The views of current and future paramedics on prescribing: a review

Abstract

Background: Following a change in legislation in 2018, paramedics gained prescribing rights but, as this is a recent change, no reviews have been carried out into their experiences. Aim: The overarching aim of this article is to understand the thoughts and opinions of current and future paramedic prescribers on non-medical independent prescribing. It also aims to identify potential barriers to paramedic independent prescribing (PIP), investigating the gaps within medication options, and the role of PIP in the autonomous scope of paramedic practice. Methods: A literature search of MEDLINE, CINAHL, PubMed and CENTRAL was undertaken in January 2023, with articles also gathered from grey literature, Google Scholar, citation searching and author contacting to identify literature for review. Six articles underwent thematic analysis, and four themes were identified: advanced practice; improved medication management; barriers to implementation; and effect on current practice. Findings: Overall, there are significant positives to paramedic independent prescribing, such as improved patient experiences, more medication options and fewer hospital admissions. However, there were concerns, which centred on the implementation process, underpinning support and increased responsibility.