The development of nurse prescribing in mental health services: Outcomes from five national surveys 2004–2019

Journal article


Brimblecombe, N. and Dobel‐Ober, D. (2022). The development of nurse prescribing in mental health services: Outcomes from five national surveys 2004–2019. Journal of Nursing Management. pp. 1-9. https://doi.org/10.1111/jonm.13588
AuthorsBrimblecombe, N. and Dobel‐Ober, D.
Abstract

The development of nurse prescribing in mental health services: outcomes from five national surveys 2004-19
ABSTRACT

Background:
Nurse prescribing is increasing worldwide. Reports describing long term developments after implementation are rare.
Aim:
To explore data from national surveys of nurse prescribing in England’s National Health Service mental health services
Methods:
Five surveys were distributed to all mental health organisations between 2004 and 2019
Results:
Response rates increased from 54% (n = 45/83) in 2004 to 79% (n = 42/53) in 2019. The estimated proportion of mental health nurses who were prescribers increased to 4.3% by 2019. Distribution between clinical practice areas did not change significantly over time, with largest numbers in community mental health teams.
The proportion of nurse prescribers actively prescribing increased from 76.4% in 2014 to 87.8% in 2019. Independent prescribing became the predominant approach, with supplementary prescribing rarely used as the sole model within organisations. The scale of implementation varied
Conclusions:
Although nurse prescribing in mental health services has grown over time, growth has slowed and is variable at local level.
Implications for nursing management:
Organisations considering the introduction or growth of nurse prescribing should note the evidenced preference for an independent prescribing model to date and consider how to avoid unwarranted variation in nurse prescriber role distribution.

KeywordsLeadership and Management
Year2022
JournalJournal of Nursing Management
Journal citationpp. 1-9
PublisherWiley
ISSN0966-0429
1365-2834
Digital Object Identifier (DOI)https://doi.org/10.1111/jonm.13588
Web address (URL)https://onlinelibrary.wiley.com/share/author/FSZ2E9JAKHEQQV8NT4T8?target=10.1111/jonm.13588
Publication dates
Online21 Mar 2022
Publication process dates
Accepted08 Mar 2022
Deposited23 Mar 2022
Publisher's version
File Access Level
Open
Accepted author manuscript
File Access Level
Controlled
Licensehttp://creativecommons.org/licenses/by/4.0/
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