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Non-medical prescribers and benzodiazepines: A qualitative study

Brodie, Liz; Donaldson, Jayne; Watt, Susan

Authors

Liz Brodie

Jayne Donaldson

Susan Watt



Abstract

Benzodiazepines continue to be widely prescribed in primary care for longer than guidelines advise and can cause adverse consequences for those who have long-term prescriptions. The aim of this study was to explore the experience of nonmedical prescribers (NMPs) in relation to their role in improving benzodiazepine prescribing management in primary care. A qualitative study using a thematic analysis framework, in which face-to-face interviews with eight NMPs from the disciplines of nursing and pharmacy were conducted in their areas of practice in 2011 in rural localities in southern Scotland. The NMPs view their qualification as rigorous in its capacity to promote more focused and confident practice, and provide detailed knowledge about medications and the ability to question the appropriateness of medicines. As medication review is an integral part of the role of the NMP they are suited to contribute positively to benzodiazepine prescribing management. Although several obstacles to the successful integration and full utilization of non-medical prescribing currently exist, more training in the recognition of mild-to-moderate mental health problems, psychopharmacology and alternative interventions would allow this role to be assumed with confidence. NMPs may have a useful role to play in benzodiazepine prescribing. NMPs have regular contact with patients in the older age group and those with chronic illnesses, and are in a prime position to utilize opportunistic medication review to improve concordance in this area of prescribing.

Journal Article Type Article
Online Publication Date Jul 8, 2014
Publication Date 2014-07
Deposit Date May 20, 2016
Print ISSN 1479-9189
Electronic ISSN 2052-2924
Publisher Mark Allen Healthcare
Peer Reviewed Peer Reviewed
Volume 12
Issue 7
Pages 353-359
DOI https://doi.org/10.12968/npre.2014.12.7.353
Keywords Benzodiazepines; primary care; nonmedical prescribers; prescribing management;
Public URL http://researchrepository.napier.ac.uk/id/eprint/10254
Publisher URL http://dx.doi.org/10.12968/npre.2014.12.7.353