An Evaluation of the Expansion of Nurse Prescribing in Scotland

ANNEX 3 INITIAL QUESTIONNAIRE ADMINISTERED TO COURSE MEMBERS AT THE BEGINNING OF A NURSE PRESCIRBING COURSE

DEPARTMENT OF NURSING AND MIDWIFERY AND INSTITUTE OF EDUCATION

Extended and Supplementary Nurse Prescribers' Course

1) What is your current post?

Nurse	Health Visitor	Midwife

2) Please tick all boxes that best describe your geographical area(s) of practice

Rural and remote	Rural	Suburban	Urban

3) Please tick the box(es) describing the healthcare setting within which you work

Acute Hospital	Community Hospital	Health Centre/ GP Practice	Nursing Home	Other (please specify)

4) Please list the type of prescribing role(s) and associated duties you expect to perform after completing the course...............................................................................................

………………………………………………………………………..................

…………………………………………………………………………………..

…………………………………………………………………………………..

…………………………………………………………………………………..

…………………………………………………………………………………..

5) Does the nurse prescribing course complement any other Continuing Professional Development course(s) you have already completed, and/or that you intend to do?

Yes	No

If yes, please name the other course(s) and explain how this course you are undertaking now will complement the other(s).....................................................................................

........................................................................................................................................... ………………………………………………………………….......................................

…………………………………………………………………………………………...

6) How many hours off work per week has your employer given, so that you can take

this course?.......................................................................................................................

…………………………………………………………………………………………..

7) Please indicate all your professional registered qualifications

	Tick	Date of Qualification
RN/ RGN/ SRN Adult
RN/ RMN Mental Health
RN/ RSCN Children
RN/ RNMH Learning Disabilities
RM Midwifery
EN/ SEN
DN Qualification
HV Qualification
Practice Nurse Qualification
Recordable Qualifications - Specialist Practice
Recordable Qualifications - Teaching
Recordable Qualifications - Nurse Prescribing

8) What other education have you had to date, including Information Technology/ Computing? Please see list below and tick where relevant.

Standards/ GCE/ GCSE
Highers/'A/S' levels
Advanced Highers/'A' levels
First degree
Higher degree
Previous Information Technology/ computer training e.g. NHS	If yes, please also give course name(s) and level:
Information Technology/computing qualification e.g. ECDL	If yes, please also give course name(s) and level:
Other

9) What is your age? (Please tick one box)

20-29	30-39	40-49	50-59	60+

thank you