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Training and assessing independent nurse prescribers: a model for old age psychiatry

  • Sally Cubbin (a1), Jane Pearce (a2), Roger Bullock (a3) and Rupert McShane (a2)
Abstract
Aims and Method

The brevity of training and assessment for independent nurse prescribers has caused some concern. We aimed to validate an Objective Structured Clinical Examination (OSCE) for potential nurse prescribers in dementia. Nurses' performance after 12 days of training for potential prescribers was compared with that of doctors of different grades.

Results

The performance of doctors, but not nurses, correlated with years of experience. Many nurses, especially those working in memory clinics, scored better than junior doctors.

Clinical Implications

This OSCE provides evidence of potential prescribers' competency for employers. This could make a significant contribution to maintaining high standards of patient safety with nurse prescribing. This may also be an appropriate addition to the assessment of specialty trainees as well as for revalidation.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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1 Joint Formulary Committee. British National Formulary (56th edn). British Medical Association and Royal Pharmaceutical Society of Great Britain, 2008.
2 Department of Health. The Non-Medical Prescribing Programme. Department of Health, 2006 (http://www.dh.gov.uk/en/Healthcare/Medicinespharmacyandindustry/Prescriptions/TheNon-MedicalPrescribingProgramme/Nurseprescribing/index.htm).
3 Anonymous. Non-medical prescribing. Drug Ther Bull 2006; 44: 33–7.
4 Avery, AS, Pringle, M. Extended prescribing by UK nurses and pharmacists. BMJ 2005; 331: 1154–5.
5 Nursing and Midwifery Council. Standards of Proficiency for Nurse and Midwife Prescribers'. Nursing and Midwifery Council, 2005 (http://www.nmc-uk.org/aFrameDisplay.aspx?DocumentID=1645).
6 Department of Health. Improving Patients' Access to Medicines: A Guide to Implementing Nurse and Pharmacist Independent Prescribing within the NHS in England. Department of Health, 2006 (http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4133743).
7 NHS National Prescribing Centre. Training Non-Medical Prescribers in Practice: A Guide to Help Doctors Prepare for and Carry Out the Role of Designated Medical Practitioner. National Prescribing Centre, 2005 (http://www.npc.co.uk/pdf/designated_medical_practitioners_guide.pdf).
8 Department of Health. Trust, Assurance and Safety: the Regulation of Health Professionals in the 21st Century. TSO (The Stationery Office), 2007 (http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_065946).
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Training and assessing independent nurse prescribers: a model for old age psychiatry

  • Sally Cubbin (a1), Jane Pearce (a2), Roger Bullock (a3) and Rupert McShane (a2)
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