Nurse Prescribing in America: Scoping Review

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Maryam Rassouli Maryam Rassouli; Alhani Fatemeh; Rassouli Maryam

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Journal Paper

Paper Information

Journal: Journal of Nursing Education Year:2025 | Volume:14 | Issue:2 Page(s): 47-71

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Information Journal Paper

Title

Nurse Prescribing in America: Scoping Review

Author(s)

Maryam Rassouli Maryam Rassouli | Alhani Fatemeh | Rassouli Maryam | Issue Writer Certificate

Keywords

Advanced Practice Nursing

prescribing

Education

Practice

Scoping Review

USA

Abstract

Introduction: In the United States, nurse practitioners with master's and doctoral degrees diagnose and treat the health problems of various population groups in a manner similar to physicians due to physician shortages in rural areas. This study aims to review the various aspects of nurse prescribing in the United States as a model for policymaking and the development of this role in Iran. Methods: By Scoping Review (Arksey & O'Malley, 2005), in the Google Scholar search engine and the PUBMED database, with inclusion criteria such as English language articles and documents related to various aspects of nurse prescribing in USA were sought between 2010 and 2022. Also rules and regulations, guidelines and websites of the American universities searched for the Google search engine. Qualitative Elo and Kyngäs (2008) was used to analyze the data. The Prisma-Scr checklist was used to report the results. Results: 16 articles, four websites, five guidelines, and four nursing associations were included. Six main emerged categories including the development of the advanced Practice nurse role and barriers, competencies and characteristics, roles and activities, scope of Practice, Education, prescribing regulations along with 21 general categories. Conclusion: In the United States, a postgraduate advanced nurse with special nurse prescribing training, has a legal authorization to prescribe. Increasing patient and nurse satisfaction, providing accessible and low-cost care, especially in low-income areas, is the consequences of these nurses' Practice. Physician opposition to expanding the nurse prescribing role, the need for collaboration and physician supervision, and reimbursement policy regulations are challenges to their performance. Drawing on a review of nurse prescribing in leading countries, it is possible to derive a model to inform the policy development of nurse prescribing in Iran.

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