Implementation of Nurse Prescriptions throughout the Public Health System in Catalonia (2021–2022)

Author:

Bayot i Escardívol Rosa1,Mateo-Viladomat Enric1,Galbany-Estragués Paola12ORCID,Vilar-Pont Mariona3ORCID,Calderó i Solé Miquel Angel4ORCID,Mora-López Gerard5ORCID,Flores-Montoya Raquel6,Vicente-Belis Montse6,Escoda-Geli Núria6ORCID,Molina-Nadal Andrea6,Canet-Vélez Olga17ORCID,Jodar-Solà Glòria1

Affiliation:

1. Official College of Nurses of Barcelona, 08019 Barcelona, Spain

2. Department of Fundamental and Clinical Nursing, Faculty of Nursing, University of Barcelona, 08907 L’Hospitalet de Llobregat, Spain

3. Official College of Nurses of Girona, 17004 Girona, Spain

4. Official College of Nurses of Lleida, 25008 Lleida, Spain

5. Official College of Nurses of Tarragona, 43003 Tarragona, Spain

6. Catalan Health Service (CatSalut), Catalan Department of Health, 08028 Barcelona, Spain

7. Global Health, Gender and Society (GHenderS), Blanquerna School of Health Sciences, Ramon Llull University, 08025 Barcelona, Spain

Abstract

Background: Nurses in Catalonia have always prescribed health advice, health products, and medication in line with the professional competency of the discipline. Legislation about nurse prescriptions and the implementation of nurse prescribing varies widely among different countries. This article reports data regarding nurse prescribing in Catalonia in 2021 and 2022. Methods: This retrospective longitudinal study analyzed data from all care-providing units in Catalonia’s integrated public health system. Results: The number of nurse prescriptions increased from 139,435 in 2021 to 573,822 in 2022, and the number of nurses issuing prescriptions increased from 3604 in 2021 to 5563 in 2022. The proportion of prescriptions for different products was similar in the two years analyzed. Prescriptions for medication increased by 7.5% in 2022. Conclusions: Nurse prescribing is a recent advance in Catalonia. Despite some difficulties in rollout, the data indicate that this practice is becoming consolidated, as in other European countries.

Publisher

MDPI AG

Reference45 articles.

1. Consell de Col·legis de Diplomats en Infermeria de Catalunya (2023, January 10). La Prescripció Infermera: Consell de Col·legis de Diplomats en Infermeria de Catalunya. Available online: https://pbcoib.blob.core.windows.net/coib-publish/invar/25f598b8-0706-49cf-b604-08ae0e23d835.

2. National Institute for Health and Care Excellence (NICE) (2024, March 11). British National Formulary (BNF). Available online: https://www.nice.org.uk/bnf-uk-only.

3. Eficiencia en la prescripción enfer-mera en Andalucía. Un paso atrás en el sistema sanitario tras anulación por Real Decreto;Atención Primaria,2018

4. Canet-Vélez, O., Jodar-Solà, G., Martín-Royo, J., Mateo, E., Casañas, R., and Galbany-Estragués, P. (2023). Experiences of Spanish nurses in the rollout of nurse prescribing: A qualitative study. Front. Public Health, 11.

5. Evidence-informed implementation of nurse prescribing under supervision: An integrative review;Fox;J. Adv. Nurs.,2022

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