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dc.contributor.advisorMorris, Caroline
dc.contributor.advisorMcKinlay, Eileen
dc.contributor.authorTaylor, Robyn Anne
dc.date.available2015-10-02T01:41:40Z
dc.date.copyright2015
dc.identifier.citationTaylor, R. A. (2015). Stakeholders’ views of the Use of Standing Orders in General Practice (Thesis, Master of Primary Health Care). University of Otago. Retrieved from http://hdl.handle.net/10523/5915en
dc.identifier.urihttp://hdl.handle.net/10523/5915
dc.description.abstractBACKGROUND : Standing orders are an integral part of general practice in New Zealand. They allow a practice nurse (PN) to assess a patient, diagnose an illness and administer a medication without needing intervention from a general practitioner (GP). Their use is usually in relation to common differentiated illness. There is a paucity of research on the use of standing orders in general practice, either in New Zealand or internationally. The aim of this study is to explore organisational stakeholders’ views of standing order use in general practice in New Zealand. RESEARCH DESIGN AND METHODS : Inductive thematic analysis was used in this qualitative study to identify and report emerging themes from the data collected from eight semi-structured interviews with participants representing key stakeholder organisations from nursing, medicine and pharmacy. RESULTS : There were three key themes. The first being a lack of understanding on the use of standing orders at organisational stakeholder level. The second was legal and professional concerns for those using standing orders. The third theme related to the potential impact of standing orders on nursing practice. However, all participants saw standing orders as a useful tool to enable patients access to medications in a timely, effective manner while also enhancing nursing practice. CONCLUSION : The variability of understanding and use of standing orders and a lack of knowledge as to legal and professional requirements on the part of GPs and PNs may, in part, be related to a lack of resources to provide information, training and advice. National standardisation of standing order templates, appropriate training on assessment and diagnosis for PNs and education on the legal requirements for GPs and PNs may address these issues. Standing orders were perceived by stakeholders to be a useful tool in general practice to enable patients to be seen and treated by PNs in an effective, timely fashion without the need to involve a GP. They were also a potential mechanism to enhance nursing practice and a possible solution to the expected general practice workforce shortages in the future.
dc.language.isoen
dc.publisherUniversity of Otago
dc.rightsAll items in OUR Archive are provided for private study and research purposes and are protected by copyright with all rights reserved unless otherwise indicated.
dc.subjectStanding orders
dc.subjectgeneral practice
dc.subjectprimary health care nurse
dc.subjectmedicines
dc.subjectgeneral practitioner
dc.subjectpractice nurse
dc.subjectcommunity pharmacist
dc.titleStakeholders' views of the Use of Standing Orders in General Practice
dc.typeThesis
dc.date.updated2015-10-02T00:19:33Z
dc.language.rfc3066en
thesis.degree.disciplineDept of Primary Health Care & General Practice, University of Otago Wellington
thesis.degree.nameMaster of Primary Health Care
thesis.degree.grantorUniversity of Otago
thesis.degree.levelMasters
otago.interloanno
otago.openaccessAbstract Only
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