Nursing Paper on Role of Advanced Practice Nursing in Safe Prescribing

Role of Advanced Practice Nursing in Safe Prescribing

An Advanced Practice Registered Nurse (APRN) is a nursing professional falling into the category of clinical specialist, anesthetist, and midwife. Primarily, an APRN is at the forefront in providing preventive medical services to the public. In addition, APRN have comprehensive practice authority, including safe prescribing. Safe prescribing is an essential authority accorded to APRNs to ensure patients are protected from harm arising from inappropriate drug use.

The APRNs play significant roles in safe prescribing. Bruckenthal & Gilson (2019) show that about 75 percent of the population in the United States take daily medication. As such, the more the people continue taking medications, the more they are exposed to adverse events. Therefore, it is imperative that APRNs take the leadership role in promoting ethical and safe prescribing. In Florida, APRNs effectively evaluate and define a patient’s problem to establish the best medication appropriate for particular problem. Moreover, APRNs are on the forefront in determining the therapeutic objective of different drug therapies suited for different patients. In addition, APRNs are tasked with the responsibility of providing patients with accurate information, warning, and instructions to prevent the adverse effects of drug use. Besides, APRNs must regularly monitor their patients after prescription while also taking into consideration the drug costs when prescribing. It is important to prescribe drugs that are affordable to improve patient outcomes.

The APRNs faces myriad prescription barriers. Foremost, APRNs cannot independently prescribe without the involvement of physicians.  Per Mitchell & Oliphant (2016), the law describes that APRNs prescribe as directed by trained physicians. In Florida, APRNs prescribe based on a written protocol. Secondly, APRNs in different states are only allowed to prescribe drugs on the approved list. As a result, a practitioner may be unable to prescribe any new drug until it is approved.  Third, there are duplicate regulatory structures controlling the ability of APRNs to prescribe. The professionals have to adhere to all the regulations which negatively affect nursing practice by having to follow myriad procedures and guidelines. In Florida, APRNs operate under strict supervision of two licensing boards.

The APRNs play an integral role in advancing care and supporting practices meant to improve future health care.  The ability of APRNs to prescribe without restriction is essential in providing cost-effective and quality care to diverse patients they serve. However, when prescribing, the APRNs must adequately understand drug reactions and probable side effects.



Bruckenthal, P. & Gilson, A. (2019). Development and validation of the achieving effective & safe Opioid prescribing–Advanced Practice Registered Nurse (AESOP-APRN) survey: A pilot study. Pain Management Nursing, 20(3), 214-221.

Mitchell, A. & Oliphant, C. (2016). Responsibility for ethical prescribing. The Journal for Nurse Practitioners, 12(3), 20-22.




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