From October 1994 qualified district nurses and health visitors from e
ight demonstration sites in England have been able to prescribe from a
limited list of formulary items. Data collected from nurses formed on
ly one part of the evaluation of nurse prescribing. These data highlig
hted a number of areas where prescribing nurses were faced with diffic
ult decisions. A number of authors have considered how both doctors an
d nurses make decisions, and the factors which may influence the decis
ion making process. With reference to the literature this paper focuse
s on the findings related to decision making in the context of nurse p
rescribing.