Watson, Chanel Louise (2020) PRESCRIPTION FOR CARE? An exploration of the experiences of nurse and midwife prescribers in the maternity setting. PhD thesis, National University of Ireland Maynooth.
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Abstract
Introduction and Background: Nursing/midwifery practice are continually 
evolving and the introduction of prescriptive authority for nurses/midwives in 2007 
is one of the most significant changes in recent years. Nurses/midwives in Ireland 
can engage in prescribing decision making within their scope of practice following 
educational preparation and with support from their employer. Though 
prescriptive authority brings benefits for patients and practitioners, questions 
have been raised about how caring and nurse/midwife identity may be affected. 
Given prescribing was once the sole remit of doctors within healthcare, 
nurse/midwife prescribing raises issues in relation to role boundaries which can 
affect identity. This research aims to explore the experiences of nurse/midwife 
prescribers (RNPs) in order to generate practitioner-based knowledge with the 
potential to inform education and research, policy and practice. 
Methodology: This qualitative study is influenced by hermeneutic 
phenomenology. Ethical approval and permission to access the research sites 
was obtained and a gatekeeper forwarded study information to potential 
participants. 16 participants from 2 maternity hospitals participated in one to one 
semi-structured interviews which were audio-recorded and transcribed. 
Interviews were coded and codes categorised, allowing themes to emerge.  
Results: Findings suggest that the introduction of prescriptive authority was an 
important point in the professionalisation of nursing/midwifery. Prescriptive 
authority contributes to the empowerment of nurses/midwives but factors which 
influence the extent to which this happens have been identified.  Prescriptive 
authority enhances nursing/midwifery identity and compliments 
nursing/midwifery practice, facilitating a more agentic practitioner, though 
challenges to this have also been identified. 
Conclusion:  
This study provides a rich account of the practice and experiences of RNPs in 
the maternity setting, developing knowledge directly from those experiences. 
Findings from this research can inform those with direct responsibility for the 
regulation of prescribing practice and those responsible for education and 
research in the context of nurse/midwife prescribing
  
  | Item Type: | Thesis (PhD) | 
|---|---|
| Keywords: | Prescription; care; exploration; experiences; nurse and midwife prescribers; maternity setting; | 
| Academic Unit: | Faculty of Social Sciences > Adult and Community Education | 
| Item ID: | 13615 | 
| Depositing User: | IR eTheses | 
| Date Deposited: | 17 Nov 2020 15:27 | 
| Use Licence: | This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here | 
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