{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T02:02:38Z","timestamp":1775008958637,"version":"3.50.1"},"reference-count":40,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,7,6]],"date-time":"2022-07-06T00:00:00Z","timestamp":1657065600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>As health systems face increasing demands, non\u2010medical prescribing is a workforce redesign strategy adopted within some services. Despite successful implementation in other professional groups, non\u2010medical prescribing within speech pathology (SP) has not yet been described.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To provide a descriptive account of the development and planned implementation of two SP prescribing models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods &amp; Procedures<\/jats:title><jats:p>The evolution of two SP\u2010led prescribing models, including relevant training and credentialing, for use of (1) nystatin oral drops (100,000 units\/mL); and (2) lidocaine (lignocaine) and phenylephrine nasal spray (5\u00a0mg\/500\u00a0\u03bcg\/spray), in the outpatient setting is detailed. Challenges to implementation are outlined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Contribution<\/jats:title><jats:p>The development of relevant governance structures, a research evidenced\u2010based project evaluation framework, and an overview of training pathways and credentialing was successfully completed. However, implementation of the models was unable to be achieved. A thorough review of the requirements and a discussion of contextual considerations that had a negative influence on the implementation of SP\u2010led prescribing within this specific service context is provided.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; Implications<\/jats:title><jats:p>The successful implementation of SP\u2010led prescribing is complex and highly context dependent. This work offers a discussion and review of the complexities of introducing a non\u2010medical prescribing model in an outpatient hospital\nsetting.<\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds<\/jats:title><jats:sec><jats:title>What is already known on the subject<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Allied Health prescribing is an emerging practice area aiming to reduce current pressures on health services. SP\u2010led prescribing has not been thoroughly investigated in the Australian context.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What this study adds to existing knowledge<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>This study describes the development of a SP\u2010led prescribing process in the outpatient setting, and a thorough review and discussion of the drivers and barriers to the model's implementation.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What are the potential or actual clinical implications of this work?<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>The successful implementation of SP\u2010led prescribing was identified to be complex from a legislative and operational perspective, as well as being highly context dependent. This study further highlights the importance of a thorough context evaluation and workflow mapping prior to full\u2010scale implementation of SP prescribing trials.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/1460-6984.12756","type":"journal-article","created":{"date-parts":[[2022,7,6]],"date-time":"2022-07-06T17:48:38Z","timestamp":1657129718000},"page":"1194-1206","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Speech pathology prescribing in the outpatient setting: A review of requirements, considerations and barriers"],"prefix":"10.1111","volume":"57","author":[{"given":"Maria","family":"Schwarz","sequence":"first","affiliation":[{"name":"Speech Pathology and Audiology Department Logan Hospital Metro South Hospital and Health Service Queensland Health  Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth C.","family":"Ward","sequence":"additional","affiliation":[{"name":"Centre for Functioning and Health Research Metro South Hospital and Health Service Queensland Health  Queensland Australia"},{"name":"School of Health and Rehabilitation Sciences The University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marnie","family":"Seabrook","sequence":"additional","affiliation":[{"name":"Speech Pathology and Audiology Department Logan Hospital Metro South Hospital and Health Service Queensland Health  Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Coccetti","sequence":"additional","affiliation":[{"name":"Allied Health Logan Hospital Metro South Hospital and Health Service Queensland Health  Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katrina","family":"Dunn","sequence":"additional","affiliation":[{"name":"School of Health and Rehabilitation Sciences The University of Queensland  Brisbane Queensland Australia"},{"name":"Speech Pathology Department West Moreton Hospital and Health Service Queensland Health  Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernard C. S.","family":"Whitfield","sequence":"additional","affiliation":[{"name":"Integrated Specialist Ear Nose and Throat Service Department of Otolaryngology Head and Neck Surgery Division of Surgery Logan Hospital Metro South Hospital and Health Service Queensland Health  Queensland Australia"},{"name":"Griffith University (Associate Professor)  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig","family":"Bond","sequence":"additional","affiliation":[{"name":"Ear Nose and Throat Service Ipswich Hospital West Moreton Hospital and Health Service Queensland Health  Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin","family":"Suliman","sequence":"additional","affiliation":[{"name":"Speech Pathology Department West Moreton Hospital and Health Service Queensland Health  Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cal","family":"Winckel","sequence":"additional","affiliation":[{"name":"Pharmacy Department Ipswich Hospital West Moreton Hospital and Health Service Queensland Health  Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,7,6]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Non\u2010medical prescribing in chronic non\u2010malignant pain","author":"Adigwe O.P.","year":"2012"},{"key":"e_1_2_7_3_1","volume-title":"A framework for allied health professional prescribing trials within Queensland Health","year":"2014"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.12968\/npre.2015.13.12.614"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.12968\/jprp.2021.3.9.352"},{"key":"e_1_2_7_6_1","unstructured":"Australian Government. 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