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. 2014 Jul 22;28:77.

Table 4 . Summary of facilitators of nurse prescribing identified by the meta-synthesis .

Categories Cods Illustrations Authors
Educational factors Appropriate education and training to safe and effective prescribing need for further training appropriate education and training were essential not only for safe and effective prescribing but also for a wider role in medicines management Harris, 2004 (9)
Both Luker et al. (1997) and Brooks et al. (2001) also comment on nurses’ need for further training as the expansions to the formulary are introduced. Latter and Courtenay, 2004 (10)
Educational needs Tyler & Hicks (2001) survey of family planning nurses’training needs for prescribing identified nurses’ views on the top 15 training needs, that included research, advanced clinical activities, applied pharmacology, administration and technical activities.
The need for scientific education in applied pharmacology although patients were consent with nurses prescribing medication, nurses lacked confidence in applied pharmacology and therapeutics and hence, required additional scientific education Banning, 2004 (8)
One can suggest that pre-registration nurses should receive a comprehensive scientific foundation in applied pharmacology and therapeutics and professional knowledge in order to prepare them for post graduate education and training in medication management
Managerial factors support mechanisms Two studies looked specifically at the support mechanisms nurses require in practice to enable good prescribing. Latter and Courtenay, 2004 (10)
nurses’ confidence with Supplementary prescribing to prescribe independently. Supplementary prescribing was found to be useful in the initial stages as it builds nurses’ confidence to prescribe independently. Creedon , et al.,2009 (13)
competency assessment In order to improve safety, increased competency assessment and training was recommended (Baxter et al, 2002; Jones, 2002b; Larsen, 2004; Baileff, 2007), in conjunction with the development of national PGDs by the DH (Baxter et al, 2002). Methods of competency assessment found to be effective included knowledge assessment via questionnaire (Brooks et al, 2003) and role play (Bacon et al, 2003). Price, et al., 2012 (16)
Organizational factors awareness of physicians and other staff There was a perception that nurse and pharmacist independent prescribing may supersede supplementary prescribing Cooper, et al., 2008 (11)