Professional legal and ethical issues in prescribing practice. 1 Frequency of occurrence of specific ethical problems 4.

Professional legal and ethical issues in prescribing practice By ensuring that practice is evaluated and monitored, knowledge updated, patient experience will be improved leading to increased concordance, adherence and better health outcomes. Jun 22, 2019 · This chapter explores professional, legal, and ethical issues in the context of advanced professional practice. 1 Opinion within sectors 4. Experts have explored ethical issues in opioid prescribing and pain management in the AMA Journal of Ethics® (@JournalofEthics) and have examined numerous perspectives Jul 20, 2022 · This is the second of two articles exploring the core professional, legal and ethical dimensions of prescribing. Chichester: Wiley-Blackwell; 2016. This first article identifies the main professional The prescribing practice of a range of healthcare practitioners has developed over the years through a series of amendments to medicines law. There have been huge changes as a result of recent common law decisions regarding patient autonomy and the role of the healthcare practitioner when enabling a person to make a decision about their care. The three main principles This Professional Ethical Legal Communication Issues informing NM Prescribing Clinical Practice - Micro-credential module at Trinity College Dublin will facilitate learners to explore their role as prescribers and the factors that influence this role in context of their role, function and responsibilities as a nurse or midwife. Feb 11, 2020 · This essay will discuss the underpinning professional, ethical and legal principles of nursing using the standards of conduct outlined by the professional regulatory body; the Nursing and Midwifery Co Feb 21, 2022 · This is the second of two articles exploring the core professional, legal and ethical dimensions of prescribing. 4. The essay will focus on a practice based scenario and will include two ethical principles, these being, Non-Maleficence and Beneficence. K eywords Clinical, Duty of care, Ethical issues, Ethical practice, Legal issues, Medicines, Mental capacity act, Nurse prescribing,Prescribing, Prescription medicines, Professional Feb 7, 2020 · High level principles for good practice in remote consultations and prescribing. Jan 2, 2022 · Broadhead R. , respect for autonomy, beneficence, nonmaleficence, and justice, are recognized as central aspects in healthcare practice, and nurses must be clear about which ethical theories and principles to prioritize and what values are needed for a thorough ethical consideration. Medicine May 11, 2022 · authors todemonstrate the application of key prescribing practice principles. FNPs need to be familiar with their state’s SOP to ensure patient safety as well as to protect their professional license, because acting outside of their recognized SOP in any patient care setting could expose them to civil liability and disciplinary actions brought by their BON, with the potential of having Jul 14, 2020 · PDF | On Jul 14, 2020, Brenda Happell and others published Legal, ethical and professional issues in mental health nursing | Find, read and cite all the research you need on ResearchGate Jun 1, 2010 · This article examines conflict of interest between prescribers and the pharmaceutical industry, and the controversial subject of conscientious objection and opting out of the clinical encounter. e1773 DO - 10. Feb 1, 2006 · Nurses working at a higher level of practice will require an understanding of not only the professional and legal implications that new roles create, but also an awareness of the ethical dilemmas Feb 21, 2022 · This is the second of two articles exploring the core professional, legal and ethical dimensions of prescribing. Jan 10, 2011 · Ethics does not, therefore, provide a simple system which will provide the ‘right’ answer when faced with any dilemma in prescribing practice. N2 - The prescribing practice of a range of healthcare practitioners has developed over the years through a series of amendments to medicines law. 2019. 1), medical knowledge, skills to apply that knowledge, technical skills, practice-based learning, and communication skills are partnered with ethical principles and professional virtues. The core of ethical considerations of prescribing is the imbalance of power between the prescriber and patient where there is the potential for abuse and the power to Jul 20, 2022 · Critical consideration of the professional, legal and ethical dimensions of prescribing is highly pertinent when the scope of practice boundaries are uncertain or variable, such as during the The full-texts were obtained from the Norwegian library and were carefully read in order to select only those studies with a precise focus on the legal considerations of medicines management and related factors in healthcare settings, and those with a high-quality method in their research processes based on scores achieved using the appraisal tools. e. Book Cover for Pharmacotherapeutics for Advanced Practice Nurse Prescribers, Sixth Edition. Feb 7, 2020 · This chapter addresses the professional, legal and ethical issues associated with medicine management and the role of the nurse. These amendments have resulted in an incremental expansion of prescribing rights and, by implication, the scope for which the practitioner owes a duty of care. Professional practice in healthcare in the modern world requires the balancing of complex competing needs and interests. This first article identifies the main professional dimensions of prescribing practice, while the second article focuses on the legal and ethical aspects. Professional, legal and ethical issues in prescribing practice. pharmacyregulation. Steps Dr O Might Take if Ms D Refuses to Refill the Loperamide Prescription ; Dr O might ask to speak with the second pharmacist who works at the Oklahoma Indian Health Service unit. It will also review of some of the most recent case laws that have an affect on the delivery of safe, knowledgeable, care. A keen knowledge of the law and of professional guidelines will assist decision-making in Conclusions: The ethical and legal issues related to the practice of telehealth or telemedicine services still need standard and specific rules of application in order to guarantee equitable access, quality of care, sustainable costs, professional liability, respect of patient privacy, data protection, and confidentiality. Foundational nursing roles of communication, education, and patient advocacy compel advance practice nurses to formulate methods that This article continues the exploration of selected dimensions of prescribing practice, with a focus on the legal and ethical aspects. 1-34 p Google Scholar; Chen JH, Hom J, Richman I, Asch SM, Podchiyska T, Johansen NA. Hoboken, Nj: Wiley; 2020 May 1, 2010 · Nurses working at a higher level of practice will require an understanding of not only the professional and legal implications that new roles create, but also an awareness of the ethical dilemmas that will undoubtedly become increasingly complex (Bartter 2002). 4 Sub-section summary 4. Responsibility starts with us being well-informed and remaining current with the plethora of new medication and specialty drugs on the market. It will also cover two legal principles; The Mental Capacity Act and Consent. If absent, the profession lacking in structure would cease to exist. You prescribe antibiotics and oral steroids as follows: . This chapter explores these principles that are pivotal to our role but also discusses how as a non-medical prescriber we need to ensure we not only know and understand them but can Mar 11, 2023 · Nurse values continuing education and utilizes all opportunities for self-development. It is the starting point for the debate rather than its neat and tidy conclusion. Such rights translate into the ethics of psychiatric care that relate to respect for autonomy; the principle of non-maleficence, beneficence, and justice; confidentiality (and disclosure); boundary violations; informed consent (and involuntary treatment); etc. 2022. May 11, 2022 · authors todemonstrate the application of key prescribing practice principles. In: Nuttall D, Rutt-Howard J. A keen knowledge of the law and of professional guidelines will assist decision-making in Primary care practice pharmacy: Also known as ‘practice pharmacy’. Aim: The aim of this study was to find factors that influenced ethical, legal and professional accountability in emergency nursing practice. This is only permitted following the successful completion of an approved prescribing qualification at a higher education institution, and subsequent attainment of annotation on the associated professional register, and employment permissions. In optimising medicines, practitioners aim to Jan 30, 2018 · 2. This first article identifies the main professional • Attainment of knowledge, intellectual capacities, practice skills, integrity and professional and ethical values required for safe, accountable and effective practice as a registered nurse or registered midwife (NMBI, 2015). Aug 10, 2018 · Ethical questions often emerge when treating patients’ pain with opioids or treating them for substance-use disorder—questions that do not arise in other parts of practice. This article discusses the use of ethical decision-making models to aid decision making. Aug 7, 2010 · The article will consider both the professional accountability and the legal issues involved in NIP, before discussing how the ethical principles of beneficence, non-maleficence, autonomy and justice underpin safe, cost effective prescribing practice. Dec 3, 2024 · View Legal and Professional Issues in Prescribing. When you are legally able to prescribe, there is an onus to be aware of these and to be able to demonstrate at all times that you have fulfilled your duty of care. 2020, 3rd ed. org (accessed 24 July 2020) Google Scholar; Broadhead R. The guiding principles of medicines optimisation, which involve understanding the patient experience, the evidenced-based choice of medicines, and making medicines use as safe as possible, are key to achieving the aims. It sets out the key areas pharmacist prescribers should consider when applying the standards to their prescribing practice. 7748/phc. In my conceptualized model of patient care (Fig. pptx from NUR 632 at D'Youville College. Hoboken, New Jersey: Wiley-Blackwell; 2011 Google Scholar; Cooper RJ, Lynne J, Anderson C et al. This setting was to include general practices, community pharmacies and other community care settings in the northeast region of England to generate a greater understanding of cussed. This article is part one of two exploring the core professional, legal and ethical dimensions of prescribing. Introduction Ethics regards standards of moral judgement and professional conduct. Nov 9, 2023 · Non-medical prescribing is the term used for the prescribing activity by health professionals who are not doctors or dentists (Cope et al, 2016). 3 Key Ethical Concepts 4. Three scenarios are described and analysed using the Apr 5, 2021 · Proposing or prescribing remotely for patients in a care/nursing home or hospice; Proposing or prescribing remotely for patients based overseas; Shared care 73-81. AU - Bain, Heather. Sep 8, 2015 · The Textbook of Non-Medical Prescribing is an easy-to-read, comprehensive overview of the essential knowledge, key issues and skills relevant to non-medical prescribing. Apr 1, 2014 · Ethical issues in psychopharmacology extend well beyond prescribing practice, into questions surrounding the parameters of therapeutic relationships themselves––for example, how to maintain professional boundaries with patients receiving pharmacotherapy, how to manage relationships in patients undergoing “split-treatment” (care from multiple mental health providers), and how to build applying the standards when prescribing. Professional, Legal & Ethical Issues in Prescribing Practice. You have managed this patient for many years in primary care and know his condition and treatment regime well. Now fully updated and linked to the National Prescribing Centre Single Competency Framework for non-medical prescribers, with activities to help you link your continuing professional development within the competences Electronic health records (EHRs), with their adoption incentivized as part of the American Recovery and Reinvestment Act of 2009, are now a ubiquitous part of the health care landscape. This article So where does the responsibility for ethical prescribing lie? As health care professionals, prescribing and dispensing pharmaceuticals are generous percentages of each day. Mar 14, 2019 · Although a legal or regulatory concept, the importance of SOP cannot be overstated. Jun 9, 2016 · Critically analyse how ethical, professional and legal issues underpin nursing practice. It considers important legal cases that illustrate the key issues of autonomy, negligence and consent and illustrates how these scenarios can impact on prescribing practice on a daily basis. 2 Survey results 4. Aug 28, 2019 · Provides up-to-date information essential to safe and effective prescribing in a clear, easy-to-understand style Discusses current issues and practices in pharmacology, prescribing and therapeutics and medicine management Links to the Royal Pharmaceutical Society's Competency Framework for all Prescribers for non-medical prescribers Presents Jan 3, 2019 · Broadhead R. Covering the legal, professional and pharmacological considerations as well as core skills such as assessment and teamworking, this accessible text explores all aspects of non-medical prescribing in Dec 1, 2024 · Professional accountability and responsibility in relation to nurse prescribing. They promote evidence-based prescribing and have an input in decisions concerning the practice’s drugs budget. Nurse is obliged to work harmoniously with the members of Dec 2, 2020 · Broadhead R. Scenario 1. DISCUSSION 6. 2. org and www. The second pharmacist may not be licensed in the state of Ohio, as is Ms D, and thus may not feel obliged to refuse to refill the loperamide prescription for the same legal reason, although the second This chapter discusses the political, professional and legal aspects of non-medical prescribing from its inception in the 1990s to the present day. The importance of a structured approach is demonstrated with reference to the Royal Pharmaceutical Society competency framework for all prescribers, applicable legislation and underpinning ethical principles. Y1 - 2022/7/20. The Textbook of Non-Medical Prescribing. Jun 22, 2022 · This article is part one of two exploring the core professional, legal and ethical dimensions of prescribing. Legal, ethical and professional issues are integral principles of all healthcare professionals’ roles, and awareness and understanding of these are essential. Sep 23, 2021 · UK prescribing law is ever changing, so it is important that prescribers consistently update their knowledge of legislation. Therefore, in order to thrive, directions and methods for engaging in ethical, legal, and effective interprofessional collaboration must be established at the outset. At present Jul 1, 2010 · This article critically analyses, through the context of a care study, the professional, ethical and legal issues involved in making a safe prescribing decision for LTOT in an individual with COPD who is a current smoker. • Nursing/Midwifery competence is both a professional issue and central to patient-care outcomes (Cowan et al. Feb 12, 2020 · This article considers some current legal issues regarding non-medical prescribing highlighting some cases where prescribers have fallen foul of the law and the consequences of doing so. Methods: A qualitative ethnographic approach using participant observation through convenience sampling was employed as the data collection method, while ethnographic content analysis was used for data Jan 8, 2019 · In this article, the various arenas where prescribers can be called to account for their prescribing decisions will be examined, such as their employers, clinical commissioning groups, professions as well as criminal and civil law. [2,3] I will discuss the ethical, legal, and related issues pertaining to the Table 2. nmc. It is acknowledged that prescribing can be a stressful occupation and the need for clinical supervision should not be overlooked. Aug 8, 2013 · Adverse events and inappropriate prescribing are estimated to cost more than £750 million per year, highlighting the importance of doctors being well-informed on the relevant medical law and ethics. Legal liability and clinical indemnity for prescribing in the context of the expanded nurse/midwife role. 1. You undertake a telephone consultation at James' request and diagnose an infective exacerbation of chronic obstructive pulmonary disease. www. Although these systems promised to improve the quality of patient care, increase efficiency, and reduce costs, health care providers are finding that current EHRs instead require time-consuming data entry, can This article is part one of two exploring the core professional, legal and ethical dimensions of prescribing. 2008). Primary care practice pharmacists are part of a multi-disciplinary health care team. . 2 How pharmacists deal with specific ethical problems 4. U2 - 10. 2nd edn. Case studies and scenarios will be used to highlight workings of the various Apr 1, 2006 · Prescribing is a complex process and many of the complexities are linked to ethical issues. There are several legal, professional, and regulatory frameworks to support prescribing practice (Table 1). Dec 13, 2017 · Both legal and ethical issues may be encountered by intensive care practitioners on a regular basis. Part one presented a contemporary prescribing model, RAPID-CASE, devised by the authors to demonstrate the application of key professional principles to prescribing practice. While attempting to propose a definition to capture the many aspects of this issue, this article also examines conflict of interest between prescribers and the pharmaceutical industry, and the Chapter 2: Professional, legal and ethical issues in prescribing practice The development of non-medical prescribing has depended on changes in professional body regulations, legal frameworks relating to medicines and attitudes of patients and professionals in relation to roles and responsibilities. The ethical principles of healthcare, i. In: Nuttall DRutt-Howard J (eds) The Textbook of Non-Medical Prescribing. The Code of Ethics for Nurses With Interpretive Statements states, “The nurse promotes, advocates for, and protects the rights, health, and safety of the patient. Not following this guidance, or not taking the appropriate steps to ensure safe prescribing, May 9, 2017 · The nursing profession is underpinned by many professional, legal and ethical issues that are vital for safe practice and ensure the best interest of patients are being met. It is a reminder that the age of medical paternalism is rapidly becoming Jun 22, 2022 · This article is part one of two exploring the core professional, legal and ethical dimensions of prescribing. The journal includes topical editorials from Deborah Robertson, our consultant editor, analysis of the latest news, clinical updates, research summaries, pharmacology, stand-alone prescribing guides, pharmacokinetics, legal and ethical issues for prescribing practitioners, courses, career development and drug reviews. It has been recognised as a valuable resource that could effectively transform healthcare services to reduce hospital admissions and long hospital stays and improve the quality of life for patients with long-term conditions and Sep 8, 2017 · Broadhead R. To ensure safe practice, it is imperative that safeguards are recognised and applied; therefore pertinent legislative frameworks, policy Sep 1, 2014 · Ethical, legal and professional issues in nurse prescribing EN English Deutsch Français Español Português Italiano Român Nederlands Latina Dansk Svenska Norsk Magyar Bahasa Indonesia Türkçe Suomi Latvian Lithuanian český русский български العربية Unknown The ethical principles of self-determination and autonomy govern the practice of informed consent. Pre-registration pharmacy students: Graduates of the four-year MPharm degree Whether you are pre-registration or undertaking a prescribing course, this book is your perfect introduction to the world of nurse prescribing. Dec 10, 2020 · Legal and ethical issues are prevalent in the health care industry, and in particular for the nursing practice, where nurses have daily individual contact with patients. Dec 9, 2017 · The key aims of non-medical prescribing include improving patient care and increasing patient choice in accessing medicines. A patient’s right to shared decision-making and assent prior to invasive procedures, therapeutic interventions, and research projects is protected by law. The virtues of compassion, discernment, trustworthiness, integrity, and conscientiousness are the necessary Feb 1, 2006 · The use of ethical decision-making models to aid decision making are discussed and three scenarios are described and analysed using the Seedhouse ethical grid. Effect of opioid prescribing guidelines in primary care. Professionalism in the context of advanced nursing practice is a complex topic, and must include a consideration of both individual and collective nurses', societal and patient rights and obligations Jun 6, 2017 · This following piece of reflection will be written by using the ‘what’ model of structured reflection (Driscoll, 2007). The guidance applies whatever setting pharmacist prescribers work in. Efficacy, safety, and mechanism of action are important considerations; however Jan 10, 2011 · 2 Non-medical prescribing in a multidisciplinary team context; 3 Consultation skills and decision making; 4 Legal aspects of independent and supplementary prescribing; 5 Ethical issues in independent and supplementary prescribing; 6 Psychology and sociology of prescribing; 7 Applied pharmacology; 8 Monitoring skills; 9 Promoting concordance in Jul 25, 2019 · This article critically analyses, through the context of a care study, the professional, ethical and legal issues involved in making a safe prescribing decision for LTOT in an individual with COPD who is a current smoker. 1. The nurse is obliged to practice within the framework of ethical and legal boundaries Adheres to code of ethics and code of professional conduct for nurses in India developed by Indian Nursing council. Aug 6, 2010 · Professionalism in the context of advanced nursing practice is a complex topic, and must include a consideration of both individual and collective nurses', societal and patient rights and obligations. It encourages readers to reflect on their daily practice from various perspectives, suc Prescribing can be seen as an advanced area of practice, with associated professional, clinical governance, legal, and ethical considerations. Depending on the state, FNPs could face legal implications for prescribing to family and friends. AU - Gould, Jill. Many ethical issues arise within the broader realm of psychopharmacology, including the fair allocation of resources or the weighing of risks versus benefits in the prescribing of medications. Expand This article is part one of two exploring the core professional, legal and ethical dimensions of prescribing. Prescribing based on a proposal or recommendation by a colleague; Recommending and proposing medicines, treatments or devices for a colleague to prescribe; Shared care prescribing May 20, 2020 · “There is an ethical problem in that the close relationship could cloud the practitioner’s judgment,” Buppert said in the Legal and Professional Issues for Nurses section of Medscape Nurse. Psychopharmacology is the scientific study of the effect of medications on the mind and behavior. Clinical, Duty of care, Ethical issues, Ethical practice, Legal issues, Medicines, Mental capacity act, Nurse prescribing,Prescribing, Prescription medicines, Professional The prescribing practice of a range of healthcare practitioners has developed over the years through a series of amendments Apr 11, 2018 · This article discusses the legal implications nurse prescribers need to be aware of in their interactions with patients. Ethical issues are wide-ranging, from organ donation, genetic engineering, assisted suicide, withholding treatment in end-of-life care, or simple procedures requiring consent. The future of independent prescribing practice will be guided by legal, ethical and professional principles and framework. In: Nuttall D. Jul 2, 2020 · James is 65 years old and currently shielding. Rutt-Howard J. 1 Jun 1, 2010 · This article critically analyses, through the context of a care study, the professional, ethical and legal issues involved in making a safe prescribing decision for LTOT in an individual with COPD T1 - Professional, legal and ethical dimensions of prescribing. Every profession is faced with a unique set of professional, legal, ethical, and collaborative challenges and guidelines. Prescribing is a complex process and many of the complexities are linked to ethical issues. Reference is made to a new prescribing model “RAPID-CASE” (Gould and Bain, 2022) to Jul 20, 2022 · This is the second of two articles exploring the core professional, legal and ethical dimensions of prescribing. In: Nuttall Dilyse, Rutt-Howard J. PY - 2022/7/20. The chapter will end with a discussion of scope of practice. Psychologists' prescribing is a Dec 23, 2021 · This chapter provides an account of the ethical issues in independent and supplementary prescribing with an overview of ethical frameworks, medical and non-medical prescribers. . Professional, legal & ethical issues in prescribing practice. Nurses are highly acc Aug 2, 2019 · In this article, the various arenas where prescribers can be called to account for their prescribing decisions will be examined, such as their employers, clinical commissioning groups, professions as well as criminal and civil law. For prescribers, the virtues of openness, transparency and duty of candour are imperative and should be embedded into clinical practice (Nuttall and Rutt-Howard May 24, 2022 · identifies the main professional dimensions of prescribing practice, while the second article focuses on the legal and ethical aspects. Ethical principles and concepts and challenges in prescribing practice professional judgement and deal with moral challenges with greater confidence. Reference is made to a contemporary prescribing model, RAPID-CASE, devised by the authors to demonstrate the application of key prescribing practice principles. Three scenarios are described and analysed using the Seedhouse ethical grid. Professional, Legal and Ethical Issues in Relation to Prescribing Practice. Jul 1, 2010 · The article will consider both the professional accountability and the legal issues involved in NIP, before discussing how the ethical principles of beneficence, non-maleficence, autonomy and Jul 20, 2022 · This is the second of two articles exploring the core professional, legal and ethical dimensions of prescribing. 1 Frequency of occurrence of specific ethical problems 4. Jul 20, 2022 · This is the second of two articles exploring the core professional, legal and ethical dimensions of prescribing. The English legal system will be explained in relation to non-medical prescribing. e1773 Jun 21, 2022 · Critical consideration of the professional, legal and ethical dimensions of prescribing is highly pertinent when the scope of practice boundaries are uncertain or variable, such as during the This paper is part one of two exploring the core professional, legal and ethical dimensions of prescribing. In Part 1 a new prescribing consultation model “RAPID-CASE” (Gould and Bain, 2022) was used to demonstrate application of key professional principles to prescribing practice. May 24, 2022 · Clinical, Duty of care, Ethical issues, Ethical practice, Legal issues, Medicines, Mental capacity act, Nurse prescribing,Prescribing, Prescription medicines, Professional The prescribing practice of a range of healthcare practitioners has developed over the years through a series of amendments to medicines law. : Wiley; 2020 Dec 13, 2017 · Both legal and ethical issues may be encountered by intensive care practitioners on a regular basis. In: Nutall DRutt-Howard J. Jun 22, 2022 · This article is part one of two exploring the core professional, legal and ethical dimensions of prescribing. This framework includes prescribing in relation to assessment and consultation, ethical issues, legal issues, professional issues, accountability, evidence-based practice, public health, team working, record keeping, pharmacology, prescription writing and numeracy. Professional, Legal & Ethical issues in Prescribing Practice. Part 2: legal and ethical. The term "prescribing" can be used in relation to many related activities, including the supply of prescription only medicines, the prescribing of May 2, 2022 · This piece of original research published in the BMJ Open online in January 2022, sought to explore the barriers to and facilitators of reporting detected prescribing errors in a primary care setting (Hall et al, 2022). The professional, legal, and ethical dimensions of prescribing: Part 2 - legal and ethical Name of journal: Primary Health Care Article reference: PHC1774 Subsidised Course EU-fee for eligible candidates applying for micro-credential "Professional Ethical Legal Communication Issues informing NM Prescribing Clinical Practice" in academic year 2024/25 will be 620 euro. 3 How important certain factors are in making ethical decisions 5. 2 Opinion between sectors 4. Sep 23, 2021 · Prescribing practice is governed by ethical and legal principles to ensure a holistic patient-centred approach. ” [1] This chapter describes nurses’ legal and ethical responsibilities while protecting the safety and rights of clients receiving mental health care. GENERAL OBJECTIVES: On the completion of the seminar the students will learn about ethical and social issues, legal system in nursing, patient and employment issues, medico legal cases, rights of patient and special group and standard safety measures for infection control in hospital and able to apply it during nursing care process and ensure provision of quality nursing care at the Sep 23, 2019 · (Royal Pharmaceutical Society, RPS, 2016). hufjdbn nrl muctf vwqw thbs ywhqwj tnzk qsro owje zxhudh