{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T05:20:55Z","timestamp":1764134455099,"version":"3.46.0"},"reference-count":47,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T00:00:00Z","timestamp":1764115200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>In Spain the Royal Decree 1302\/2018 of October 22nd regulates nurse prescribing of medication and health products (NPMHP) with at least 1 year of professional experience as a nurse. It provides nurse prescribers (NPs) with the authority to prescribe medications and health products, throughout established protocols published in the Official Spanish State Bulletin (BOE). In line with this, assessing the self-efficacy of NPs is relevant in its beginnings and by using tools such as the standardized nurse prescribing self-efficacy scale (NP-SES) it is possible to accurately evaluate their knowledge on NPMHP. This research aimed at exploring the Spanish accredited NPs\u2019 perceptions on NPMHP knowledge and the impact of these prescribers\u2019 confidence on their professional practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was performed with Spanish NPs invited to complete the online version of the NP-SES. The cross-sectional study collected qualitative and quantitative data from a convenience sample of 14 NPs accredited in the last years at a health organization in Spain, encompassing various profiles, in terms of clinical specializations, complementary training and years of experience, for NPMHP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All respondents expressed a positive perception of the implementation of NPMHP in the healthcare system and recognized NPMHP usefulness in enhancing patient safety, increasing patient satisfaction and therapeutic adherence, by strengthening interprofessional collaboration, and improving the efficiency of healthcare delivery. Specific areas where additional support and training may enhance nurses\u2019 confidence and competence in prescribing roles have been identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There is a need for education in the national undergraduate and postgraduate training of nurses regarding NPMHP as well as an adequate guidance on prescribing responsibilities in practice. In addition, the NPMHP protocols should be developed regarding nurses\u2019 roles in prescribing medication within the multidisciplinary healthcare team. Future research should include prescribing audits to validate self-efficacy scores in the context where NPMHP takes place.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2025.1663422","type":"journal-article","created":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T05:15:48Z","timestamp":1764134148000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of self-efficacy in Spanish nurse prescribers: are they qualified to safely and effectively prescribe medication and health devices?"],"prefix":"10.3389","volume":"12","author":[{"given":"Francisco Javier","family":"Gomis-Jimeno","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mojtaba","family":"Vaismoradi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Lillo-Crespo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,11,26]]},"reference":[{"key":"ref1","first-page":"44","article-title":"Las creencias de autoeficacia: un aporte para la formaci\u00f3n del docente de ingl\u00e9s","volume":"15","year":"2006","journal-title":"Acci\u00f3n Pedag"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1186\/s12875-021-01391-2","article-title":"The association between self-efficacy and self-care in essential hypertension: a systematic review","volume":"22","author":"Jun Hui Tan","year":"2021","journal-title":"BMC Fam Pract"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"572","DOI":"10.1177\/0193945920962500","article-title":"Development and validation of the nurse prescribing self-efficacy scale","volume":"43","author":"Galiana-Camacho","year":"2021","journal-title":"West J Nurs Res"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1111\/jan.14992","article-title":"Evidence-informed implementation of nurse prescribing under supervision: an integrative review","volume":"78","author":"Fox","year":"2022","journal-title":"J Adv Nurs"},{"key":"ref5","volume-title":"Pharmaceutical care practice: the patient-centered approach to medication management.","author":"Cipolle","year":"2012"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1072","DOI":"10.1111\/j.1365-2648.2010.05268.x","article-title":"Nurses' practices in pharmacotherapy and their association with educational level","volume":"66","author":"Dilles","year":"2010","journal-title":"J Adv Nurs"},{"key":"ref7","volume-title":"Guidelines on prescriptive Authority for Nurses 2021","year":"2021"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1016\/j.healthpol.2014.04.016","article-title":"Reframing professional boundaries in healthcare: a systematic review of facilitators and barriers to task reallocation from the domain of medicine to the nursing domain","volume":"117","author":"Niezen","year":"2014","journal-title":"Health Policy"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1016\/j.sapharm.2017.02.002","article-title":"Practice makes perfect: a systematic review of the expertise development of pharmacist and nurse independent prescribers in the United Kingdom","volume":"14","author":"Abuzour","year":"2018","journal-title":"Res Social Adm Pharm"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"104926","DOI":"10.1016\/j.nedt.2021.104926","article-title":"Developing a competence framework for nurses in pharmaceutical care: a Delphi study","volume":"104","author":"Dijkstra","year":"2021","journal-title":"Nurse Educ Today"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"4681","DOI":"10.3390\/ijerph20064681","article-title":"Identifying the enablers and barriers to advance nurse prescribing of medication in Spain according to experts' views: a Delphi study","volume":"20","author":"Gomis-Jimeno","year":"2023","journal-title":"Int J Environ Res Public Health"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"e036269","DOI":"10.1136\/bmjopen-2019-036269","article-title":"EUPRON: nurses\u00b4 practice in interprofessional pharmaceutical care in Europe. 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