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Factors Influencing Controlled Substance Prescribing Behaviors Following Changes in Prescriptive Authority

Title: Factors Influencing Controlled Substance Prescribing Behaviors Following Changes in Prescriptive Authority .
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Name(s): Reynolds, Annie M, author
Type of Resource: text
Genre: Text
Research Report
Date Issued: 2021-05-01
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: Purpose: This evidence-based policy project was developed to examine the factors that influence controlled substance prescribing behaviors among Florida’s APRNs and the impact prescribing controlled substances has had on their practice following legislative changes in 2017.Methods: Using a quantitative design, 1,850 Florida actively licensed APRNs met inclusion criteria from the online email distribution via the Florida Health Care Public Data Portal with a Qualtrics survey link. We specifically focused on evaluating participants perceived readiness to prescribe, barriers to utilization of this prescriptive authority, and impacts on APRN practice. The data was analyzed using descriptive and nonparametric statistics with SPSS Version 23. Results: Overall, two years post-legislative change, 55.2% of Florida APRNs have DEA registration (n = 1021), with 59.1% of participants currently prescribing controlled substances in their practice (n = 1093). A large group of Florida APRNs felt very or extremely comfortable with prescribing (45.8%), with more continuing educations hours increasing feelings of preparedness ( = .418, p < .001), and overall feelings of preparedness improving comfort levels when prescribing ( = .703, p < .001). The most commonly selected response for impact to practice from prescribing controlled substances was the ability to efficiently meet patient’s needs (62.3%, n = 713) and the most commonly selected barrier to practice was that the APRN did not want to prescribe controlled substances (33.9%, n = 254).Implications: The DNP project results revealed that Florida APRNs are reporting impactful changes through the utilization of their prescriptive authority for scheduled II-IV substances, having proactively increased their education and feelings of preparedness, but there are some barriers that continue to persist in practice. Major Professor: Dr. Alicia Craig-Rodriguez, DNP, MBA, APRN, FNP-BC
Identifier: FSU_libsubv1_scholarship_submission_1599772258_90ab7d3a (IID)
Keywords: controlled substance, prescribing, APRNs, advanced practice registered nurse, Florida, schedule II-IV substances, opioid prescribing, barriers, implications, readiness
Persistent Link to This Record: http://purl.flvc.org/fsu/fd/FSU_libsubv1_scholarship_submission_1599772258_90ab7d3a
Host Institution: FSU

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Reynolds, A. M. (2021). Factors Influencing Controlled Substance Prescribing Behaviors Following Changes in Prescriptive Authority . Retrieved from http://purl.flvc.org/fsu/fd/FSU_libsubv1_scholarship_submission_1599772258_90ab7d3a