The impact of independent chemotherapy prescribing by advanced practice providers on patient safety and clinician satisfaction Journal Article
| Authors: | LeStrange, N.; Walton, A.; Watson, J. L.; Sklarin, N. T.; Thompson, J. A.; Affronti, M. L. |
| Article Title: | The impact of independent chemotherapy prescribing by advanced practice providers on patient safety and clinician satisfaction |
| Abstract: | BACKGROUND: Literature on advanced practice providers (APPs) prescribing chemotherapy independently, without physician cosignature, is limited. OBJECTIVES: This project assessed safety and provider satisfaction for an existing independent APP chemotherapy prescribing privilege at a National Cancer Institute-designated comprehensive cancer center. METHODS: Rate of Reporting to Improve Safety and Quality events associated with APPs with independent chemotherapy prescribing privileges was compared to that of physicians during a threeyear period. Satisfaction of APPs with independent chemotherapy prescribing privileges was evaluated. FINDINGS: The odds of a reported event were higher for physicians than for APPs. APP survey responses were positive for readiness, confidence, and satisfaction with independent chemotherapy prescribing privilege. |
| Keywords: | adult; united states; odds ratio; questionnaires; confidence intervals; patient safety; cancer care facilities; attitude of health personnel; national cancer institute (u.s.); job satisfaction; work environment; data analysis software; health care delivery; quality improvement; descriptive statistics; middle age; confidence; neoplasms -- drug therapy; chemotherapy, cancer; medication errors; hypersensitivity; collaboration; antineoplastic agents -- administration and dosage; comparative studies; patient centered care; fisher's exact test; nursing practice, evidence-based; prescriptions, drug; oncologic care; human; male; female; advanced practice registered nursing -- standards; physician assistants -- psychosocial factors |
| Journal Title: | Clinical Journal of Oncology Nursing |
| Volume: | 28 |
| Issue: | 4 |
| ISSN: | 1092-1095 |
| Publisher: | Oncology Nursing Society (ONS) |
| Date Published: | 2024-08-01 |
| Start Page: | 397 |
| End Page: | 405 |
| Language: | English |
| DOI: | 10.1188/24.Cjon.397-405 |
| PROVIDER: | EBSCOhost |
| PROVIDER: | cinahl plus with full text |
| PUBMED: | 39041688 |
| DOI/URL: | |
| Notes: | Accession Number: 178606933 -- Entry Date: 20240731 -- Revision Date: 20240731 -- Publication Type: Journal Article; questionnaire/scale; research; tables/charts -- Journal Subset: Core Nursing; Double Blind Peer Reviewed; Nursing; Peer Reviewed; USA -- Special Interest: Advanced Nursing Practice; Evidence-Based Practice; Oncologic Care -- NLM UID: 9705336. -- Source: CINAHL Plus with Full Text |
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