References

Summary of the responses to the public consultation on proposals to introduce independent prescribing by radiographers across the United Kingdom.London: NHS England; 2016a

Summary of the responses to the public consultation on proposals to introduce supplementary prescribing by dietitians across the United Kingdom.London: NHS England; 2016b

Australasian Pancreatic Club. Australasian guidelines for the management of pancreatic exocine insufficiency 2015. 2016. http://pancreas.org.au/wp-content/uploads/2016/01/APC-GUIDELINES-2015.pdf (accessed 5 November 2024)

Babashahi S, Carey N, Jani Y, Hart K, Hounsome N Costs, consequences and value for money in non-medical prescribing: a scoping review. BMJ Open. 2023; 13:(5)

Beech J, Bottery S, Charlesworth A Closing the gap: Key areas for action on the health and care workforce.: The Health Foundation, The King's Fund, Nuffield Trust; 2019

Brody RA, Byham-Gray L, Touger-Decker R, Passannante MR, Rothpletz Puglia P, O'Sullivan Maillet J What clinical activities do advanced-practice registered dietitian nutritionists perform? Results of a Delphi study. J Acad Nutr Diet. 2014; 114:(5)718-733 https://doi.org/10.1016/j.jand.2014.01.013

Evaluation of Phsyiotherapist and Podiatrist Independent Prescribing, Mixing of Medicines, and Prescribing of Controlled Drugs: Final Report. 2017. https://www.surrey.ac.uk/evaluation-physiotherapy-podiatrist-independent-prescribing-mixing-medicine-and-prescribing (accessed 5 November 2024)

Prescribing Implementation Toolkits. 2023. https://learninghub.nhs.uk/Catalogue/prescribingtoolkit (accessed 5 November 2024)

Chater A, Family H, Lim R, Courtenay M Influences on antibiotic prescribing by non-medical prescribers for respiratory tract infections: a systematic review using the theoretical domains framework. J Antimicrob Chemother. 2020; 75:(12)3458-3470 https://doi.org/10.1093/jac/dkaa335

Registered Dietitans Practicing Advanced Level Skills in the State of Tennessee and Their Perceived Job Satisfaction. 2004. https://dc.etsu.edu/cgi/viewcontent.cgi?article=2124&context=etd (accessed 5 November 2024)

Courtenay M, Carey N, Stenner K An overiew of non medical prescribing across one strategic health authority: a questionnaire survey. BMC Health Serv Res. 2012; 12:(1) https://doi.org/10.1186/1472-6963-12-138

Crowther K, Carey N, McFadden S, Stenner K, Hughes C Therapeutic radiographer prescribing practices in the United Kingdom: questionnaire survey. Radiography. 2024; 30:(3)964-970 https://doi.org/10.1016/j.radi.2024.04.008

PTH-193 Time to prescribe? an audit of the management of patients on parenteral nutrition. 2015. https://gut.bmj.com/content/64/Suppl_1/A494.1 (accessed 5 November 2024)

Delaney C, Vo R, Beck E Practice and perspectives of Australian dietitians in management of patients on pancreatic enzyme replacement therapy. Nutr Diet. 2021; 78:(2)165-173

Making a Difference. Strengthening the Nursing, Midwifery and Health Visiting Contribution to Healthcare.London: DH; 1999

Meeting the Challenge: A Strategy for the Allied Health Professions: Arts Therapists, Chiropodists and Podiatrists, Dietitians, Occupational Therapists, Orthoptists, Paramedics, Physiotherapists.London: DH; 2000

Supplementary Prescribing by Nurses, Pharmacists, Chiropodists, Podiatrists, Physiotherapists and Radiographers within NHS in England. A Guide for Implementation.London: DH; 2005

The Chief Health Professions Officer's Ten Key Roles for allied health professionals.London: DH; 2004

Supplementary Prescribing by Nurses, Pharmacists, Chiropodists, Podiatrists, Physiotherapists and Radiographers within NHS in England. A Guide for Implementation.London: DH; 2005

Improving Patients’ Access to Medicines: A Guide to Implementing Nurse and Pharmacist Independent Prescribing within the NHS in England.London: DH; 2006

Framing the contribution of allied health professions: delivering high quality healthcare.London: DH; 2008

Equity and excellence:liberating the NHS.London: DH; 2010

Edwards J, Coward M, Carey N Barriers and facilitators to implementation of non-medical independent prescribing in primary care in the UK: a qualitative systematic review. BMJ Open. 2022; 12:(6)

Farrer K, Harper L, Shatter J Can pharmacists and dietitians safely prescribe and administer parenteral nutrition?. Pharm J. 2008; 280:626-630

Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017; 390:(10100)1211-1259

Green DM, Maillet JOS, Touger-Decker R, Byham-Gray L, Matheson P Functions performed by level of practice of registered dietitian members of the diabetes care and education dietetic practice group. J Am Diet Assoc. 2005; 105:(8)1280-1284 https://doi.org/10.1016/j.jada.2005.05.013

Hammarberg C, Abelsson A, Arslan A, Willman A Independent and effective care – district nurses’ experiences of prescribing drugs: A systematic qualitative literature review. Nord J Nurs Res. 2024; 44

Harnett N, Bak K, Zychla L, Gutierrez E, Warde P Defining advanced practice in radiation therapy: A feasibility assessment of a new healthcare provider role in Ontario, Canada. Radiography. 2019; 25:(3)241-249 https://doi.org/10.1016/j.radi.2019.02.007

Health and Care Professions Council. Updates on Advanced Practice. 2024. https://www.hcpc-uk.org/news-and-events/blog/2024/updates-on-advanced-practice/ (accessed 5 November 2024)

Health Education England. Multi-professional framework for advanced clinical practice in England. 2017. https://www.hee.nhs.uk/sites/default/files/documents/multi-professionalframeworkforadvancedclinicalpracticeinengland.pdf (accessed 5 November 2024)

Holloway KA, Henry D WHO essential medicines policies and use in developing and transitional countries: an analysis of reported policy implementation and medicines use surveys. PLoS Med. 2014; 11:(9)

Khangura S, Konnyu K, Cushman R, Grimshaw J, Moher D Evidence summaries: the evolution of a rapid review approach. Syst Rev. 2012; 1:(1) https://doi.org/10.1186/2046-4053-1-10

Kinamore C Exploring attitudes and opinions of radiation therapists in British Columbia towards advanced practice. J Radiother Pract. 2014; 13:(3)264-276

Liljeberg E, Nydahl M, Lövestam E, Andersson A A qualitative exploration of dietitians’ experiences of prescribing oral nutritional supplements to patients with malnutrition: A focus on shared tailoring and behaviour change support. J Hum Nutr Diet. 2021; 34:(5)858-867 https://doi.org/10.1111/jhn.1286

Martens B, Veldman L, Singleton M, Fawcett S, Ali S Radiation Therapists’ Perceptions of Advanced Practice in Alberta. J Med Imaging Radiat Sci. 2018; 49:(1)62-69

Mohamed Elfadil O, Velapati SR, Miller LD, Huiras MF, Stoecker EA, Warner M, Vanderveer L, Adkins A, Chargo C, Kueny K Dietitian Involvement Improves Consumption of Oral Nutrition Supplements in Hospitalized Patients. Can J Diet Pract Res. 2022; 83:(4)203-207

Moher D, Liberati A, Tetzlaff J, Altman DG Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009; 151:(4)264-269

Impact Assessment: Independent prescribing by radiographers.London: NHS England; 2011

Summary of the responses to the public consultation on proposals to introduce supplementary prescribing by dietitians across the United Kingdom.London: NHS England; 2016

AHPs into action. Using Allied Health Professions to transform health, care and wellbeing.London: NHS England; 2017

NHS Long Term Workforce Plan.London: NHS England; 2023

Standards of Proficiency for nurse and midwife prescribers.London: NMC; 2006

Oliveira C, Barbosa B, Couto JG, Bravo I, Hughes C, McFadden S, Khine R, McNair HA Advanced practice roles amongst therapeutic radiographers/radiation therapists: A European survey. Radiography. 2023; 29:(2)261-273

Olree K, Skipper A The role of nutrition support dietitians as viewed by chief clinical and nutrition support dietitians: implications for training. J Am Diet Assoc. 1997; 97:(11)1255-1263

Pace R, Pluye P, Bartlett G, Macaulay AC, Salsberg J, Jagosh J, Seller R Testing the reliability and efficiency of the pilot Mixed Methods Appraisal Tool (MMAT) for systematic mixed studies review. Int J Nurs Stud. 2012; 49:(1)47-53 https://doi.org/10.1016/j.ijnurstu.2011.07.002

Innovation in the Allied Health Professions: evaluation of supplementary prescribing by dietitians and independent prescribing by therapeutic radiographers - rapid Literature review protocol. 2021. https://figshare.com/articles/preprint/Innovation_in_the_Allied_Health_Professions_Evaluation_of_supplementary_prescribing_by_dieticians_and_independent_prescribing_by_therapeutic_radiographers_Rapid_Literature_review_protocol/13560308?file=26028524 (accessed 5 November 2024)

Peterson SJ, Chen Y, Sullivan CA, Kinnare KF, Tupesis NC, Patel GP, Sowa DC, Lateef O, Sheean PM Assessing the influence of registered dietitian order-writing privileges on parenteral nutrition use. J Am Diet Assoc. 2010; 110:(11)1703-1711

Peterson S, Dobak S, Phillips W, Malone A, Ireton-Jones C, Haney A, Rybicki M, Guenter P Enteral and Parenteral Order Writing Survey – A Collaborative Evaluation Between the Academy of Nutrition and Dietetics’ Dietitians in Nutrition Support Dietetics Practice Group and the American Society for Parenteral and Enteral Nutrition (ASPEN) Dietetics Practice Section. J Acad Nutr Diet. 2020; 120:(10)1745-1753

Pluye P, Gagnon MP, Griffiths F, Johnson-Lafleur J A scoring system for appraising mixed methods research, and concomitantly appraising qualitative, quantitative and mixed methods primary studies in Mixed Studies Reviews. Int J Nurs Stud. 2009; 46:(4)529-546

Ridouts Professional Services. New Prescribing Powers for Independent Prescribers. 2023. https://www.hcrlaw.com/news-and-insights/specialist-health-and-social-care-lawyers-ridouts-join-hcr-law/ (accessed 5 November 2024)

Sacks GS Safety surrounding parenteral nutrition systems. JPEN J Parenter Enteral Nutr. 2012; 36:(2)20S-22S

Saxon R, Gray M, Oprescu F Extended roles for allied health professionals: an updated systematic review of the evidence. J Multidiscip Healthc. 2014; 7:479-488

Shi J, Cox J, Atyeo J, Loh Y, Choung WL, Back M Clinician and therapist perceptions on radiation therapist-led treatment reviews in radiation oncology practice. Radiother Oncol. 2008; 89:(3)361-367 https://doi.org/10.1016/j.radonc.2008.05.005

Simmance N, Cortinovis T, Green C, Lunardi K, McPhee M, Steer B, Wai J, Martin T, Porter J Introducing novel advanced practice roles into the health workforce: dietitians leading in gastrostomy management. Nutr Diet. 2019; 76:(1)14-20

Skinner EH, Haines KJ, Hayes K, Seller D, Toohey JC, Reeve JC, Holdsworth C, Haines TP Future of specialised roles in allied health practice: who is responsible?. Aust Health Rev. 2015; 39:(3)255-259 https://doi.org/10.1071/AH14213

Skipper A, Lewis NM Clinical registered dietitians, employers, and educators are interested in advanced practice education and professional doctorate degrees in clinical nutrition. J Am Diet Assoc. 2006a; 106:(12)2062-2066

Skipper A, Lewis NM Using initiative to achieve autonomy: a model for advanced practice in medical nutrition therapy. J Am Diet Assoc. 2006b; 106:(8)1219-1225

Stenner K, Edwards J, Mold F, Otter S, Courtenay M, Moore A, Carey N Medicines management activity with physiotherapy and podiatry: A systematic mixed studies review. Health Policy. 2018; 122:(12)1333-1339

Stewart D, Jebara T, Cunningham S, Awaisu A, Pallivalapila A, MacLure K Future perspectives on nonmedical prescribing. Ther Adv Drug Saf. 2017; 8:(6)183-197

Thampi M, Mathew B A Critical Review of Factors and Challenges Influencing Non-Medical Prescribers in Primary and Urgent Treatment Care Facilities in England. Journal of Multidisciplinary Research in Healthcare. 2022; 8:(2)27-46

Resource Kit Allied Health: Credentialling, Competency and Capability Framework, Revised Edition. Melbourne, Australia: Victorian Government; 2016

Wildish DE, Evers S A definition, description, and framework for advanced practice in dietetics. Can J Diet Pract Res. 2010; 71:(1)e4-11 https://doi.org/10.3148/71.1.2010.24

Yokum D, Glass G, Cheung CF, Cunningham J, Fan S, Madden AM Evaluation of a phosphate management protocol to achieve optimum serum phosphate levels in hemodialysis patients. J Ren Nutr. 2008; 18:(6)521-529 https://doi.org/10.1053/j.jrn.2008.05.003

Medicines management activity of advanced practice dietitians and therapeutic radiographers

02 December 2024
Volume 6 · Issue 12

Abstract

Background:

Recent changes have allowed advanced level UK dietitians and therapeutic radiographers to prescribe medicines. To date, there has been no comprehensive review of this evidence.

Aim:

To undertake a rapid review of the role advanced practice dietitians and therapeutic radiographers have in relation to medicines management.

Method:

Searches of MEDLINE, CINAHL and economic databases were conducted for literature published from 1968–November 2023. Registered with Figshare, a narrative synthesis following PRISMA guidelines was undertaken.

Findings:

Twenty articles revealed a dearth of literature evaluating advanced practice or prescribing in either profession. A lack of clarity regarding advanced practice roles led to ambiguity and hindered implementation.

Conclusion:

There is a lack of evidence evaluating dietitian and therapeutic radiographer advance practice or prescribing. Urgent evaluation of dietitian and therapeutic radiography advanced practice, including prescribing, is required if their contribution to alleviating workforce shortages is to be better understood.

Global predictions indicate that around 400 million people will be aged over 80 by 2050 (Holloway and Henry, 2014; Global Burden of Disease Collaborators, 2016), many of whom will require multiple medications (Eurostat, 2014; Holloway and Henry, 2014).

With a chronic shortage of healthcare workers worldwide (18 million) and a predicted workforce shortfall of 350 000 in the UK by 2030 (Beech et al, 2019), new approaches that overcome inadequacies in traditional doctor-led care systems are imperative in order to maintain patient access to medicines (Stenner et al, 2018). Extending the range of professionals who can prescribe medicines to include nurses, pharmacists and allied health professionals (AHPs) is one strategy that has been adopted (Department of Health (DH), 2000; 2004; 2008).

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