Abstract:
BACKGROUND:Studies examining the impact nurse prescribing have largely focused on the efficacy of the service. It was suggested in pro-prescribing policy arguments that extending the nursing role to include prescribing would increase job satisfaction. This assertion has not been fully explored. OBJECTIVES:To investigate the impact of independent prescribing for experienced nurse practitioners (NPs) working in general practice. METHODS:In-depth interviews were conducted with six NPs who each had at least 3 years experience of independent prescribing in a busy inner city general practice. RESULTS:Analysis of interview data yielded two main themes: as independent prescribers NPs experienced increased levels of both job satisfaction and work-related stress. Increased satisfaction was associated with having greater autonomy and being able to provide more holistic care. Increased work-related stress emerged from greater job demands, perceived insufficient support and perceived effort-reward imbalance that centred upon the enhanced role not being recognized in terms of an increase in grade and pay. CONCLUSIONS:Independent prescribing increases job satisfaction for NPs in general practice, but there is also evidence of stressors associated with the role. It is important that NPs in general practice are encouraged and supported towards providing the effective patient-centred care in the community envisaged by current UK government. We acknowledge that the results presented in this paper are based on a sample limited to one city; however, it provides information that has important implications for the well being of NPs and ultimately patient care.
journal_name
Fam Practjournal_title
Family practiceauthors
Cousins R,Donnell Cdoi
10.1093/fampra/cmr077subject
Has Abstractpub_date
2012-04-01 00:00:00pages
223-7issue
2eissn
0263-2136issn
1460-2229pii
cmr077journal_volume
29pub_type
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