医疗和非医疗开处方者对远程开处方原则的遵守情况范围审查。

IF 3.4 3区医学 Q1 NURSING

Journal of Advanced Nursing Pub Date : 2025-09-08 DOI:10.1111/jan.70198

Michelle Lewington,Sharad Rayamajhi,Ruth E Paterson,Sonya Macvicar

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引用次数: 0

摘要

目的：检查远程处方中遵守高级原则的程度，并调查医疗和非医疗处方者如何遵守这些原则。DESIGNScoping审查。数据来源系统检索CINAHL、PubMed、Medline、Cochrane Database of systematic Reviews、Web of Science和Ovid Emcare数据库。在相关专业网站和谷歌Scholar上进行灰色文献检索。文献检索时间为2007年1月至2025年3月。研究结果上传到Raayan进行管理和证据选择。两名审稿人使用结构化数据提取表格独立地对论文进行评分和评估。《联合王国远程咨询和处方良好做法高级别原则》作为演绎清单内容分析的编码框架。结果搜索确定了6870项研究。在对题目和摘要进行筛选后，对54篇全文进行了综述，筛选出14篇研究进行分析。对高级别原则的遵守是有限和不一致的。数据类别分为5个主题：(1)患者隐私和脆弱性；(2)充分评估；(3)指南和循证处方；(4)调查和安全网；(5)组织安全和创建安全系统。结论：本综述深入了解了医生在远程处方实践中遵守治理原则所面临的挑战。然而，没有发现关于非医疗处方者如何将远程处方管理纳入其实践的研究。远程处方已经牢固地嵌入到当前的医疗保健系统中，需要强有力的治理来保障患者的治疗结果。进一步研究探索非医疗处方者如何将高水平原则融入实践，将为这一群体的处方治理提供信息。患者或公众贡献由于范围审查仅关注现有文献，因此未寻求患者或公众贡献。

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Adherence to Remote Prescribing Principles by Medical and Non-Medical Prescribers; a Scoping Review.

AIM To examine the extent of adherence to high-level principles in remote prescribing and investigate how medical and non-medical prescribers comply with these principles. DESIGN Scoping Review. DATA SOURCES A systematic search of CINAHL, PubMed, Medline, the Cochrane Database of Systematic Reviews, the Web of Science, and the Ovid Emcare databases was performed. A grey literature search was conducted on relevant professional websites and Google Scholar. Literature was searched from January 2007 to March 2025. REVIEW METHODS Research results were uploaded to Raayan for management and selection of evidence. Two reviewers independently scored and appraised papers using a structured data extraction form. The 'United Kingdom High-level Principles for Good Practice in Remote Consultations and Prescribing' served as a coding framework for deductive manifest content analysis. RESULTS Searches identified 6870 studies. After screening the title and abstract, 54 full texts were reviewed, and 14 studies were identified for analysis. Adherence to high-level principles was limited and inconsistent. Data categories were developed into 5 themes: (1) Patient privacy and vulnerability, (2) Adequate assessment, (3) Guidelines and evidence-based prescribing, (4) Investigations and safety netting, and (5) Organisational safety and creating safe systems. CONCLUSION This review provided insight into the challenges that medical prescribers face when adhering to governance principles during remote prescribing practice. However, no research about how non-medical prescribers integrate remote prescribing governance into their practice was found. IMPACT Remote prescribing has become firmly embedded within the current healthcare system and robust governance is required to safeguard patient outcomes. Further research exploring how non-medical prescribers integrate the high-level principles into practice will inform prescribing governance for this group. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution was sought as the scoping review focused solely on the existing literature.

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来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.