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Dr Nicola Carey

Lecturer (Health and Social Care)

Qualifications: PhD, MPH, Bsc.(Hons), RGN, RM, Specialist Practitioner in Practice Nursing, Nurse Independent and Supplementary Prescriber

Email:
Phone: Work: 01483 68 4512
Room no: DK 04

Office hours

Monday - Friday, 9.00 - 5.30pm by appointment only

Further information

Biography

Nicola is a qualified nurse who has worked in a variety of posts across the country in primary care as both a practice nurse and nurse practitioner. She also spent two years in the United States whilst undertaking her Master’s in Public Health in community health education, and was involved in several national and state level projects including the Youth Risk Behaviour Survey.  Nicola’s main interests are in primary care, service improvement, the development of advanced nursing practice and non-medical prescribing.

She has also previously worked as a member of the HTA pharmaceutical panel and is a committee member for the Association of Nurse Prescribing and the NIHR grant awarding body Research for Patients Benefit (RfPB).

Research Interests

Since January 2005 Nicola has been involved in a number of projects in non-medical prescribing including: diabetes, dermatology, paediatrics and the development of multi-professional prescribing.  The findings from this research have provided support for revised prescribing regulation and assisted service providers to understand how non-medical prescribing can be used in service redesign.

In 2010, Nicola completed her PhD titled ‘An Evaluation of a Diabetes Specialist Nurse on in-patient services’.

Publications

Highlights

  • Carey N, Courtenay M. (2010) 'An exploration of the continuing professional development needs of nurse independent prescribers and nurse supplementary prescribers who prescribe medicines for patients with diabetes'. WILEY-BLACKWELL PUBLISHING, INC JOURNAL OF CLINICAL NURSING, 19 (1-2), pp. 208-216.
    doi: 10.1111/j.1365-2702.2009.02943.x
  • Courtenay M, Carey N, Stenner K. (2009) 'Nurse prescriber-patient consultations: a case study in dermatology'. WILEY-BLACKWELL PUBLISHING, INC JOURNAL OF ADVANCED NURSING, 65 (6), pp. 1207-1217.
    doi: 10.1111/j.1365-2648.2009.04974.x
  • Carey N, Courtenay M, James J, Hills M, Roland J. (2008) 'An evaluation of a Diabetes Specialist Nurse prescriber on the system of delivering medicines to patients with diabetes'. WILEY-BLACKWELL JOURNAL OF CLINICAL NURSING, 17 (12), pp. 1635-1644.
    doi: 10.1111/j.1365-2702.2007.02197.x
  • Courtenay M, Carey N. (2008) 'Nurse independent prescribing and nurse supplementary prescribing practice: national survey'. BLACKWELL PUBLISHING JOURNAL OF ADVANCED NURSING, 61 (3), pp. 291-299.
    doi: 10.1111/j.1365-2648.2007.04512.x

Journal articles

  • Stenner K, Carey N, Courtenay M. (2012) 'Prescribing for pain - how do nurses contribute? A national questionnaire survey.'. J Clin Nurs,
    doi: 10.1111/j.1365-2702.2012.04136.x
  • Courtenay M, Carey N, Stenner K. (2012) 'An overiew of non medical prescribing across one strategic health authority: a questionnaire survey.'. BMC Health Serv Res, England: 12
    doi: 10.1186/1472-6963-12-138
    Full text is available at: http://epubs.surrey.ac.uk/712190/

    Abstract

    Over 50,000 non-medical healthcare professionals across the United Kingdom now have prescribing capabilities. However, there is no evidence available with regards to the extent to which non-medical prescribing (NMP) has been implemented within organisations across a strategic health authority (SHA). The aim of the study was to provide an overview of NMP across one SHA.

  • Carey N, Stenner K. (2011) 'Does non-medical prescribing make a difference to patients?'. Nurs Times, England: 107 (26), pp. 14-16.
  • Stenner KL, Courtenay M, Carey N. (2011) 'Consultations between nurse prescribers and patients with diabetes in primary care: A qualitative study of patient views.'. Int J Nurs Stud, England: 48 (1), pp. 37-46.
    doi: 10.1016/j.ijnurstu.2010.06.006
    Full text is available at: http://epubs.surrey.ac.uk/7381/

    Abstract

    There is a drive to improve the quality of service provision for patients with diabetes and to enable better self-management of this condition. The adoption of prescribing by nurses is increasing worldwide and can potentially enhance service provision. Evidence suggests that patients prefer services where their lifestyle factors and opinions are considered by healthcare professionals within a partnership approach. Few studies have explored patients' views about their consultations with a nurse prescriber.

  • Courtenay M, Carey N, Stenner K. (2011) 'Non medical prescribing leads views on their role and the implementation of non medical prescribing from a multi-organisational perspective.'. BMC Health Serv Res, England: 11
    doi: 10.1186/1472-6963-11-142
    Full text is available at: http://epubs.surrey.ac.uk/7382/

    Abstract

    In the United Kingdom, non-medical prescribing (NMP) has been identified as one way to improve healthcare quality and efficiency. Healthcare organisations are charged with overseeing the clinical governance of NMP and guidance recommends the identification of a lead director to be responsible for its implementation. While over twelve million items are prescribed each year by the 50,000 qualified NMPs its uptake is inconsistent. Several studies have explored the barriers to NMP at a practice level, however little is known about the role the NMP lead and the implementation of NMP from an organisational perspective. The aim of this research was to explore the role of the organisational NMP lead across a range of practice settings within one Strategic Health Authority (SHA) and consider the development of NMP from a multi-organisational perspective.

  • Courtenay M, Carey N, Stenner K, Lawton S, Peters J. (2010) 'Patients' views of nurse prescribing: effects on care, concordance and medicine taking'. WILEY-BLACKWELL BRITISH JOURNAL OF DERMATOLOGY, 164 (2), pp. 396-401.
    doi: 10.1111/j.1365-2133.2010.10119.x
  • Courtenay M, Stenner K, Carey N. (2010) 'The views of patients with diabetes about nurse prescribing'. WILEY-BLACKWELL DIABETIC MEDICINE, 27 (9), pp. 1049-1054.
    doi: 10.1111/j.1464-5491.2010.03051.x
  • Carey N, Stenner KL, Courtenay M. (2010) 'How nurse prescribing is being used in diabetes services: views of nurses and team members'. Wiley-Blackwell Journal of Nursing and Healthcare of Chronic Illness, UK: 2 (1), pp. 13-21.
    doi: 10.1111/j.1752-9824.2010.01043.x
  • Stenner K, Carey N, Courtenay M. (2010) 'Implementing nurse prescribing: a case study in diabetes'. WILEY-BLACKWELL PUBLISHING, INC JOURNAL OF ADVANCED NURSING, 66 (3), pp. 522-531.
    doi: 10.1111/j.1365-2648.2009.05212.x
  • Carey N, Stenner K, Courtenay M. (2010) 'Stakeholder views on the impact of nurse prescribing on dermatology services'. WILEY-BLACKWELL PUBLISHING, INC JOURNAL OF CLINICAL NURSING, 19 (3-4), pp. 498-506.
    doi: 10.1111/j.1365-2702.2009.02874.x
  • Stenner KL, Carey N, Courtenay M. (2010) 'How nurse prescribing influences the nursing role'. Nurse Prescribing, 8 (1), pp. 29-34.
  • Carey N, Courtenay M. (2010) 'An exploration of the continuing professional development needs of nurse independent prescribers and nurse supplementary prescribers who prescribe medicines for patients with diabetes'. WILEY-BLACKWELL PUBLISHING, INC JOURNAL OF CLINICAL NURSING, 19 (1-2), pp. 208-216.
    doi: 10.1111/j.1365-2702.2009.02943.x
  • Courtenay M, Stenner KL, Carey N. (2009) 'An exploration of the practices of nurse prescribers who care for people with diabetes: a case study'. Journal of Nursing and Healthcare of Chronic Illness, 1 (4), pp. 311-320.
    doi: 10.1111/j.1752-9824.2009.01034.x
  • Carey N, Stenner K, Courtenay M. (2009) 'Adopting the prescribing role in practice: exploring nurses' views in a specialist children's hospital.'. Paediatr Nurs, England: 21 (9), pp. 25-29.
  • Carey N, Stenner KL, Courtenay M. (2009) 'Prescription writing for diabetes: compliance with good practice'. Mark Allen Group Nurse Prescribing, 7 (10), pp. 464-468.
    Full text is available at: http://epubs.surrey.ac.uk/37232/

    Abstract

    This study aimed to explore the prescriptions issued to patients with diabetes by nurse independent and nurse supplementary prescribers working in general practice. A total of 19 prescriptions were collected and assessed from four case-study sites based in general practice between October 2007 and September 2008. Prescriptions were collected from patients with diabetes whose consultations were video recorded for the purposes of research. Prescriptions were consistently issued on an appropriate computer-generated prescription form, written legibly in ink, used the correct terminology, generic prescribing and contained an accurate/appropriate product dose and preparation. They were less consistent in stating the number of days, quantity of medicine to be supplied, and providing clear and accurate instructions on frequency and timing of treatment. Nurses in general practice are using computer based repeat prescribing systems to issue prescriptions to patients for the management of diabetes and its common complications, such as hypertension, hyperlipidaemia and cardiovascular disease. Whilst nurse prescribers were generally compliant with good practice in prescription writing, they need to ensure that they include ongoing information with respect to the number of days of treatment, quantity of medicine to be supplied, and clear and accurate instructions regarding the frequency and timing of medicines.

  • Courtenay M, Stenner KL, Carey N. (2009) 'Nurses’ and doctors’ views about the prescribing programme'. Mark Allen Group Nurse Prescribing, 7 (9), pp. 412-417.
    Full text is available at: http://epubs.surrey.ac.uk/37218/

    Abstract

    This article aims to explore the views of doctors and nurses, who care for people with diabetes, about the prescribing programme. Interviews with 10 nurse prescribers, nine doctors and three non-nurse prescribers were conducted in nine case study sites across England between October 2007 and September 2008. Prescribing was seen as a natural extension of advanced nursing roles adopted by nurses caring for people with diabetes. Nurses considered it important to obtain sound knowledge in areas in which they intended to prescribe before undertaking the course. Variation across prescribing programmes with regards to the level of work required of students and the way in which courses were run were reported. Most doctors thought it beneficial for nurses to be involved in mentorship, although doctors' continued involvement was considered necessary. Prescribing supports advanced nursing practice in the care of people with diabetes. Nurses considering undertaking the prescribing course need to be aware of the variations across prescribing programmes with regards to the level of work required. There is support for joint mentorship between nurse prescribers and doctors for students undertaking taking the prescribing course.

  • Courtenay M, Carey N. (2009) 'Nurse prescribing by children's nurses: views of doctors and clinical leads in one specialist children's hospital'. WILEY-BLACKWELL PUBLISHING, INC JOURNAL OF CLINICAL NURSING, 18 (18), pp. 2668-2675.
    doi: 10.1111/j.1365-2702.2009.02799.x
  • Courtenay M, Carey N, Stenner K. (2009) 'Nurse prescriber-patient consultations: a case study in dermatology'. WILEY-BLACKWELL PUBLISHING, INC JOURNAL OF ADVANCED NURSING, 65 (6), pp. 1207-1217.
    doi: 10.1111/j.1365-2648.2009.04974.x
  • Carey N, Stenner KL, Courtenay M. (2009) 'Views on implementing nurse prescribing in a specialist children's hospital'. Nurse Prescribing, 7 (5), pp. 205-2010.
  • Stenner K, Carey N, Courtenay M. (2009) 'Nurse prescribing in dermatology: doctors' and non-prescribing nurses' views'. WILEY-BLACKWELL PUBLISHING, INC JOURNAL OF ADVANCED NURSING, 65 (4), pp. 851-859.
    doi: 10.1111/j.1365-2648.2008.04944.x
  • Courtenay M, Carey N, Stenner KL. (2009) 'Dermatology patients' views on nurse prescribing'. Dermatological Nursing, 8 (2), pp. 38-44.
  • Courtenay M, Carey N, Stenner KL. (2009) 'Nurse prescribing in dermatology'. Dermatology Nursing, 8 (1), pp. 24-30.
  • Courtenay M, Carey N. (2008) 'Completeness of prescriptions issued to dermatology patients'. Mark Allen Group Nurse Prescribing, 6 (9), pp. 391-396.
    Full text is available at: http://epubs.surrey.ac.uk/37221/

    Abstract

    The findings reported in this paper explore the prescriptions issued to dermatology patients by nurse prescribers. Thirty five prescriptions on which 79 items were prescribed were collected from 10 nurse prescribers and independently assessed. Each nurse formed the focus of a case study, which represented a setting within England in which nurses prescribed medicines for dermatology patients. Data were collected between June 2006 and September 2007. Specialist nurses were more likely than general practice nurses to provide clear instructions regarding the application of topical therapies (P=0.02), hand-write prescriptions, and prescribe by brand name. Nurses in general practice were more likely to computer generate prescriptions, prescribe generically (P=0.02), and provide information about treatment duration. Although omissions on prescriptions were minor, it is important that mechanisms are in place, such as access to electronic prescribing, monitoring and audit of prescribing, to ensure the quality of prescriptions written by nurses.

  • Carey N, Courtenay M. (2008) 'Nurse supplementary prescribing for patients with diabetes: a national questionnaire survey'. WILEY-BLACKWELL JOURNAL OF CLINICAL NURSING, 17 (16), pp. 2185-2193.
    doi: 10.1111/j.1365-2702.2007.02238.x
  • Courtenay M, Carey N. (2008) 'The impact and effectiveness of nurse-led care in the management of acute and chronic pain: a review of the literature'. WILEY-BLACKWELL JOURNAL OF CLINICAL NURSING, 17 (15), pp. 2001-2013.
    doi: 10.1111/j.1365-2702.2008.02361.x
  • Carey N, Courtenay M, James J, Hills M, Roland J. (2008) 'An evaluation of a Diabetes Specialist Nurse prescriber on the system of delivering medicines to patients with diabetes'. WILEY-BLACKWELL JOURNAL OF CLINICAL NURSING, 17 (12), pp. 1635-1644.
    doi: 10.1111/j.1365-2702.2007.02197.x
  • Courtenay M, Carey N. (2008) 'Nurse independent prescribing and nurse supplementary prescribing practice: national survey'. BLACKWELL PUBLISHING JOURNAL OF ADVANCED NURSING, 61 (3), pp. 291-299.
    doi: 10.1111/j.1365-2648.2007.04512.x
  • Courtenay M, Carey N. (2008) 'Preparing nurses to prescribe medicines for patients with diabetes: a national questionnaire survey'. BLACKWELL PUBLISHING JOURNAL OF ADVANCED NURSING, 61 (4), pp. 403-412.
    doi: 10.1111/j.1365-2648.2007.04534.x
  • Courtenay M, Carey N. (2008) 'The prescribing practices of nurse independent prescribers caring for patients with diabetes: Findings from a national questionnaire survey'. Practical Diabetes International, 25 (4), pp. 152-157.
    doi: 10.1002/pdi.1235
  • Carey N, Courtenay M. (2007) 'A review of the activity and effects of nurse-led care in diabetes'. BLACKWELL PUBLISHING JOURNAL OF CLINICAL NURSING, 16 (11C), pp. 296-304.
    doi: 10.1111/j.1365-2702.2007.01969.x
  • Courtenay M, Carey N, Burke J. (2007) 'Independent extended supplementary nurse prescribers, their prescribing practice and confidence to educate and assess prescribing students'. CHURCHILL LIVINGSTONE NURSE EDUCATION TODAY, 27 (7), pp. 739-747.
    doi: 10.1016/j.nedt.2006.10.007
  • Courtenay M, Carey N, Burke J. (2007) 'Independent extended and supplementary nurse prescribing practice in the UK: A national questionnaire survey'. PERGAMON-ELSEVIER SCIENCE LTD INTERNATIONAL JOURNAL OF NURSING STUDIES, 44 (7), pp. 1093-1101.
    doi: 10.1016/j.ijnurstu.2006.04.005
  • Courtenay M, Carey N, Burke J. (2007) 'Independent extended nurse prescribing for patients with skin conditions: a national questionnaire survey'. BLACKWELL PUBLISHING JOURNAL OF CLINICAL NURSING, 16 (7), pp. 1247-1255.
    doi: 10.1111/j.1365-2702.2006.01788.x
  • Carey N, Courtenay M, Burke J. (2007) 'Supplementary nurse prescribing for patients with skin conditions: a national questionnaire survey'. BLACKWELL PUBLISHING JOURNAL OF CLINICAL NURSING, 16 (7), pp. 1230-1237.
    doi: 10.1111/j.1365-2702.2006.01641.x
  • Courtenay M, Carey N, James J, Hills M, Roland JM. (2007) 'An evaluation of a Specialist Nurse prescriber on diabetes in-patient service delivery'. JOHN WILEY & SONS LTD PHARMACOEPIDEMIOLOGY AND DRUG SAFETY, 16 (5), pp. 589-589.
  • Courtenay M, Carey N, James J, Hills M, Roland J. (2007) 'An evaluation of a specialist nurse prescriber on diabetes in-patient service delivery'. Practical Diabetes International, 24 (2), pp. 69-74.
    doi: 10.1002/pdi.1056
  • Courtenay M, Carey N. (2007) 'A review of the impact and effectiveness of nurse-led care in dermatology'. BLACKWELL PUBLISHING JOURNAL OF CLINICAL NURSING, 16 (1), pp. 122-128.
    doi: 10.1111/j.1365-2702.2006.01702.x
  • Courtenay M, Carey N, Burke J. (2006) 'Preparing nurses to prescribe medicines for patients with dermatological conditions'. BLACKWELL PUBLISHING JOURNAL OF ADVANCED NURSING, 55 (6), pp. 698-707.
    doi: 10.1111/j.1365-2648.2006.03960.x
  • Courtenay M, Carey N. (2006) 'Independent extended and supplementary nurse prescribing practice: A national questionnaire survey'. JOHN WILEY & SONS LTD PHARMACOEPIDEMIOLOGY AND DRUG SAFETY, 15 (4), pp. 283-284.
  • Carey N, Courtenay M. (2006) 'An evaluation of a diabetic specialist nurse prescriber on service delivery in secondary care'. JOHN WILEY & SONS LTD PHARMACOEPIDEMIOLOGY AND DRUG SAFETY, 15 (4), pp. 283-283.
  • Courtenay M, Carey N. (2006) 'Nurse-led care in dermatology: a review of the literature'. BLACKWELL PUBLISHING BRITISH JOURNAL OF DERMATOLOGY, 154 (1), pp. 1-6.
    doi: 10.1111/j.1365-2133.2005.06979.x

Teaching

Module lead : Nurse Independent & Supplementary Prescribing (V300) Research Methods

Supervision : MSc Dissertation, Doctorate of Clinical Practice and PhD

Conference contributions (selected)

Carey, N, Courtenay, M (2008): Nurse Independent and Nurse Supplementary Prescribing: a national survey International Nursing Research Conference: RCN, Liverpool
Carey, N, Courtenay, M (2008) Nurse Prescribing by children’s nurses: views of doctors and clinical leads 
International Nursing Research Conference: RCN, Liverpool
Carey, N, Courtenay, M (2008) Service Delivery by nurse prescribers for patients with diabetes: Geneva Health Forum; Geneva
Carey, N, Courtenay, M, Stenner, K (2009) The management of patients with diabetes by nurse prescribers: Nurses views: Diabetes UK Annual Conference, Glasgow SEC
Carey, N, Courtenay, M, Stenner, K (2009) Stakeholder views on the impact of nurse prescribing on dermatology services: International Nursing Research Conference: RCN, Cardiff
Carey, N, Courtenay, M, Stenner, K (2009) How nurse prescribing is being utilised in diabetes services: views of nurses and team members Federation of European Nurses in Diabetes, 14th Annual Conference, Vienna

Carey, N, Courtenay, M, Stenner, K (2009) Nurse Prescribing in Diabetes: Nurse Clinics 2009, Manchester Convention Centre
Carey, N, Courtenay, M, Stenner, K (2009) Nurse Prescribing: The impact on service delivery: Association of Nurse Prescribing Conference, Newport.
Carey, N, Courtenay, M, Stenner, K (2010) An exploration of the non-medical prescribing lead role across the East of England: International Nursing Research Conference: RCN, Newcastle upon-Tyne
Carey, N, Courtenay, M, Stenner, K (2011): Dermatology patients views of nurse prescribing: effects on care, concordance and medicine taking.International Nursing Research Conference, RCN, Harrogate
Carey, N, Courtenay, M, Stenner, K (2012): The prescribing practices of nurses who care for patients with skin conditions: a questionnaire survey: International Nursing Research Conference, RCN, London
Carey, N, Courtenay, M, Stenner, K (2012): The prescribing practices of nurses who care for patients with skin conditions: a questionnaire survey: International Nursing Research Conference, 13th International Orem Society Conference, Luxembourg
Carey, N, Courtenay, M, Stenner, K (2012): An overview of non-medical prescribing across one strategic health authority: a questionnaire survey, 13th International Orem Society Conference, Luxembourg
Carey, N, Courtenay, M, Stenner, K (2012): An overview of non-medical prescribing across one strategic health authority: a questionnaire survey, Health Services Research Network Forum, Manchester
Courtenay, M. Carey, N (2009) The completeness of Prescriptions issued to Dermatology Patients by Nurse Prescribers Drug Utilisation Research Group 19th Annual Scientific Meeting, London

RCN Research Society Akinsanya Award for Innovation in Doctoral Studies in Nursing 2011, Shortlisted candidate