We use cookies to ensure that we give you the best experience on our website Learn more

Jun 8, 2017

The Joint Annual Conference of the British Association for Sexual Health and HIV & the Society for the Study of Sexually Transmitted Diseases in Ireland

A comparison of the clinical safety of independent nurse prescribing (INP) and use of patient group directions (PGDs) by nurses in UK sexual health clinics.

;

Adam Black;

Molly Courtenay;

Heather Gage;

Christine Norton;

Bryony Dean Franklin

nurse prescribing

patient group direction

sexual health nurse

safety

Abstract

Abstract

thumbnail

Keywords

nurse prescribing

patient group direction

sexual health nurse

safety

Abstract

Introduction: Under UK legislation, nurses independently prescribe or supply medications using PGDs, but evidence on safety in clinical practice is limited. Methods: Clinical record review across five UK sexual health services, July-December 2015. Sample size quota stratified based on the number of INP/ PGD practising nurses. Documented patient presentations, diagnoses, autonomy and safety/ appropriateness of medication delivery were compared between INP and PGDs. Results: From 1,851 (INP=711, 38%; PGD=1,140, 62%) clinical records, 50% (n=933) involved medication delivery. INP delivered medication more frequently (INP= 385/711, 54% vs. PGD=548/1,140, 48%; p=0.01). A total of 879 medication assessments were undertaken (INP=399, PGD=480), 70% (n=611/879) were ‘new’ care episodes. Past medical history, concurrent medications and allergy risk assessments were recorded >85% (n=755/879) of cases. INP managed more symptomatic presentations (n=182/399, 46%: asymptomatic n=120/399, 30%); PGD managed marginally more asymptomatic (n=220/480, 46%; symptomatic n=201/480, 42%). INP worked more autonomously than PGDs (INP=310/399, 78%; PGD=308/480, 64%, p<0.01). INP most frequently managed chlamydia (n=53/399, 13%), PGDs most frequently administered vaccinations (n=80/480, 17%). Nurses delivered 66 different products, 1,351 individual medicines, azithromycin being most common (n=231/1351, 17%). Overall, 84% (n=738/879) of episodes were assessed against guidelines as ‘safe and appropriate’ (INP=358/399, 90%; PGD=380/480, 80%). Main reason for not ‘safe and appropriate’ was lack of documentation (n=56/104, 54%). PGDs were, although clinically appropriate, used outside their limits in 13% (n=63/480) of consultations. Discussion: INP deliver medications more frequently and work more autonomously than PGD users. Both groups were comparable in safe/ appropriate medication delivery. Improved documentation is recommended.

Discover over 20,000 new abstracts, posters and presentations from leading academic conferences every month. Stay on top of the latest findings, methodologies and discussions happening in your research field around the world.

Company

Legal

Follow us

© Copyright 2019 Morressier GmbH. All rights reserved.

© Copyright 2019 Morressier GmbH.
All rights reserved.