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Barriers and Implications of Controlled Substance Prescribing for Florida APRNs

Title: Barriers and Implications of Controlled Substance Prescribing for Florida APRNs.
Name(s): Weissing, Lauren, author
Type of Resource: text
Genre: Text
Research Report
Date Issued: 2019-04-26
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: Purpose: To determine barriers impacting Florida APRNs’ decision to prescribe controlled substances post statutory change that lifted restrictions on controlled substance prescribing. Based on the results, the primary investigator developed a toolkit to decrease these barriers. Methods: A 39-question survey was utilized to determine what factors influence Florida APRN schedule II-IV substance prescribing behaviors. This questionnaire was delivered online and in person to active, licensed APRNs who are members of various nurse practitioner organizations in Florida. Results: Reasons for APRN lack of controlled substance prescribing included practice setting restrictions, physicians writing these prescriptions, and a lack of desire to prescribe these medications. Fifty-five percent of respondents who completed the 3-hour CE course on controlled substances prescribing reported that it adequately prepared them to prescribe schedule II-IV medications, compared to 77% of individuals who took the 8-hour course. Prescriber confidence was significantly associated with protocol characteristics, graduate nurse practitioner programs, colleague support, knowledge, and the extent APRNs prescribe these medications. Respondents noted benefits to prescribing controlled substances that included more efficient patient care, increased autonomy, independent patient management, increased patient access to care, and relief of required physician signatures on all schedule II-IV substances. Discussion: Two years post statutory change, more than 80% of Florida APRNs are DEA registered prescribers of controlled substances. A majority of APRNs feel knowledgeable and comfortable prescribing these medications. Although House Bill 423 removed a barrier to controlled substance prescribing, additional barriers remain. Providing additional skills, reducing quantity limitations for schedule II medications, and decreasing DEA cost would help to reduce these barriers. Conclusion: It is imperative to address the identified needs of APRNs to support them in effectively prescribing schedule II-IV substances. Full practice authority may remove unnecessary protocols and quantity limitations for certain medications, further decreasing barriers for APRNs prescribing controlled substances. This ongoing project will be expanded to determine whether these findings are consistent among all Florida APRNs.
Identifier: FSU_libsubv1_scholarship_submission_1556312288_8013b875 (IID)
Persistent Link to This Record:
Host Institution: FSU

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Weissing, L. (2019). Barriers and Implications of Controlled Substance Prescribing for Florida APRNs. Retrieved from