Qualitative Research on the Current Implementation Status and Barriers of Nurses’ Non-Pharmacological Prescription Authority

Objective: To systematically review the current implementation status of nurses’ non-pharmacological prescription authority and analyze the barriers encountered during its implementation in China, providing countermeasures and references for promoting the standardized implementation of nurses’ non-pharmacological prescription authority. Methods: A secondary analysis of literature was conducted to systematically search for domestic and international literature related to nurses’ non-pharmacological prescription authority. Meta-analysis was performed on eligible literature to evaluate the implementation effects. Simultaneously, semi-structured in-depth interviews were conducted with healthcare workers, patients, and policymakers. Content analysis was used to organize the interview data and extract core issues and barriers. Results: A total of 46 international articles were included in the Meta-analysis, which revealed that the implementation of nurses’ non-pharmacological prescription authority significantly improved patients’ health management outcomes, enhanced healthcare service efficiency, and increased patient satisfaction. Conclusion: The implementation of nurses’ non-pharmacological prescription authority has demonstrated significant positive effects. However, China faces multiple barriers in its advancement, necessitating efforts in optimizing policy systems, constructing collaborative models, strengthening professional skills training, and improving social awareness to guide the scientific and rational implementation of nurses’ non-pharmacological prescription authority.