以质量求发展，以服务铸品牌

Journal of Nursing ›› 2024, Vol. 31 ›› Issue (1): 7-11.doi: 10.16460/j.issn1008-9969.2024.01.007

Previous Articles     Next Articles

Environment for implementation of prescriptive authority for nurses in China: a SWOT analysis

QIAN Li-juan1, FANG Xi-ru1, LUO Zhen-ni2, CAI Shu-hui3   

  1. 1. The First Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510405, China;
    2. School of Health Management, Guangzhou Medical University, Guangzhou 511436, China;
    3. Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 511400, China
  • Received:2023-09-28 Online:2024-01-10 Published:2024-02-19

PDF (PC)

90

Like

Abstract: Objective To analyze the internal and external environments for the implementation of prescriptive authority for nurses in China, to clarify its internal strengths and weaknesses, external opportunities and threats, and to put forward suggestions for further promoting prescriptive authority for nurses. Methods The environment for the implementation of prescriptive authority for nurses in China was analyzed by collecting information such as relevant policy documents and literature. A SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis was used to analyze the implementation environment for prescriptive authority for nurses, and suggestions were proposed. Results Currently, the advantages of implementing prescribing rights for nurses in China included the development of nursing specialty clinics and the accumulation of nursing talents in specialties; weaknesses included imperfect legal policies and the limitations of nurses themselves; opportunities mainly included the attention from government, consensus of experts, and advances in theoretical and practical research; and weaknesses referred to insufficient educational preparation and the resistance from relevant interest groups. Conclusion In line with the realities, China should promote the cultivation of nursing talent in parallel, strengthen the legislation to provide legal basis for the implementation of prescriptive authority for nurses, build an interest community for medical personnel, gradually expand the pilot areas of prescribing right for nurses and innovate the implementation mechanism of prescriptive authority for nurses in China.

Key words: prescriptive authority, nurse, SWOT, situational analysis method, nursing

CLC Number: 

  • R47
[1] 王龙,阚凯,石悦,等. 基于立法角度论我国护士处方权的确立与建设[J]. 护理学杂志,2021,36(12):66-69. DOI:10.3870/j.issn.1001-4152.2021.12.066.
[2] 潘巧. 深圳立法赋予专科护士处方权[N]. 民主与法制时报,2022-07-14(003).DOI:10.28579/n.cnki.nmzfz.2022.001145.
[3] Lim AG, North N, Shaw J.Navigating professional and prescribing boundaries:Implementing nurse prescribing in New Zealand[J]. Nurse Educ Pract, 2017,27:1-6. DOI:10.1016/j.nepr.2017.08.009.
[4] Sangster-Gormley E.Prescribing patterns of nurse practitioners in Canada[J]. CMAJ, 2016,188(3):173-174.DOI: 10.1503/cmaj.150913.
[5] 程子卉,夏海鸥. 国外护士处方权的实施及对我国的启示[J]. 中华护理杂志,2017,52(6):764-767.DOI:10.3761/j.issn.0254-1769.2017.06.026.
[6] 马冬花,丁萍. 安徽省护士处方权职权范围实践性研究[J]. 护理研究, 2018, 32(1):6-7.DOI:10.3969/j.issn.1009-6493.2018.01.002.
[7] 魏琳,张广清,蒋革新.香港糖尿病专科护士门诊工作介绍[J]. 护理学杂志,2009,24(5):24-25.DOI:10.3870/hlxzz.2009.05.024.
[8] 李硕,朱荔,陈思.长庚医院护理人员能力培养与能力进阶的借鉴与实施[J].中国实用护理杂志,2015,31(27):2094-2096.DOI:10.3760/cma.j.issn.1672-7088.2015.27.021.
[9] 韩世范,侯永超.授予我国护士处方权的SWOT分析[J].全科护理,2019,17(21):2574-2578.DOI:10.12104/j.issn.1674-4748.2019.21.005.
[10] 邢梦婷,张邢炜,朱雪娇,等.我国护士处方权研究现状及态势分析[J].护理研究,2022,36(3):428-432.DOI:10.12102/j.issn.1009-6493.2022.03.008.
[11] 国家卫健委国家中医药管理局.关于印发进一步改善护理服务行动计划(2023—2025年)的通知[A/OL].(2023-06-15)[2023-07-02].https://www.gov.cn/zhengce/zhengceku/202306/content_6887303.htm?dzb=true
[12] 陈连华,彭刚艺. 广东省护理门诊和护士处方权调查研究[J].护理研究,2023,37(8):1443-1448.DOI:10.12102/j.issn.1009-6493.2023.08.024.
[13] 陈雁,陆巍,陈璐,等.开展专科护理门诊的实践与成效[J].中国护理管理,2017,17(10):1314-1317.DOI:10.3969/j.issn.1672-1756.2017.10.005.
[14] 张育,韩斌如,陈曦. 专科护理门诊对护士职业认同感影响的调查[J].中国病案,2022,23(11):13-15. DOI:10.3969/j.issn.1672-2566.2022.11.006.
[15] 李静,田丽,郝莉,等. PICC专科护理门诊实施效果评价[J]. 中国护理管理,2013(8):79-81.DOI:10.3969/j.issn.1672-1756.2013.08.028.
[16] 高凤莉,丁舒,黄静,等. 我国三级医院护理专科门诊建立与实践现状的调查分析[J].中国护理管理, 2017,17(10):1297-1302. DOI:10.3969/j.issn.1672-1756.2017.10.001.
[17] 国家卫健委.2022中国卫生健康统计年鉴[R/OL].(2023-05-17)[2023-08-02]http://www.nhc.gov.cn/mohwsbwstjxxzx/tjtjnj/202305/6ef68aac6bd14c1eb9375e01a0faa1fb.shtml
[18] 尚少梅,王翠,董旭,等. 对我国高等护理教育近20年发展的回顾与思考[J]. 中国护理管理,2021,21(9):1292-1295. DOI:10.3969/j.issn.1672-1756.2021.09.004.
[19] 郭燕红. 论专科护士发展现状和趋势[J].中国护理管理,2004,4(4):19-20.DOI:10.3969/j.issn.1672-1756.2004.04.009.
[20] 成守珍,陈玉英,王路英,等. 专科护士在我国的发展及展望[J]. 中国护理管理,2021,21(5):649-652. DOI:10.3969/j.issn.1672-1756.2021.05.003.
[21] 卫生部. 专科护理领域护士培训大纲[J]. 中国护理管理,2007,7(7):4-8. DOI:10.3969/j.issn.1672-1756.2007.07.001.
[22] 专科护士培养迎来“二十芳华”[N]. 健康报,2022-07-21(007).DOI:10.28415/n.cnki.njika.2022.002753.
[23] 安徽省卫生健康委员会.盘活优质护理资源,做实城市医联体试点工作方案(试行)[A/OL].(2017-07-27)[2023-08-02].https://wjw.ah.gov.cn/public/7001/52074831.htm
[24] 安徽省卫生健康委员会.关于印发安徽省高年资护士在医联体内医疗卫生机构执业注册管理的通知[A/OL].(2017-08-23)[2023-08-02].https://wjw.ah.gov.cn/ztzl/shylwstzgg/ygyj/51991861.html
[25] 张根柱. 护士处方权申请者资格和护理本科增设护士处方权相关课程研究[D]. 太原:山西医科大学,2012. DOI:10.7666/d.y2127104.
[26] 田雨同,张艳,余自娟,等. 三级医院护士对护士处方权的认知现状调查[J]. 护理研究,2019, 33(10):1649-1653. DOI:10.12102/j.issn.1009-6493.2019.10.003.
[27] 丁晓芳,夏华华,张敏,等. 关于中国护士是否需要护士处方权的探讨与研究[J]. 现代医药卫生,2007,23(12):1875-1876. DOI:10.3969/j.issn.1009-5519.2007.12.134.
[28] 凌冬兰,黎婉婷,钟美云,等.护士对护士处方权信念和态度量表的编制与信效度研究[J].全科护理,2021,19(5):581-586.
[29] 新时代护士处方权内容专家共识[J].新时代护士处方权内容专家共识[J].护理研究,2018,32(1):1-5.
[30] 新时代我国高级实践护士药物处方范围专家共识(续)[J].新时代我国高级实践护士药物处方范围专家共识(续)[J]. 护理研究,2021,35(24):4325-4342.DOI:10.12102/j.issn.1009-6493.2021.24.001.
[31] 王亚萍,韩世范,程金莲,等. 不同临床专科护士处方权申请者护士药物处方权通用培训大纲的构建[J].护理研究,2021,35(11):1909-1915. DOI:10.12102/j.issn.1009-6493.2021.11.006.
[32] 张倩,李明子,韩世范,等. 国际护士理事会2021年《护士处方权指南》解读[J]. 护理研究,2022,36(16):2827-2835. DOI:10.12102/j.issn.1009-6493.2022.16.002.
[33] 王亚萍,韩世范,朱瑞芳,等. 国际护士处方权教育培训的发展与启示[J]. 全科护理,2020,18(17):2069-2073. DOI:10.12104/ji.ssn.1674-4748.2020.17.005.
[34] 李红燕,丁萍. 护理门诊护士处方权的实施展望[J]. 护理管理杂志,2018,18(6):425-429. DOI:10.3969/j.issn.1671-315x.2018.06.011.
[35] 钟美霞,胡建萍,郑月,等.护士对《护士法》立法意愿和需求的调查分析[J].卫生软科学,2022, 36(6):59-63.DOI:10.3969/j.issn.1003-2800.2022.06.012.
[36] 国家卫生健康委.关于印发《全国护理事业发展规划(2021-2025年)》的通知[A/OL].(2022-04-29)[2023-08-08].https://www.gov.cn/zhengce/zhengceku/2022-05/09/content_5689354.htm
[37] 张根柱,韩世范,程金莲,等. 应用Delphi法对护理本科增设护士处方权相关课程的研究[J].全科护理,2012,10(23):2113-2115. DOI:10.3969/j.issn.1674-4748.2012.023.001.
[38] 李雪珠,李国宏. 专科护士培养与护理专业学位硕士研究生教育衔接的现状[J].护理研究,2020,34(1):115-118. DOI:10.12102/j.issn.1009-6493.2020.01.021.
[39] 林陶玉,方鹏骞. 疫情防控紧急状态下医院护理人力资源配置与动员管理策略[J]. 中国卫生事业管理,2020,37(5):332-334.
[40] 钟美云,凌冬兰,于红静,等. 护士对护士处方权的信念和态度现状及其影响因素分析[J]. 现代临床护理,2020,19(9):19-25. DOI:10.3969/j.issn.1671-8283.2020.09.004.
[1] KE Wen, GAO Xing-lian, YU Wen-jing, FANG Min, WANG Zeng-yan. Construction of nursing quality evaluation index system for prevention of perioperative hypothermia based on Structure-process-outcome model [J]. Journal of Nursing, 2024, 31(1): 1-6.
[2] HUANG Wen-yan, SONG Ling-hua, LIAO Shao-na, GONG Xue, YANG Chen , SONG Hui-juan. Mediating effect of regulatory emotion self-efficacy between narrative competence and rumination of ICU nurses [J]. Journal of Nursing, 2024, 31(1): 17-21.
[3] JI Yuan-yuan, WANG Jun, YU Jie, ZHANG Na-qin, OU Meng-xian. Construction of post competency-based standardized training index system for new neurosurgery nurses [J]. Journal of Nursing, 2024, 31(1): 27-30.
[4] YANG Na, HE Ping-ping, YU Xing, ZHOU Ying, TAO Mei-yi, ZHANG Liu-yi, ZHANG Hong-hui, ZHU Xiao-mei, HE Yan-juan. Construction of “Lifetime Flower” system of ideological and political education in advanced nursing practice and its practice [J]. Journal of Nursing, 2024, 31(1): 31-36.
[5] WANG Wei, LU Qian, SONG Yan-ru, KE Sang-sang, LIU Chun-lei. Methodological quality of studies on prediction model published in Chinese nursing core journals in recent five years [J]. Journal of Nursing, 2024, 31(1): 37-41.
[6] OU Yang-li, SHEN Jun, LI Miao, PENG Ying, LIAO Xiao-yan, ZHANG Hong, CHEN Li-yu. Best evidence summary for influencing factors of proactive health in disabled elderly people [J]. Journal of Nursing, 2024, 31(1): 58-63.
[7] LV Lu-yang, WANG Hua-fen, LU Fang-yan, WANG Yan, JIANG Shu-ying. Experience of readiness for discharge of family caregivers of children with liver transplantation: a qualitative study [J]. Journal of Nursing, 2023, 30(9): 13-17.
[8] YANG Yan, DONG Si-qin, ZHAO Bao-sheng, LI Zhen-xiang. Best evidence summary for exercise management for patients in early and middle stage of Parkinson's disease [J]. Journal of Nursing, 2023, 30(9): 37-42.
[9] PAN Shu-cheng, BIAN Li-fang, LUO Hua-fang, Huang Xu-ye, HUANG Fang-fang, ZENG Yi, WANG Wei. Knowledge and practice of nurses on deep vein thrombosis risk and prophylaxis: a cross-sectional survey [J]. Journal of Nursing, 2023, 30(8): 7-11.
[10] LI Hui-yuan, GUO Xue-qi, TANG Qi-qun, HU Hui-ju, YANG Jiao, CHEN Yao. Role of Subjective Cognitive Decline Questionnaire 21 in cognitive assessment of elderly people in nursing homes [J]. Journal of Nursing, 2023, 30(8): 12-16.
[11] FANG Lei, WANG Yan-bo, PEI Xiao, LI Fang. Teaching practice of mental health nursing based on introspective intelligence theory [J]. Journal of Nursing, 2023, 30(8): 29-33.
[12] CHEN Tong, BI Yu-qing, CHEN Qian, XUE Zi-chen, HUANG Jing-wen, LUO Sheng, LI Wei. Construction of evaluation index system of chronic disease nursing competency for elderly people in communities [J]. Journal of Nursing, 2023, 30(7): 1-4.
[13] FENG Ru-zhi, LI Jia, LIANG Jia-yi, GAO Yu-lin. Status quo of professional grief and its influencing factors among nursing 154 postgraduates [J]. Journal of Nursing, 2023, 30(7): 5-10.
[14] ZHENG Jing, GUAN Yu-xiang, ZHANG Ying, XU Juan, ZOU Ran, WANG Chao. Influencing factors of transformational leadership of head nurses in Hospitals of Traditional Chinese Medicine in Anhui Province: a 873-case study [J]. Journal of Nursing, 2023, 30(7): 16-19.
[15] GUO Man-jie, LI Na, ZHAO Yu, WANG Pin, YOU Si-meng, WANG Qing, JI Hong. Mediating effect of loneliness between short video addiction and sleep quality among nursing undergraduates [J]. Journal of Nursing, 2023, 30(7): 20-24.
Viewed
Full text


Abstract

Cited
  Shared   
[1] . [J]. Journal of Nursing, 2023, 30(11): 47 -52 .
[2] CHEN Jian, WANG Yuan, CUI Yan-li, LUO Yan-si, LIAO Lin, YAN Ming-yu, ZHANG Xiao-mei. Development trajectory of oral intake function in patients with post-stroke dysphagia and its influencing factors[J]. Journal of Nursing, 2023, 30(24): 1 -6 .
[3] . [J]. Journal of Nursing, 2023, 30(24): 7 -11 .
[4] ZHANG Zeng-mei, WANG Yu, ZHAO Hai-yun, ZHANG Ying, JIN Zi, NIE Yun-fei. Anchor-based teaching combined with Gibbs' reflective cycle in training for nurse specialists in Operating Room[J]. Journal of Nursing, 2023, 30(24): 12 -15 .
[5] ZHU Fen-fen, WANG Ting, QIN Kang. Effect of expert demonstration-based high-fidelity simulation on clinical judgment of nursing students in higher vocational college[J]. Journal of Nursing, 2023, 30(24): 16 -19 .
[6] . [J]. Journal of Nursing, 2023, 30(24): 20 -23 .
[7] . [J]. Journal of Nursing, 2023, 30(24): 24 -26 .
[8] ZHOU Shuai, JIANG Jin-fang, CUI Hong, BIE Feng-gui, ZHOU Pei-ming, SUN Qiang, TAN Ye. Best evidence summary for prevention and management of intraoperative corneal abrasions in patients undergoing general anesthesia for non-ocular surgery[J]. Journal of Nursing, 2023, 30(24): 27 -32 .
[9] KE Wen, GAO Xing-lian, YU Wen-jing, FANG Min, WANG Zeng-yan. Construction of nursing quality evaluation index system for prevention of perioperative hypothermia based on Structure-process-outcome model[J]. Journal of Nursing, 2024, 31(1): 1 -6 .
[10] GAO Ruo-nan, WANG Cui-ling, LI Ting-yu, TIAN Mei-yu, ZHANG Nan, ZHENG Rui. Construction of a dietary management program for postoperative oesophageal cancer patients based on Pender's health promotion model[J]. Journal of Nursing, 2024, 31(1): 12 -16 .