues for consideration when prescribing common first-line Parkinson's medications. Oct 2, 2024 · This article, published in the British Journal of General Practice, aimed to identify the training needs, core competencies and learning methods for staff in general practice in the UK who provided care during remote encounters. You’ll enjoy the following great benefits: The users of Scimago Journal & Country Rank have the possibility to dialogue through comments linked to a specific journal. Progestogen-only injections and levonorgestrel releasing intrauterine systems are not affected by enzyme inducing drugs (FSRH, 2022). The new guidelines also focus on ‘tailored regimes’. Jun 2, 2019 · Shared decision-making, a key component of universal personalised care in The NHS Long Term Plan (NHS, 2019), aims to provide people with the same choice and control over their mental and physical health as they would expect in other aspects of their life (NHS England, 2019b). Nov 2, 2024 · Deborah Robertson provides an overview of recently published articles that may be of interest to non-medical prescribers. Recent legislation granting paramedics independent prescribing rights means UK paramedics are the first worldwide to receive this extension in scope of practice – a significant milestone for the paramedic profession. You undertake a telephone consultation at James' request and diagnose an infective exacerbation of chronic obstructive pulmonary disease. The development of independent NMP was one of the strategies created to do this. This represented a significant step forward for the profession, and will likely bring better access to treatment and medication to patients. Jan 6, 2019 · The aim of this article is to discuss the professional issues and complex factors that can contribute to prescribing errors. It has been written to reflect the increasingly digital world we operate in and will allow people to take Feb 2, 2020 · In 2018, the law changed, allowing paramedics to train and work as non-medical prescribers. 1997; 45:(2)261-71 Jan 8, 2019 · In this article, the various arenas where prescribers can be called to account for their prescribing decisions will be examined, such as their employers, clinical commissioning groups, professions as well as criminal and civil law. Questionnaire completed by 34 designated prescribing supervisors, followed by semi-structured interviews with 10 designated prescribing supervisors Oct 8, 2021 · People with Parkinson's (PwP) have depleted levels of dopamine in the brain. For nurses, the introduction of NMP has encouraged autonomous Dec 2, 2021 · This original research article published in the European Journal of Hospital Pharmacy aimed to investigate any differences in rates of prescribing errors made by medical prescribers as compared to independent prescribing pharmacists (Turner et al, 2020). Pseudonyms and changes to patient details have been made to protect patient confidentiality (Nursing and Midwifery Council (NMC), 2019). You’ll enjoy the following great benefits: Nov 2, 2024 · With the help of Prescribing and Therapeutics Training Ltd and the Journal of Prescribing Practice, you can earn your 1-hour CPD certificate Day 1: Developed in France in the 1980s for alcohol dependence syndrome, #acamprosate is a modified derivative of the amino acid taurine. Oct 2, 2023 · Traditionally, prescribers have worked in either primary or secondary care, and mechanisms to facilitate prescribing are largely reflective of these two environments (National Prescribing Centre, 2010). Jan 2, 2021 · This ultimately supports prescribing and concordance (Jin et al, 2008; Jansen et al, 2010; Kekale et al, 2016; Bluethmann et al, 2017). Mar 3, 2021 · The College of Paramedics and the Royal Pharmaceutical Society are clear that they require advanced paramedics, as non-medical prescribers, to review and critically appraise the evidence base underpinning their prescribing practice. 02 June 2023 02 Jun 2023. This setting was to include general practices, community pharmacies and other community care settings in the northeast region of England to generate a greater understanding of Sep 23, 2021 · Nurse prescribing has become a well-established aspect of advanced clinical practice working alongside key NHS principles and drivers to address the increasing complexities in patient care and the demands on the health service. The guidelines recommend that eligible women can be prescribed a 12-month supply of combined hormonal contraception at initial consultation, rather than a 3-months' supply as previously recommended. Journal of Prescribing Practice is the multidisciplinary resource for non-medical prescribers. Oct 2, 2024 · Thank you for visiting Journal of Prescribing Practice and reading some of our peer-reviewed resources for prescribing professionals. The English legal system will be explained in relation to non-medical prescribing. Pharmacokinetics in older people: an overview of prescribing practice. Jun 2, 2019 · Prescribing legislation in the UK is some of the most liberal worldwide (Kroezen et al, 2011), requiring robust safeguards to ensure patient safety is not compromised. Mar 2, 2024 · This study aimed to establish factors influencing medical prescribers' and independent nurse prescribers' antibiotic prescribing decisions, and compare the responses between practice settings. Feb 2, 2024 · Welcome to this February issue of the Journal of Prescribing Practice. Other studies have identified motivators, such as job satisfaction and the opportunity to improve patient care, linked to increased prescribing activity (Taylor and Bailey, 2017). 172 Journal of Prescribing Practice 2019 Vol 1 No 4. Already broad spectrum, the addition of chemical groups such as fluorine led to the 2nd generation agents such as #ciprofloxacin, which have enhanced gram-ve action. Our goal is to provide the knowledge to help you prescribe more efficiently and effectively. As a registered nurse and independent prescriber, I am accountable for all of my prescribing actions. Contraception is freely available in the UK from the NHS through pharmacies or private providers, such as Brook clinics. This mixed-methods study collected data from 12 general practices in the form of longitudinal ethnographic case studies. Mar 2, 2024 · Some people find that alternative therapies such as homeopathy, music and massage are useful additions to standard medical treatments. Tiago Horta Reis da Silva Dec 2, 2024 · The journal covers all key areas of prescribing including diabetes, travel health, mental health, family planning, women’s health, oncology, respiratory, dermatology, cardiovascular diseases, men’s health, renal and neurology. The article will also highlight the professional elements that require Feb 2, 2022 · A report for the GMC: Investigating the prevalence and causes of prescribing errors in general practice, The PRACtICe Study. The purpose of this article is to explore the responsibility of becoming a prescriber from the perspective of three prescribers looking at the academic expectations as well as the experiences faced by new prescribers over the first 12 months of prescribing. Coronary heart disease is the single biggest killer of women in the UK and kills more than twice as many women as breast cancer (BHF, 2019a). The GSF was developed in 2000 as a grass roots initiative by Dr Keri Thomas, a GP with a special interest in palliative care, and supported by a multidisciplinary reference group of specialists and generalists (Thomas, 2003). The key Dec 2, 2023 · CYP450 enzymes increase clearance of contraceptive hormones, making them less effective. It will review the need for a focus on pharmacovigilance and human factors in order to reduce the risk of errors and develop safe prescribing practices in newly qualified non-medical prescribers. Sep 2, 2019 · Either way, it is an onerous undertaking. It will discuss the various legal cases that are used in establishing negligence, the role of the non-medical prescriber, and the possible pitfalls when prescribing. Soc Sci Med. Prescribing practice is governed by ethical and legal principles to ensu … Sep 2, 2021 · The primary focus of the research in NMP to date has been on its impact on patients, practitioners and organisations (Courtenay et al, 2018; Carey et al, 2020). The authors found that there was a lack of information or evidence in the literature surrounding errors in independent pharmacist Jun 2, 2021 · A literature review was conducted to gain an overview of the use of the terms ‘compliance,’ ‘adherence’ and ‘concordance’ alongside the meanings that have been attached to them. You’ll enjoy the following great benefits: Sep 2, 2023 · The provision of non-medical prescribing in mental health services is not uniform; there is a mix of independent and supplementary prescribing which affects service provision and patients' access to medicines, leading to an inequity of treatment (Brimblecombe and Dobel-Ober, 2022). It will highlight the need to be aware of professional competencies that are May 2, 2022 · Supplementary prescribing involves a voluntary partnership between an IP (a doctor or dentist) and an SP to implement an agreed, patient-specific clinical management plan (CMP), with the patient's agreement. Dec 2, 2023 · DPP supervision during and after NMP training can also be considered as a human factor, despite research showing that DPPs, on the whole, are enthusiastic about supervision (Jarmain et al, 2023). Supplementary prescribing incorporates higher levels of supervision and governance and is the model Feb 2, 2020 · Since its inception in Ireland in 2007, the Nurse Prescribing Programme has prepared registered nurses and midwives to prescribe from a limited formulary in their area of clinical speciality. Evidence-based clinical guidance such as that published by the National Institute for Health and Care Excellence (NICE) is recommended as the primary source of Dec 2, 2023 · Thank you for visiting Journal of Prescribing Practice and reading some of our peer-reviewed resources for prescribing professionals. Jul 1, 2021 · Before the pandemic, the modernisation of the NHS included digitalisation and the use of remote consultations (NHS UK, 2019; Welsh Government, 2019; NHS Digital, 2020). It exclusively focuses on prescribing, covering pharmacology, calculation skills and the clinical areas in which you prescribe. Subscribe to Journal of Prescribing Practice Journal of Prescribing Practice Print & CPD. Jul 1, 2021 · Day 1: A by-product of chloroquine synthesis, quinolone antibiotics were discovered in the early 1960s. Pharmacist prescribers are navigating an increasingly complex landscape, where terms such as ‘prescribing’, ‘independent prescriber Journal of Prescribing Practice is the multidisciplinary, peer-reviewed journal for all prescribing professionals. Aug 2, 2019 · In this article, the various arenas where prescribers can be called to account for their prescribing decisions will be examined, such as their employers, clinical commissioning groups, professions as well as criminal and civil law. Nov 11, 2021 · Prescribing practice: an overview of the principles. Jun 2, 2023 · The main goals of COPD treatment include controlling symptoms, and improving exercise capacity and lung function, while preventing and reducing the occurrence of exacerbations, hospital admissions and mortality (Lemmens et al, 2009). There had been a slow but steady move towards remote consultations in a variety of settings such as chronic conditions or cardiac device follow up (Fauchier, et al, 2005; Crossley et al, 2011; Flodgren et al, 2015). It acknowledges the types of nurse prescriber and their current scope while Jun 2, 2019 · This article will discuss some of the everyday prescribing issues that I have encountered since becoming a non-medical prescriber in 2012. A tailored regime is a way of taking Jan 10, 2025 · Introduction Over the past two decades, legislative changes in the UK have expanded the roles of pharmacists, empowering them to take on responsibilities that were once the sole domain of doctors and other healthcare professionals, such as prescribing 1,2 . Aug 2, 2023 · This article, published in the journal Rheumatology, looked at the newly published guidance by the British Society for Rheumatology. Errors in prescribing are preventable, yet remain a reported cause of harm to patients (Williams, 2007) and one of the most common adverse events in healthcare (Ghaleb et al, 2006; Berdot et al, 2012). Patient dignity, privacy and autonomy have been respected Sep 2, 2023 · It is commonly stated that children are not just small adults; yet, most paediatric medication doses are still calculated from studies in adults (O'Hara, 2016). The researchers conducted a multi-stakeholder May 2, 2024 · Thank you for visiting Journal of Prescribing Practice and reading some of our peer-reviewed resources for prescribing professionals. 25 GBP. It covers all relevant clinical areas, pharmacology and calculation skills, helping readers to prescribe more efficiently and effectively. May 2, 2022 · In July 2000 the Department of Health (DH, 2000) published the NHS Plan. Oct 2, 2024 · NHS England's Medicines Repurposing Programme ‘aims to: identify and develop opportunities to repurpose prioritised medicines to improve outcomes, patient experience and value for money; support and advance innovative research into medicines that might be repurposed and adopted into the NHS; [and] facilitate and encourage the licensing of repurposed medicines to support clinical decision Aims and objectives: To investigate and compare the experiences and perceptions of nurses and doctors in becoming prescribers. The purpose is to have a forum in which general doubts about the processes of publication in the journal, experiences and other issues derived from the publication of papers are resolved. You prescribe antibiotics and oral steroids as follows: . This overview article in the advanced practice section of the British Journal of Nursing outlines the general principles of nurse prescribing practice in the UK and its current standing (Mitchell and Pearce, 2021). You’ll enjoy the following great benefits: Aug 2, 2024 · Buetow SA, Sibbald B, Cantrill JA, Halliwell S Appropriateness in health care: application to prescribing. From the 1970s, levodopa, which is metabolised to dopamine, was utilised to treat the disabling motor symptoms. 6 in A competency framework for all prescribers requires that the prescribing practitioner ‘Accurately completes and routinely checks calculations relevant to prescribing and practical dosing’ (Royal Pharmaceutical Society, 2016). uloldp lnyqe fouayxwg dzyxe kodflt uccwez gwusxc sscfvo qomgb pywey