An evaluation of the HSE guiding framework for the implementation of nurse prescribing of medical ionising radiation (X-Ray) in Ireland.

FOREWORD The introduction of Nurse Prescribing of Medical Ionising Radiation (X-ray) in Ireland is a significant initiative in the Irish health service which has positive implications for patients in terms of improved access to radiology services and simplification of their journey. Up to July 2014 the overall number of students who commenced the x-ray prescribing course was 171 and the number of x-ray prescriptions written by them totalled 92,575. It gives me great pleasure to publish the national ‘Evaluation of the HSE Guiding Framework for the Implementation Nurse Prescribing of Ionising Radiation (X-Ray) in Ireland 2014’ which is an extensive independent evaluation of the implementation of nurse prescribing of medical ionising radiation (X-ray) undertaken by researchers from UCD in partnership with UCC led by Professor Jonathan Drennan and which was commissioned by the Office Nursing & Midwifery Services, HSE. The evaluation clearly identifies that the introduction of nurses prescribing of ionising radiation has had a positive impact on patient care. The report highlights that nurses have been well prepared for their professional role and are prescribing ionising radiation effectively and appropriately. The greatest benefit of the initiative has been the impact it has had on facilitating patient access to treatment and care in an equitable and timely manner. I wish to acknowledge the support, advice and expertise of Professor Jonathan Drennan who expertly led the research team from University College Dublin / University College Cork in partnership with my office and our multi-disciplinary governance and advisory group which is representative off all key stakeholders engaged with assuring the safety and quality of Nurse Prescribing of Medical Ionising Radiation (x-ray) through out the various health services. The results of this report will be used to further develop, expand and support nurse prescribing of medical ionising radiation (x-ray). Registered nurses in Ireland have a choice about how they practice nursing. As Ellis and Anderson say, “It is only when we take responsibility for our choices that we begin to realise we truly are the masters of our fate.” I encourage nurse prescribers of Medical Ionising Radiation (X-ray) to take responsibility for your practice and to make a difference each and every day for our patients. There is no better way to build a foundation for leaving your footprint and your legacy for the future. Dr Michael Shannon Nursing and Midwifery Services Director