耳鼻喉科护士药物处方权内容研究

Study on contents of prescribing right of nurses in otolaryngology department

目的:探讨我国三级甲等医院符合处方权申请者资质的耳鼻喉科护士可开具的耳鼻喉科药物具体的处方药物及其处方形式。方法:通过文献分析法和专家半结构访谈法初步制定耳鼻喉科护士可开具的药物作为专家咨询问卷的主要内容,运用德尔菲法对医疗及护理专家进行2轮咨询,以确定耳鼻喉科护士处方权内容及处方形式。结果:2轮专家积极系数分别为87.50%和82.14%,专家权威系数分别为0.81和0.84。最终确定我国三级甲等医院耳鼻喉科护士可开具的外科用药为三大类、38种药物,其中11种药物处方形式倾向于协议处方,12种药物倾向于独立或协议处方,11种药物倾向于独立处方,1种药物倾向于独立处方或延长处方。结论:符合处方权申请资质的耳鼻喉科护士可开具38种耳鼻喉科药物,处方形式以协议处方、独立处方或协议处方以及独立处方为主。

Objective:To discuss the specific prescription drugs and prescription forms of otolaryngology drugs that can be issued by otolaryngology nurses who conform to the prescribing power applicant qualification in tertiary grade A hospitals.Methods:The drugs that could be prescribed by otolaryngology nurses were preliminarily established through literature analysis and expert semi-structured interview.As the main content of expert consultation questionnaire,medical and nursing experts were consulted by Delphi method for 2 rounds to determine the contents of prescribing rights and prescription forms of otolaryngology nurses.Results:The positive coefficient and authority coefficient were 87.50% and 82.14%,0.81 and 0.84,respectively.Finally,it was determined that there were three major categories of surgical drugs,38 kinds of drugs,among which 11 kinds of drugs tended to be prescribed in the form of protocol prescription,12 kinds of drugs tended to be independent or protocol prescription,11 kinds of drugs tended to be independent prescription,1 kind of drug tended to be independent prescription or extended prescription.Conclusion:Otolaryngology nurses who meet the qualification of prescribing right application can prescribe 38 kinds of otolaryngology drugs,mainly in the form of protocol prescription,independent or protocol prescription and independent prescription.