Challenges to nurse prescribers of a no-antibiotic prescribing strategy for managing self-limiting respiratory tract infections

Journal of Advanced Nursing
Samantha RowbothamSarah Peters

Abstract

To report a qualitative study of the experiences of nurse prescribers in managing patients with self-limiting respiratory tract infections. Patients frequently attend primary care with respiratory tract infections. Although a no-prescribing strategy is recommended for these consultations, general practitioners frequently prescribe antibiotics, citing non-clinical reasons such as patient pressure. Nurses increasingly manage people with respiratory tract infections, but research has not yet explored their experiences within such consultations. Semi-structured interviews and focus groups. Fifteen semi-structured interviews and three focus groups (n=5, n=4, and n=12) with a purposive sample of nurse prescribers (n=34) and other non-medical prescribers (n=2) were conducted between November 2009-November 2010. A qualitative approach was used to develop conceptual categories from the dataset, and emerging themes were explored in subsequent interviews/focus groups. Although participants reported experiencing numerous challenges within these consultations, they believed that they possessed some of the communication skills to deal effectively with patients without prescribing antibiotics. Participants reported that protocols supported th...Continue Reading

References

Mar 1, 1988·Journal of Advanced Nursing·A Close
May 1, 1987·Journal of Advanced Nursing·J D TilleyV Thiessen
Jun 1, 1996·Family Practice·P Little, I Williamson
Mar 8, 1997·BMJ : British Medical Journal·P LittleA L Kinmonth
Jun 19, 2001·Lancet·O CarsA Melander
Aug 21, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·R GonzalesM A Sande
Jan 18, 2003·BMJ : British Medical Journal·Satinder KumarNicky Britten
Aug 16, 2003·Journal of Clinical Nursing·Susan Wilhelmsson, Mats Foldevi
Mar 12, 2004·Journal of Advanced Nursing·Alison E While, Kathryn S M Biggs
Jun 24, 2005·JAMA : the Journal of the American Medical Association·Paul LittleIan Williamson
Jul 23, 2005·Scandinavian Journal of Primary Health Care·Petur Petursson
May 23, 2006·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·Marion E HareRonald I Shorr
Aug 4, 2006·Quality & Safety in Health Care·M M Walton
Nov 7, 2006·International nursing review·K MilesM McGilvray
Feb 10, 2007·The Journal of Antimicrobial Chemotherapy·David Reeves
Apr 20, 2007·Journal of General Internal Medicine·Peter SalmonRichard Morriss
Sep 14, 2007·The Journal of Antimicrobial Chemotherapy·Irene PetersenUNKNOWN SACAR Surveillance Subgroup
Sep 14, 2007·The Journal of Antimicrobial Chemotherapy·Cliodna A M McNultyPeter Davey
Oct 27, 2007·The Lancet Infectious Diseases·Jarold L CosbyChristopher C Butler
Sep 20, 2008·BMJ : British Medical Journal·Otto CarsGöran Tomson
May 1, 2010·Evidence-based Mental Health·Sarah Peters
Dec 14, 2011·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Sarah PetersCarolyn Chew-Graham

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Citations

Dec 17, 2014·Journal of Interprofessional Care·Molly CourtenaySarah Peters
Mar 19, 2016·Journal of Clinical Nursing·Valerie NessJacqueline Reilly
Aug 28, 2015·The Journal of Antimicrobial Chemotherapy·Valerie NessJacqui Reilly
Mar 28, 2018·Nursing Standard·Molly Courtenay
Jul 6, 2017·Journal of Advanced Nursing·Aseel S AbuzourMary P Tully
Dec 30, 2014·British Journal of Nursing : BJN·Aikaterini Toska, Mary Geitona
Nov 26, 2013·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Yafang HuangAimin Guo
Jun 20, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Evi GermeniNicky Britten
Apr 16, 2019·The Cochrane Database of Systematic Reviews·Akram Karimi-ShahanjariniChristopher J Colvin
Jul 19, 2019·Journal of Clinical Nursing·Tammy O'RourkeRichard Golonka
Jul 3, 2019·British Journal of Community Nursing·Angel Chater, Molly Courtenay
Feb 21, 2021·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Daniel SpillaneJennifer H Acton

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