Читать книгу The Advanced Practice Registered Nurse as a Prescriber - Группа авторов - Страница 21

Some barriers may impede rather than facilitate role transition and the APRN’s assumption of the prescriber role. Prescribing is the aspect of the APRN role most commonly constrained by legal requirements for physician collaboration or supervision. Prior to obtaining CS prescriptive authority, Washington State APRNs experienced numerous barriers to assure their patients received the CSs they needed. The three most common barriers were physician concern about possible liability as a collaborator, a physician and NP choosing different drugs, and physician reluctance to prescribe drugs selected by the NP (Kaplan & Brown, 2004). For APRNs in states with required collaborative agreements or supervision for prescribing, thoughtful conversations with a physician colleague may reduce misconceptions and discord. Even in states with full practice authority, physicians who employ APRNs may expect to have input into an APRN’s prescribing decisions.