Some felt that nurses might not be capable of prescribing
even with extra education (32%), and 10% felt more strongly, saying “nurses aren’t doctors. Logistic regression was used to analyze how feeling competent relates to experience as a travel health nurse, registry as travel health nurse, amount of advice/malaria chemoprophylaxis given per month, and aspiration for prescribing rights. Only aspiration for prescribing rights appeared to be a significant predictor for the travel health nurses who feel competent for prescriptive authority (OR: 6.8; 95% CI: 3.5–13.3). Figure 1 shows that 95% of travel health nurses have one or more educational needs to fill before prescribing. More than half expressed the need for further education in the areas of pharmacology, medication in general, and immunology; more knowledge about malaria chemoprophylaxis was desired by 33% and about diseases in general by 25%. Entries in the open-text TSA HDAC manufacturer fields expressed interest in knowing more about diseases/medication related to immune suppression, altitude disease and acetazolamide, antibiotics, contra-indications and interactions (especially in combination with malaria chemoprophylaxis), and the special needs of pregnant travelers as well as children. Following the United States, the first country to introduce nurse prescribing in 1969, and seven Western European/Anglo-Saxon countries (UK, Canada, New
Zealand, Australia, BTK inhibitors library Sweden, Ireland, and Finland), Methane monooxygenase the Netherlands has recently introduced prescribing by nurses. The results of our questionnaire survey indicate that most Dutch travel health nurses are prepared to prescribe. Advice and prescription by these nurses is already provided according to highly protocolized criteria; 82% of the travel health nurses aspire to the expanded responsibility and 77% feel competent to undertake it. An interesting
finding was that many positive respondents indicated that ongoing access to a doctor would remain important. This implies that they are not yet completely aware that access to a doctor is a requirement for the designation of supplementary nurse prescribing in travel medicine. There is thus a need to raise awareness among travel health nurses concerning the responsibilities and restrictions associated with their future privileges. Further education is likewise needed before nurse prescribing is implemented in travel medicine. We found that 95% of the travel health nurses have one or more educational needs; they most often mentioned pharmacology. This result is in line with other studies, although comparison among countries is difficult. Differences among their legislative procedures and their regulation of nursing practice have led to different models of prescribing worldwide. A questionnaire survey was performed among UK nurses who prescribe medicine for diabetic patients, in which participants were asked if they had needs for the current 12 months, the following 12 months, or not at all.