title: The impact of nurse prescribing on the clinical setting.
abstract: OBJECTIVE
  To investigate the impact nurse prescribing has on the organisation, patient and health professional, and to identify factors associated with the growth of nurse prescribing.
  
  
  METHODS
  Systematic search and narrative review. Data obtained through CINAHL, PubMed, Science direct, Online Computer Library Centre (OCLC), databases/websites, and hand searching. English peer-reviewed quantitative, qualitative and mixed-method articles published from September 2009 through to August 2014 exploring nurse prescribing from the perspective of the organisation, health professional and patient were included. Following a systematic selection process, studies identified were also assessed for quality by applying Cardwell's framework.
  
  
  RESULTS
  From the initial 443 citations 37 studies were included in the review. Most studies were descriptive in nature. Commonalities addressed were stakeholders' views, prescribing in practice, jurisdiction, education and benefits/barriers.
  
  
  CONCLUSIONS
  Prescriptive authority for nurses continues to be a positive addition to clinical practice. However, concerns have emerged regarding appropriate support, relationships and jurisdictional issues. A more comprehensive understanding of nurse and midwife prescribing workloads is required to capture the true impact and cost-effectiveness of the initiative.
authors.affiliation: Nurse Lecturer and Programme Coordinator, Nurse Prescribing, School of Nursing and Midwifery, University College Cork, Ireland.
authors.forename: Rena
authors.initials: R
authors.lastname: Creedon
authors.affiliation: Head of School of Pharmacy, University College Cork, Ireland.
authors.forename: Stephen
authors.initials: S
authors.lastname: Byrne
authors.affiliation: Head of School Pharmacy, University of Auckland, New Zealand.
authors.forename: Julia
authors.initials: J
authors.lastname: Kennedy
authors.affiliation: Clinical Pharmacy Research Group, School of Pharmacy, University College Cork, Ireland and Research Pharmacist, Cork University Hospital, Ireland.
authors.forename: Suzanne
authors.initials: S
authors.lastname: McCarthy
mesh_terms: D011307:Drug Prescriptions; D006801:Humans; D024802:Nurse's Role; D057184:Practice Patterns, Nurses' / Q000706:statistics & numerical data*
keywords: Advanced practice; Independent prescriber; Multidisciplinary team; Non-medical prescribing; Role development