Exploring the Employer Perspective on the Implementation of Registered Nurse Prescribing in Nova Scotia

Abstract

Nurse prescribing has been implemented internationally for over 20 years in response to growing demands for healthcare services and demographic shifts. Nova Scotia is examining opportunities for innovative healthcare delivery models that optimize the scopes of practice of existing health professionals. The objective of this study was to explore the perspectives of employers on the implementation of registered nurse (RN) prescribing in Nova Scotia. Using a qualitative descriptive design, employers from primary healthcare, long-term care, home care and mental health were interviewed. Results revealed that employers believe that RN prescribing will improve access to timely and appropriate care, specifically in the areas of palliative care, wound care, and medication management, as well as promote interprofessional practice, ensure patient safety, and offer continuity between the nurse and the patient. By exploring known barriers and facilitators, these findings support policies that will impact Nova Scotian’s access to timely and appropriate healthcare services.