{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T09:45:22Z","timestamp":1791798322173,"version":"4.3.4"},"reference-count":26,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"unspecified","delay-in-days":284,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1463423626101893_as1\">\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>This study explored registered nurse (RN) prescribers\u2019 perspectives on educational preparation and identified barriers and facilitators to successful role adoption.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101893_as2\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Registered nurse (RN) prescribing was introduced in Ontario in 2023 to improve access to care and optimize the nursing scope of practice. While educational programmes were developed rapidly, little is known about RN prescribers\u2019 experiences with role implementation and workplace integration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101893_as3\">\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>This study explored RN prescribers\u2019 perspectives on educational preparation and identified barriers and facilitators to successful role adoption.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101893_as4\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A mixed-methods design was used. A cross-sectional survey of 52 RN prescribers who completed a College of Nurses of Ontario-approved prescribing programme captured demographic data and employment experiences. Quantitative analysis included descriptive statistics, bivariate tests, and hierarchical regression. Fifteen participants completed semi-structured interviews, which were analysed thematically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101893_as5\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Quantitative findings indicated generally positive employment experiences, with higher satisfaction associated with supportive colleagues and management. Unrealistic employer expectations and lack of familiarity with RN prescribing scope were identified as barriers. Qualitative analysis revealed four themes: (1) value of prior RN experience, with most participants recommending 2\u20135 years before prescribing; (2) mentorship as a catalyst for role transition, and physician mentorship was most common; (3) colleague support and organizational culture as critical facilitators; and (4) role clarity and system-level barriers. Participants emphasized that although education prepared them to prescribe, workplace readiness and clear role expectations were essential for building confidence and ensuring safe practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101893_as6\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Successful implementation of RN prescribing requires more than education; structured mentorship, supportive organizational culture, and standardized policies are vital. These findings inform strategies to strengthen RN prescribing integration and improve access to care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1463423626101893","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T08:52:26Z","timestamp":1791795146000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Registered nurse prescriber role in Ontario: barriers and facilitators of role implementation"],"prefix":"10.1017","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3692-3598","authenticated-orcid":false,"given":"Gina","family":"Pittman","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01gw3d370","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Windsor Faculty of Nursing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2328-7425","authenticated-orcid":false,"given":"Sherry","family":"Morrell","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01gw3d370","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Windsor Faculty of Nursing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6996-2895","authenticated-orcid":false,"given":"Jane","family":"Simanovski","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01gw3d370","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Windsor Faculty of Nursing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William M.","family":"Bannon","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01gw3d370","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Windsor Faculty of Nursing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ava","family":"Mammarella","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01gw3d370","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Windsor Faculty of Nursing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hala","family":"Abu Rashid","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01gw3d370","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Windsor Faculty of Nursing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim","family":"Abdulmoula","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01gw3d370","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Windsor Faculty of Nursing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edona","family":"Ahmeti","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01gw3d370","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Windsor Faculty of Nursing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1051-8973","authenticated-orcid":false,"given":"Adelia","family":"Scofield","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01gw3d370","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Windsor Faculty of Nursing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5581-5061","authenticated-orcid":false,"given":"Debbie","family":"Sheppard-Lemoine","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01gw3d370","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Windsor Faculty of Nursing"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"S1463423626101893_ref8","unstructured":"College of Nurses of Ontario (2025) Practice standard: Registered nurse (RN) prescribing . 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Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e124"}}