A review of nurse independent prescribers: experiences, barriers and facilitators in palliative care

Abstract

Background: Further exploration is needed to determine whether UK-based nurse independent prescribers (NIPs) are using their advanced skills within palliative care teams, as well as whether organisations should continue to invest in developing multidisciplinary healthcare professionals in such a resource-intense skill. Aim: This study aimed to evaluate the experiences of NIPs to inform future workforce planning and service development. Methods: Practitioners' experiences were explored through a mixed-methodology online survey, which was provided to NIPs delivering end-of-life care within hospital, hospice and community settings. Findings: The survey consisted of 13 questions and was distributed to nine NIPs, six of whom responded. The barriers to prescribing were identified as a lack of confidence, time and electronic prescribing, as well as the need for increased supervision. The advantages of prescribing were described as increased pharmacological knowledge and increased and rapid symptom control for patients. Conclusions: A clear, continuous professional development pathway within the organisation is needed to support and enhance the development of NIPs. Moving forwards, electronic prescribing should be integrated to ensure safer practice.