Why do district nurse prescribers alter their prescribing patterns?

Jason Hall, Peter Noyce, Judith Cantrill

    Research output: Contribution to journalArticlepeer-review

    Abstract

    This paper describes how district nurses decide what products to start prescribing and explores the reasons why prescribing patterns change. It is based on semi-structured interviews with fourteen nurses from one primary care trust. The first products prescribed immediately following qualification depended on the route taken to becoming a prescriber. These were either the same products they had been using before qualifying as a prescriber or if prescribing was included with their district nurse training then it was the same products that their mentor prescribed. The two drivers for changes in prescribing patterns were patients, whose current therapy was ineffective, and products, where patients were selected to try new products on. Representatives from the pharmaceutical industry and fellow nurses had the greatest influence on product selection for those prescribers that changed their prescribing. The nurse's own experience had the greatest impact on the decision to continue prescribing a new product.
    Original languageEnglish
    Pages (from-to)507-513
    Number of pages6
    JournalBritish Journal of Community Nursing
    Volume13
    Issue number11
    Publication statusPublished - Nov 2008

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