Nurse Prescribing

Background/Objectives: Registered nurse (RN) prescribing is increasingly discussed as a strategy to improve primary-care access, medication follow-up, chronic disease management, and service responsiveness. The available evidence, however, does not directly test a single coordinated RN prescriber-family physician/nurse practitioner (FP/NP) model. This integrative review synthesized heterogeneous evidence relevant to how RN prescribing may be organized within team-based primary care. Methods: A...

CONCLUSIONS: Pediatric nurses and physicians differed in their overall attitudes, but their shared acceptance of low-risk prescribing suggests a feasible implementation pathway. The findings support a phased model of pediatric nurse prescribing built on interdisciplinary collaboration, structured training, and appropriate regulatory safeguards.

The expansion of prescribing authority to nurses is no longer debated on safety grounds. But a quieter anxiety remains: does prescribing change what nursing is? This paper uses Herbert Simon's The Sciences of the Artificial (1996) to move beyond the stalemate between two narratives: prescribing as rational adaptation to systemic complexity, or as defensive flight from the devaluation of relational work. Simon's concepts of inner and outer environment, satisficing and artefacts allow us to see...

CONCLUSION: Strengthening nursing education, leadership, research, and policy engagement, alongside sustained health system investment, is critical to achieving equitable and accessible palliative care. Uganda's experience offers valuable lessons for other countries with a low and middle human development index expanding nurse-led palliative care in resource constrained settings.

Non-medical prescribing has expanded significantly in the UK since its introduction in the early 1990s, bringing increased responsibilities and accountability for non-medical prescribers (NMPs). It is essential that NMPs are equipped to maintain high standards of prescribing practice. This article discusses crucial factors for NMPs to consider when making prescribing decisions, focusing on effectiveness, appropriateness, safety and cost-effectiveness. The author highlights the importance of...