Gastroenterology nurse prescribing in China: A Delphi method

J Adv Nurs. 2021 Mar;77(3):1228-1243. doi: 10.1111/jan.14645. Epub 2020 Nov 22.

Abstract

Aim: This study aims to identify and reach a consensus among experts on the specific gastroenterology drugs that a gastroenterology nurse may be able to prescribe.

Design: This study employs a modified Delphi design to reach a consensus among medical and nursing experts about the gastroenterology system drugs that nurses may prescribe medication.

Method: From August 2019-November 2019, a two-round study, consisting of 26 medical and nursing experts, was conducted using the Delphi method. IBM SPSS Ver. 22 and descriptive statistical software were used to analyse the results of the consultations.

Results: A total of 37 drugs across nine categories are identified as relevant to Chinese nurses working in gastroenterology departments. Among them, four drugs are generally prescribed independently, 24 tend to be prescribed collaboratively and nine are prescribed either independently, or in collaboration with others.

Conclusions: This list is a fundamental and dependable instrument for identifying the gastroenterology drugs that could possibly be prescribed by gastroenterology nurses in China. The research results have important guiding significance for the formulation and implementation of relevant policies for nurses to prescribe medicines.

Impact: Nurse prescribing has become a global trend and is slowly gaining attention in China under the development strategy of 'Healthy China'. As such, this list will give some reference for policy formulation and implementation of future nurse prescribing in mainland China.

目的: 本研究旨在确定消化科护士可能开出的特定消化科药物, 并在专家之间达成共识。 设计: 本研究采用了改进的Delphi设计, 以使医学和护理专家对护士可能开出的消化科药物达成共识。 方法: 2019年8月至2019年11月, 采用Delphi方法进行了为期两轮的研究 (由26名医疗和护理专家组成)。使用IBM SPSS版本22和描述性统计软件来分析咨询结果。 结果: 共有9种类别的37种药物被确定与在消化科工作的中国护士有关。其中, 通常独立开出4种药物, 倾向于合作开出24种药物, 或者独立或与其他药物联用开出9种药物。 结论: 该清单是识别消化科药物的基础和可靠工具, 这些药物可能由中国的消化科护士开出处方。研究结果对制定和实施护士开具处方药相关政策具有重要的指导意义。 影响: 在“健康中国”的发展战略下, 护士开具处方药已成为全球趋势, 并在中国逐渐受到关注。因此, 该清单将对中国大陆未来护士开具处方药的政策制定和实施提供参考。.

Keywords: gastroenterology drugs; gastroenterology nurses; nurse prescribing; prescribing model; prescription list.

MeSH terms

  • China
  • Delphi Technique
  • Drug Prescriptions*
  • Gastroenterology*
  • Humans