The Implementation Process of Nurse Prescribing in Poland-A Descriptive Study

Abstract

The study aimed to investigate the situation of nurse prescribing, introduced in Poland in 2016, by analyzing the opinions of nurses, expected to be influential on nurses' actual practices, in response to legislative change to enable nurses to prescribe and comparing this with actual nurse prescribing behaviours during the early years of the legislation. The paper fills a knowledge gap and provides baseline data analysis for subsequent research. Nurses' opinions were collected during the period they were preparing themselves for prescribing. That data was compared with data on the character and extent of nurses' actual prescribing practices over the first two years of implementation. The study showed the number of nurse prescriptions increased. Comparing the first and second years of nurse prescribing, the number of nurse independent prescriptions more than doubled. Over the same period, the number of nurse supplementary prescriptions increased almost six-fold. The implementation of nurse prescribing has increased the scope of nursing care, especially in the treatment of the infections, pain and chronic conditions in the elderly.

Keywords: legislation; nurse prescribing; nurse supplementary prescribing; nursing practice.

Figure 1

Number of nurse independent prescriptions depending on the patient’s age, during the first year of implementation.

Figure 2

Number of nurse independent prescriptions depending on the patient’s age during the second year of implementation.

Figure 3

Number of nurse supplementary prescriptions issued for hypertension therapy during the second year of implementing period depending on the patient’s age.

Figure 4

Number of nurse supplementary prescriptions depending on the patient’s age during the first year of implementing period.

Figure 5

Number of nurse supplementary prescriptions depending on the patient’s age during 2017.