No Cover Image

Journal article 37 views

Comparing independent prescribing to patient group direction use in a general practitioner out-of-hours service: a retrospective cross-sectional service evaluation

Hayley Stevens, Beryl Mansel, Jayne Cutter

British Paramedic Journal, Volume: 9, Issue: 2, Pages: 21 - 28

Swansea University Authors: Beryl Mansel, Jayne Cutter

Full text not available from this repository: check for access using links below.

Check full text

DOI (Published version): 10.29045/14784726.2024.9.9.2.21

Abstract

Introduction: Global demand for healthcare is escalating, prompting exploration of innovative strategies to augment service capacity. Independent prescribing (IP) helps to address this challenge, allowing non-medical professionals to prescribe medication. Paramedics in the UK were granted prescribin...

Full description

Published in: British Paramedic Journal
ISSN: 1478-4726
Published: Class Publishing 2024
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa67605
Tags: Add Tag
No Tags, Be the first to tag this record!
first_indexed 2024-10-25T11:42:23Z
last_indexed 2024-10-25T11:42:23Z
id cronfa67605
recordtype SURis
fullrecord <?xml version="1.0" encoding="utf-8"?><rfc1807 xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema"><bib-version>v2</bib-version><id>67605</id><entry>2024-09-06</entry><title>Comparing independent prescribing to patient group direction use in a general practitioner out-of-hours service: a retrospective cross-sectional service evaluation</title><swanseaauthors><author><sid>765bb7522793f3ed1473bff6a68ab83f</sid><ORCID/><firstname>Beryl</firstname><surname>Mansel</surname><name>Beryl Mansel</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>3fe2e541e1d50a75aa2f9ce8c1052ed5</sid><firstname>Jayne</firstname><surname>Cutter</surname><name>Jayne Cutter</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2024-09-06</date><deptcode>HSOC</deptcode><abstract>Introduction: Global demand for healthcare is escalating, prompting exploration of innovative strategies to augment service capacity. Independent prescribing (IP) helps to address this challenge, allowing non-medical professionals to prescribe medication. Paramedics in the UK were granted prescribing privileges in 2018, yet uptake remains low. Despite qualitative evidence indicating that paramedic prescribing is beneficial, quantitative comparisons of medication provision between prescribers and non-prescribers are lacking. Paramedics provide patients with non-emergency medication by three different routes: IP, using a patient group direction (PGD) or with prescriber support.Advanced paramedic practitioners who are not qualified as independent prescribers, rotating through ambulance and general practitioner out-of-hours services, offered an opportunity to quantitatively compare medication supply.Methods: This study compares medication supply by three advanced paramedic practitioners using PGDs with three prescribing nurses in a Welsh general practitioner out-of-hours service. A cross-sectional design was employed to retrospectively review electronic patient clinical records between 1 December 2019 and 30 November 2020, including patients presenting with one of five generalised clinical conditions (urinary, soft tissue, respiratory, abdominal pain, ear). Descriptive analysis and non-parametric tests compared medications prescribed or supplied, how patients received medication and reasons for seeking prescriber support.Results: A total of 397 patient records were analysed. Paramedics supplied medications more frequently with prescriber support (68.2%) than via PGD (27.9%). Nurses predominantly prescribed medication independently (99.3%). Medication provision was comparable when paramedics had prescriber support. Reasons for paramedic support-seeking included having no PGD available (34.1%) and PGD being excluded from use (28.4%).Conclusions: Advanced paramedic practitioner medication supply using PGDs and prescriber support was comparable to that of prescribing nurse colleagues. However, autonomy restrictions highlight the need for paramedic prescribing in services where prescriber availability is limited. Further research evaluating the efficiency and cost-effectiveness of PGD use versus IP is necessary. Additionally, the qualitative benefits of IP, such as improved patient care and satisfaction, warrant due consideration when implementing future healthcare strategies.</abstract><type>Journal Article</type><journal>British Paramedic Journal</journal><volume>9</volume><journalNumber>2</journalNumber><paginationStart>21</paginationStart><paginationEnd>28</paginationEnd><publisher>Class Publishing</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>1478-4726</issnPrint><issnElectronic/><keywords>advanced practice; advanced practitioner; independent prescribing; non-medical prescribing; nurse; out-of-hours service; paramedic; patient group direction; verbal order</keywords><publishedDay>1</publishedDay><publishedMonth>9</publishedMonth><publishedYear>2024</publishedYear><publishedDate>2024-09-01</publishedDate><doi>10.29045/14784726.2024.9.9.2.21</doi><url/><notes/><college>COLLEGE NANME</college><department>Health and Social Care School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HSOC</DepartmentCode><institution>Swansea University</institution><apcterm/><funders/><projectreference/><lastEdited>2024-10-31T09:28:34.6588182</lastEdited><Created>2024-09-06T15:35:25.8065948</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">School of Health and Social Care - Nursing</level></path><authors><author><firstname>Hayley</firstname><surname>Stevens</surname><order>1</order></author><author><firstname>Beryl</firstname><surname>Mansel</surname><orcid/><order>2</order></author><author><firstname>Jayne</firstname><surname>Cutter</surname><order>3</order></author></authors><documents/><OutputDurs/></rfc1807>
spelling v2 67605 2024-09-06 Comparing independent prescribing to patient group direction use in a general practitioner out-of-hours service: a retrospective cross-sectional service evaluation 765bb7522793f3ed1473bff6a68ab83f Beryl Mansel Beryl Mansel true false 3fe2e541e1d50a75aa2f9ce8c1052ed5 Jayne Cutter Jayne Cutter true false 2024-09-06 HSOC Introduction: Global demand for healthcare is escalating, prompting exploration of innovative strategies to augment service capacity. Independent prescribing (IP) helps to address this challenge, allowing non-medical professionals to prescribe medication. Paramedics in the UK were granted prescribing privileges in 2018, yet uptake remains low. Despite qualitative evidence indicating that paramedic prescribing is beneficial, quantitative comparisons of medication provision between prescribers and non-prescribers are lacking. Paramedics provide patients with non-emergency medication by three different routes: IP, using a patient group direction (PGD) or with prescriber support.Advanced paramedic practitioners who are not qualified as independent prescribers, rotating through ambulance and general practitioner out-of-hours services, offered an opportunity to quantitatively compare medication supply.Methods: This study compares medication supply by three advanced paramedic practitioners using PGDs with three prescribing nurses in a Welsh general practitioner out-of-hours service. A cross-sectional design was employed to retrospectively review electronic patient clinical records between 1 December 2019 and 30 November 2020, including patients presenting with one of five generalised clinical conditions (urinary, soft tissue, respiratory, abdominal pain, ear). Descriptive analysis and non-parametric tests compared medications prescribed or supplied, how patients received medication and reasons for seeking prescriber support.Results: A total of 397 patient records were analysed. Paramedics supplied medications more frequently with prescriber support (68.2%) than via PGD (27.9%). Nurses predominantly prescribed medication independently (99.3%). Medication provision was comparable when paramedics had prescriber support. Reasons for paramedic support-seeking included having no PGD available (34.1%) and PGD being excluded from use (28.4%).Conclusions: Advanced paramedic practitioner medication supply using PGDs and prescriber support was comparable to that of prescribing nurse colleagues. However, autonomy restrictions highlight the need for paramedic prescribing in services where prescriber availability is limited. Further research evaluating the efficiency and cost-effectiveness of PGD use versus IP is necessary. Additionally, the qualitative benefits of IP, such as improved patient care and satisfaction, warrant due consideration when implementing future healthcare strategies. Journal Article British Paramedic Journal 9 2 21 28 Class Publishing 1478-4726 advanced practice; advanced practitioner; independent prescribing; non-medical prescribing; nurse; out-of-hours service; paramedic; patient group direction; verbal order 1 9 2024 2024-09-01 10.29045/14784726.2024.9.9.2.21 COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University 2024-10-31T09:28:34.6588182 2024-09-06T15:35:25.8065948 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing Hayley Stevens 1 Beryl Mansel 2 Jayne Cutter 3
title Comparing independent prescribing to patient group direction use in a general practitioner out-of-hours service: a retrospective cross-sectional service evaluation
spellingShingle Comparing independent prescribing to patient group direction use in a general practitioner out-of-hours service: a retrospective cross-sectional service evaluation
Beryl Mansel
Jayne Cutter
title_short Comparing independent prescribing to patient group direction use in a general practitioner out-of-hours service: a retrospective cross-sectional service evaluation
title_full Comparing independent prescribing to patient group direction use in a general practitioner out-of-hours service: a retrospective cross-sectional service evaluation
title_fullStr Comparing independent prescribing to patient group direction use in a general practitioner out-of-hours service: a retrospective cross-sectional service evaluation
title_full_unstemmed Comparing independent prescribing to patient group direction use in a general practitioner out-of-hours service: a retrospective cross-sectional service evaluation
title_sort Comparing independent prescribing to patient group direction use in a general practitioner out-of-hours service: a retrospective cross-sectional service evaluation
author_id_str_mv 765bb7522793f3ed1473bff6a68ab83f
3fe2e541e1d50a75aa2f9ce8c1052ed5
author_id_fullname_str_mv 765bb7522793f3ed1473bff6a68ab83f_***_Beryl Mansel
3fe2e541e1d50a75aa2f9ce8c1052ed5_***_Jayne Cutter
author Beryl Mansel
Jayne Cutter
author2 Hayley Stevens
Beryl Mansel
Jayne Cutter
format Journal article
container_title British Paramedic Journal
container_volume 9
container_issue 2
container_start_page 21
publishDate 2024
institution Swansea University
issn 1478-4726
doi_str_mv 10.29045/14784726.2024.9.9.2.21
publisher Class Publishing
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing
document_store_str 0
active_str 0
description Introduction: Global demand for healthcare is escalating, prompting exploration of innovative strategies to augment service capacity. Independent prescribing (IP) helps to address this challenge, allowing non-medical professionals to prescribe medication. Paramedics in the UK were granted prescribing privileges in 2018, yet uptake remains low. Despite qualitative evidence indicating that paramedic prescribing is beneficial, quantitative comparisons of medication provision between prescribers and non-prescribers are lacking. Paramedics provide patients with non-emergency medication by three different routes: IP, using a patient group direction (PGD) or with prescriber support.Advanced paramedic practitioners who are not qualified as independent prescribers, rotating through ambulance and general practitioner out-of-hours services, offered an opportunity to quantitatively compare medication supply.Methods: This study compares medication supply by three advanced paramedic practitioners using PGDs with three prescribing nurses in a Welsh general practitioner out-of-hours service. A cross-sectional design was employed to retrospectively review electronic patient clinical records between 1 December 2019 and 30 November 2020, including patients presenting with one of five generalised clinical conditions (urinary, soft tissue, respiratory, abdominal pain, ear). Descriptive analysis and non-parametric tests compared medications prescribed or supplied, how patients received medication and reasons for seeking prescriber support.Results: A total of 397 patient records were analysed. Paramedics supplied medications more frequently with prescriber support (68.2%) than via PGD (27.9%). Nurses predominantly prescribed medication independently (99.3%). Medication provision was comparable when paramedics had prescriber support. Reasons for paramedic support-seeking included having no PGD available (34.1%) and PGD being excluded from use (28.4%).Conclusions: Advanced paramedic practitioner medication supply using PGDs and prescriber support was comparable to that of prescribing nurse colleagues. However, autonomy restrictions highlight the need for paramedic prescribing in services where prescriber availability is limited. Further research evaluating the efficiency and cost-effectiveness of PGD use versus IP is necessary. Additionally, the qualitative benefits of IP, such as improved patient care and satisfaction, warrant due consideration when implementing future healthcare strategies.
published_date 2024-09-01T09:28:33Z
_version_ 1814421216615727104
score 11.036706

Similar Items