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Prescribing: making effective, appropriate, safe and cost-effective decisions
Journal article   Open access   Peer reviewed

Prescribing: making effective, appropriate, safe and cost-effective decisions

Sam Reece
Nursing Standard, Vol.41(6), pp.38-43
03/06/2026
PMID: 42083384

Abstract

nurse prescribing Safe prescribing medicine management prescribing non-medical prescribing antimicrobial resistance Pharmacology
Non-medical prescribing has expanded significantly in the UK since its introduction in the early 1990s, bringing increased responsibilities and accountability for non-medical prescribers (NMPs). It is essential that NMPs are equipped to maintain high standards of prescribing practice. This article discusses crucial factors for NMPs to consider when making prescribing decisions, focusing on effectiveness, appropriateness, safety and cost-effectiveness. The author highlights the importance of referring to guidance and research, consulting local policy and drug formularies, thorough patient assessment and history-taking, accurate and objective patient education, and shared decision-making and person-centred prescribing. To remain competent and confident, NMPs must be provided with continuing professional development and opportunities for reflective practice.
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