The Educational Terrain of Preparing Registered Nurses to Prescribe: An Environmental Scan.

Expanded nursing roles are being explored in Canada as a means to better support the health of the population, enable access to quality care and contribute to the sustainability of the healthcare system. As Canada embarks on a process of developing and implementing registered nurse (RN) prescribing roles, gathering evidence from jurisdictions with established nurse prescribing is helpful to inform policy development. Of particular interest is literature from the UK, with more than 20 years of experience with nurse prescribing, which identifies the importance of completing graduate pharmacological education and building on existing clinical knowledge and experience. Similar models of RN prescribing education have been adopted in New Zealand and Ireland. Within Canada, the RN prescribing role is still in its infancy, and there is some variation among provinces in the approach to prescribing practices and in RN prescribing education. This paper describes the results of an environmental scan that sought to explore the educational practices of national and international jurisdictions through published and grey literature sources. Findings from this environmental scan will support nurse leaders as they develop RN prescribing regulation and education in Canada and will highlight important areas for further knowledge development.

Numeracy and nurse prescribing: do the standards achieve their aim?

The new standards of proficiency for Nurse and Midwife prescribers have been in place for 4 years and have provided a challenge for education providers and students alike. Many students find the pass mark of 100% for numeracy a frightening prospect, the way numeracy is assessed can vary across the higher education institutions adding to the complexity of the problem. Drug calculation remains a challenge for the nursing profession and the standards for numeracy assessment in nurse prescribing add more to the debate.