This book provides an accessible context that outlines the issues in relation to CPD (Continuing Professional
Development) and non-medical prescribing, including the legal and professional frameworks within which non-medical prescribers practise. It also provides practical examples of working, usable documents as well as resources to ensure that non-medical prescribers can remain up to date within the diversity of settings in which they undertake their prescribing roles. Each of these is contained either within the chapter itself or as a related key resource in a third section.
The book consists of three sections; the first consists of four chapters, each of which explores a fundamental aspect of the principles of CPD for non-medical prescribers. This section refers to overarching and organisational issues that impact on non-medical prescribing. The pace at which non-medical prescribing has developed is remarkable, and following the initial changes in the law that impacted on the development of prescribing was difficult. Subsequent to the opening up of non-medical prescribing to allow nurses and pharmacists to prescribe from the British National Formulary (BNF) rather than restricted lists of medications, there has been a slower momentum of change but it remains difficult to keep ahead of consultations and legal and professional developments. An initial chapter by Marion Waite,Keeping Up to Date with Legal and Professional Issues outlines the current legal and professional frameworks that support non-medical prescribing and offers a series of accessible resources and approaches for keeping up to date.
Subsequent chapters in Section One deal with organisational issues in relation to non-medical prescribing, as well as offer resources that support the organisation, the employer and the individual in accessing CPD. Anne Smith and Sanjay Desai in Prescribing Practice from the Employers’ Perspective: The Rationale for CPD within Non-medical Prescribing outline the importance of the role of the non-medical prescribing lead within an organisation in supporting the role of non-medical prescribers as well as managing competing demands on resources. They discuss the importance of ensuring that non-medical prescribers remain safe and competent to provide a high standard of patient care. Michael Fanning in Developing an Organisational Non-medical Prescribing Policy that Supports Continuing Professional Development discusses clinical governance issues in relation to prescribing, through the process of developing an organisational policy for non-medical prescribing that supports the importance of CPD. In Organising Continuing Professional Development for Non-medical Prescribers at a Regional Level, Fiona Peniston-Bird provides an overview of the structure of the National Health Service (NHS) in England, Scotland and Wales and how this relates to the development of the non-medical prescribing role. It includes lessons learned from networking within a national forum, and how these translate to organising CPD at a regional level.
Section Two consists of five chapters, each of which explores a different approach to facilitating CPD for non-medical prescribers. This takes into account differing learning styles, the diversity of non-medical prescribers and the accessibility to resources that may be available to support CPD. E-learning has become a feature of many formal courses, but there are significant advances in this field that support non-medical prescribers. In Using e-Learning to Support Continuing Professional Development for Non-medical Prescribers, Marion Waite offers a practical guide to the use of blended learning for non-medical prescribers that includes principles of designing online learning activities and the potential use of other learning technologies within an NHS organisation or Trust. The chapter is based on an evaluation project of CPD e-learning at regional NHS level as well as the practical experience of running blended learning in non-medical prescribing courses and non-medical prescribing CPD updates. A non-medical prescriber and an organisational non-medical prescribing lead, Jan Keenan has used action learning to facilitate CPD as well as organise the delivery of CPD in a large organisation as well as at speciality level. The chapter Action Learning and Learning Sets concerns itself with some of the theoretical aspects of action learning and, in addition, offers the benefit of experience in developing support systems for prescribers. This includes examples of how to involve non-medical prescribers in CPD activity within a busy organisation as well as how non-medical prescribers can raise the profile of service developments and the profile of non-medical prescribing as an essential component of service delivery.
Nicola Stoner presents the chapter on Keeping Up to Date with Pharmacology, which outlines the principles of prescribing effectively and safely. The chapter outlines the importance of keeping up to date with pharmacology within a prescribing role. All non-medical prescribers will have been introduced to general principles of pharmacology during their initial non-medical prescriber training. This acts as a revision guide for those principles and is supported by a section on techniques to support the teaching and learning of pharmacology within practice. The chapter also identifies key sources of support and advice for pharmacological or drug knowledge within practice and identifies the role of a supervisory relationship in order to support this.
Dr Mandy Fry outlines the potential opportunities for CPD for non-medical prescribers in the chapter Organising Continuing Professional Development for Non-medical Prescribers in a General Practice Setting. There is a particular focus on the continued importance and use of mentors for preceptorship for the newly qualified non-medical prescriber, taking into account the context of general practice and the resources and sources of support and advice, which may be accessible within this setting. Dr Dan Lasserson offers a practical guide to setting up a journal club in clinical practice and focuses on evidence-based prescribing issues. His chapter, Organising and Running a Journal Club for Non-medical Prescribers, also considers why evidence-based practice is important for the prescriber and outlines techniques and strategies for getting evidence into practice. The chapter additionally deals with how to get others on board and maintain momentum in the longer term.
Section Three offers key resources and practice examples for non-medical prescribers. It contains nine appendices, each of which relates to one chapter and contains usable resources in order to provide CPD for non-medical prescribers. Each appendix identifies further resources and includes some practical ideas, tools and objects, which may be transferred to a variety of settings. All of these have been drawn from examples that are currently in use at a local, regional and national level to support CPD, and each has been critically appraised for reliability and validity.
The contributors to this book are all health professionals from a variety of backgrounds, who have experience and expertise in supporting, developing or delivering CPD for non-medical prescribers and other groups of health-care professionals. Our aim has been to draw together their expertise and experience in the provision of CPD and to offer a variety of trusted and usable resources to support non-medical prescribers.
Key Features
- Includes legal and professional frameworks.
- Tied in closely with the latest government guidelines and standards, including guidance from the NMC as well as the Royal Pharmaceutical Society of Great Britain (RPSBG).
- Includes contributions from health professionals from a variety of backgrounds.
- Suitable for non-medical prescribers, as well as their managers, practice managers and prescribing leads responsible for providing CPD.
Contents
Section One: General Principles for Continuing Professional Development for Non-Medical Prescribers.
1 Keeping Up to Date with Legal and Professional Frameworks for Non-Medical Prescribing (Marion Waite).
- Introduction.
- The law as it applies to medicines.
- The law as it applies to non-medical prescribing roles.
- Professional standards as applied to non-medical prescribing.
- Conclusion.
- References.
2 Prescribing Practice from the Employer’s Perspective: The Rationale for CPD within Non-Medical Prescribing (Anne Smith and Sanjay Desai).
- Introduction.
- The organisational importance of continuing professional development.
- Continuing education and continuing professional development.
- The manager’s obligation to provide continuing professional development.
- Identifying and meeting local learning needs.
- Professional guidance.
- Organisational responsibility – the role of the Trust’s non-medical prescribing lead.
- Meeting organisational and individual needs for CPD.
- Identifying opportunities for CPD.
- Monitoring CPD as part of appraisal.
- Maintaining the service.
- Conclusion.
- References.
- Useful websites.
3 Writing and Maintaining a Non-Medical Prescribing Policy for Your Organisation (Michael Fanning).
- Introduction.
- Background to clinical governance.
- Developing the policy
- Clinical governance.
- Patient information.
- Selection of potential prescribers.
- Monitoring practice.
- Organisational roles and responsibilities.
- Useful contacts.
- Final section.
- Conclusion.
- References.
4 Organising CPD for Non-Medical Prescribers at a Regional Level (Fiona Peniston-Bird).
- Introduction.
- The structure of the NHS within the United Kingdom.
- The national context for the development of non-medical prescribing.
- The role of a regional non-medical prescribing facilitator.
- The role of Trust NMP leads.
- Organising CPD via a local forum.
- Delivering CPD via a local forum.
- Reflection: providing CPD for non-medical prescribers.
- Where are we now?
- Commissioning CPD for non-medical prescribers.
- Conclusion.
- References.
Section Two: Specific Approaches to CPD for Non-Medical Prescribers.
5 Using E-learning for CPD within Non-Medical Prescribing (Marion Waite).
- Introduction.
- Background.
- How can learning technologies be used in practice?
- Using a virtual learning environment (VLE).
- Planning a blended learning activity.
- When things do not go well.
- Web 2.0 technologies.
- Electronic portfolios.
- Review of National Prescribing Centre online resources for non-medical prescribers.
- Other online resources.
- Building and sharing your own database of online prescribing resources.
- Conclusion.
- References.
- Useful websites.
6 Action Learning and Learning Sets (Jan Keenan).
- Introduction.
- Action learning.
- Who will benefit from action learning?
- What kind of organisationmakes action learning a success?
- Putting action learning into practice.
- Practical experience – learning sets in a single speciality.
- Additional benefits of action learning and learning sets.
- Conclusion.
- References.
7 Keeping Up to Date with Pharmacology (Nicola Stoner).
- Introduction.
- Background and the need to keep up to date with pharmacology.
- Pharmacology education for non-medical prescribers.
- Key elements of pharmacology.
- Pharmacodynamics.
- Pharmacogenetics.
- Drug interactions.
- Adverse drug reactions.
- Pharmacology teaching and learning exercises.
- Resources to support prescribers in keeping up to date with pharmacology.
- Maintaining current awareness.
- Key sources of support and advice.
- The role of the supervisory relationship.
- Conclusion.
- References.
8 Organising CPD for Non-Medical Prescribers in a General Practice Setting (Mandy Fry).
- Introduction.
- The science and art of medicine in general practice.
- The role of professional artistry and building community.
- Making the most of existing educational opportunities.
- Mentoring and critical friendship
- Conclusion.
- References.
9 Organising and Running a Journal Club for Non-Medical Prescribers (Dan Lasserson).
- Introduction.
- Why run a journal club and what makes them effective?
- Organising a journal club.
- Running a journal club.
- What skills do people need to take part?
- Finding research to discuss in a journal club.
- Presenting and discussing research at a journal club.
- Conclusion.
- References.
- Further reading.
- Useful websites.
Section Three: Key Resources and Practice Examples for Non-Medical Prescribers.
Appendices
Appendix 1 Key Resources for Keeping Up to Date with Legal and Professional Frameworks for Non-Medical Prescribing.
- 1:1 Useful websites.
- 1:2 Example job description that includes non-medical prescribing as a key element of the role.
- 1:3 Acknowledgements.
- 1:4 Answers to ‘Test your knowledge about the law as it applies to non-medical prescribing’ quiz.
Appendix 2 Prescribing Practice from the Employer’s Perspective: The Rationale for CPD within Non- Medical Prescribing.
- 2:1 Useful websites.
- 2:2 Example of a clinical governance tool for a health-care organisation to support nonmedical prescribing.
- 2:3 Acknowledgements.
Appendix 3 Writing and Maintaining a Non-Medical Prescribing Policy for Your Organisation.
- 3:1 Useful websites.
- 3:2 Example non-medical prescribing policy for a health-care organisation.
- 3:3 Acknowledgments.
Appendix 4 Organising CPD for Non-Medical Prescribers at a Regional Level.
- 4:1 Useful websites.
- 4:2 How to organise groupwork for a non-medical prescribing CPD event.
- 4:3 How to facilitate a networking session for a non-medical prescribing CPD event.
- 4:4 Acknowledgements.
Appendix 5 Using E-learning for CPD within Non-Medical Prescribing.
- 5:1 Useful websites.
- 5:2 JISC Effective E-learning Planner.
- 5:3 Acknowledgements.
Appendix 6 Action Learning and Learning Sets.
- 6:1 Making the connections – using healthcare professionals as prescribers to deliver organisational improvements.
- 6:2 Acknowledgements.
- 6:3 A prescribing case history presented during an action learning group.
- 6:4 Examples of good practice in keeping prescribers up to date with current evidence and practice.
Appendix 7 Keeping Up to Date with Pharmacology.
- 7:1 Useful websites.
- 7:2 Answers to pharmacology self-test multi-choice questions.
- 7:3 Acknowledgements.
Appendix 8 Organising CPD for Non-Medical Prescribers in a General Practice Setting.
- 8:1 Prescribing points.
Appendix 9 Organising and Running a Journal Club for Non- Medical Prescribers.
- 9:1 Example of how to use PICO to build a search strategy.
- 9:2 Acknowledgements.
Index.
About the Author
- Marion Waite is Senior Lecturer in the School of Health and Social Care, Oxford Brookes University, where she leads the Non-Medical Prescribing Course. She is also a visiting diabetes specialist nurse at a GP practice and a nurse prescriber.
- Jan Keenan is Consultant Nurse in Cardiac Medicine at Oxford Radcliffe Hospitals NHS Trust. She is the Organisational CPD lead and Nursing Lead for non-medical prescribing, and a nurse prescriber.
Product Details
- Paperback: 256 pages
- Publisher: Wiley-Blackwell; 1 edition (2010)
- Language: English
- ISBN-10: 140517885X
- ISBN-13: 978-1405178853
- Product Dimensions: 6.8 x 0.6 x 9.7 inches
List Price: $50.99