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Patient satisfaction with medication consultations and medicines information provided by nurses working autonomously in sexual health services: A questionnaire study

Research output: Contribution to journalArticlepeer-review

Adam Black, Heather Gage, Christine Norton, Bryony Dean Franklin, Trevor Murrells, Molly Courtenay

Original languageEnglish
JournalJournal of Advanced Nursing
Early online date3 Nov 2021
Accepted/In press2021
E-pub ahead of print3 Nov 2021

Bibliographical note

Funding Information: This study was funded by the National Institute for Health Research (NIHR) Integrated Clinical Academic Programme (project reference CDRF‐2013‐04‐052) as part of a Clinical Doctoral Research Fellowship. The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. This article represents independent research supported by the NIHR Imperial Patient Safety Translational Research Centre and the NIHR Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance at Imperial College in partnership with Public Health England (PHE). The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR, PHE or the Department of Health and Social Care. Publisher Copyright: © 2021 John Wiley & Sons Ltd

King's Authors


AIM: To compare the satisfaction of patients managed by independent nurse prescribers with that of patients managed by nurses using PGDs with respect to experience of the consultation and information received about the medication.

DESIGN: Survey.

METHODS: Patients receiving medications from nurses in five urban sexual health services in the United Kingdom completed validated questionnaires immediately after the consultation, September 2015-August 2016. Scores of independent nurse prescribers and nurses using patient group directions were compared about consultation experience (5 items) Satisfaction with Information about Medicines (SIMS 16 items scale).

RESULTS: Of 808 patients receiving medications, 393 (48.6%) received questionnaires and 380 were returned (independent nurse prescribers 180 of 198, 90.9%; patient group directions 173 of 195, 88.7%). Patients in both groups reported high levels of satisfaction. About the consultation experience, patients found nurses friendly/ approachable (>99%), instilling confidence and trust (>99%) and explaining reasons for medications clearly (97%). Satisfaction with medication information: Of 348 (92%) respondents completing SIMS, the overall mean score was 13.4 of maximum 16 (no difference between groups, t-test, p = .63).

CONCLUSIONS: Patients were highly satisfied with nurse consultations and information around medications regardless of whether they were managed by independent nurse prescribers or nurses using patient group directions.

IMPACT: Findings provide evidence in support of autonomous provision of medications by nurses in sexual health clinics.

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