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Patients' views of nurse prescribing: effects on care, concordance and medicine taking

Courtenay, M, Carey, N, Stenner, K, Lawton, S and Peters, J (2011) Patients' views of nurse prescribing: effects on care, concordance and medicine taking BRITISH JOURNAL OF DERMATOLOGY, 164 (2). pp. 396-401.

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Abstract

Background  Skin disease can have a huge impact on quality of life for patients and their families. Nurses have an important role in the delivery of specialist dermatology services, and prescribing enhances the care they provide. The views of dermatology patients about nurse prescribing are unknown. Objectives  To explore the views of dermatology patients about nurse prescribing, and its impact on medicines management and concordance. Methods  Semistructured interviews were undertaken with a consecutive sample of 42 patients with acne, psoriasis or eczema who attended the clinics of seven dermatology specialist nurse prescribers. Primary and secondary care clinics were included to reflect settings in which nurses typically prescribe for patients within specialist dermatology services in England. Interviews addressed the effects of nurse prescribing on care, the patient’s medicine regimen, involvement in treatment decisions and concordance, and influences on medicine taking. Results  Patients believed that nurse prescribing improved access to, and efficiency of, dermatology services. Great value was placed on telephone contact with nurses, and local access. Information exchange and involvement in treatment decisions ensured that treatment plans were appropriate and motivated adherence. Nurses’ specialist knowledge, interactive and caring consultation style, and continuity of care improved confidence in the nurse and treatment concordance. Conclusions  Nurse prescribing can increase the efficiency of dermatology services. Patients experienced active involvement in decisions about their treatment which in turn contributed to concordance and adherence to treatment regimens. This study has important implications for maximizing resource use and improving access to and quality of care in dermatology specialist services.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences
Authors :
AuthorsEmailORCID
Courtenay, MUNSPECIFIEDUNSPECIFIED
Carey, NUNSPECIFIEDUNSPECIFIED
Stenner, KUNSPECIFIEDUNSPECIFIED
Lawton, SUNSPECIFIEDUNSPECIFIED
Peters, JUNSPECIFIEDUNSPECIFIED
Date : 1 February 2011
Identification Number : 10.1111/j.1365-2133.2010.10119.x
Uncontrolled Keywords : Science & Technology, Life Sciences & Biomedicine, Dermatology, DERMATOLOGY, NATIONAL QUESTIONNAIRE SURVEY, ADHERENCE, PSORIASIS, CONSULTATIONS, THERAPY, UK
Related URLs :
Additional Information : This is the peer reviewed version of the following article: Courtenay, M, Carey, N, Stenner, K, Lawton, S and Peters, J (2011) Patients' views of nurse prescribing: effects on care, concordance and medicine taking BRITISH JOURNAL OF DERMATOLOGY, 164 (2). 396 - 401, which has been published in final form at http://dx.doi.org/10.1111/j.1365-2133.2010.10119.x. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Depositing User : Symplectic Elements
Date Deposited : 02 Dec 2015 11:28
Last Modified : 02 Dec 2015 11:28
URI: http://epubs.surrey.ac.uk/id/eprint/7384

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