Nurse-surgeons in the Australian public health system: A descriptive quantitative survey

IF 3.1 Q1 NURSING
Tenber Grota , Adam Burston , Vasiliki Betihavas , Elisabeth Jacob
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Abstract

Background

With over five billion people worldwide lacking access to surgery, innovative solutions are vital to address the global surgical crisis. Nurse-surgeons present a promising innovation. Considering their contribution worldwide and impact on surgical care in Australia, an exploration of these advanced practice nurses is timely.

Objective

To investigate the roles, training, education, and perceptions of career prospects and support received by practicing nurse-surgeons in the Australian public health system.

Design

Non-experimental descriptive national survey

Methods

The target population was nurse-surgeons practicing within the Australian public health system. The survey questionnaire comprised of four sections containing questions on nurse-surgeon demographics, roles, training, and perceptions of career prospects and support received. Data collection was conducted through emailing of public hospitals, crowdsourcing, and snowballing. Descriptive analysis was used to report the findings.

Results

Twenty-eight nurse-surgeons participated in the study, 22 females and six males. Most commonly, participants (n = 10) held master's degrees and trained to become nurse-surgeons for an average of 2·27 years (95 % CI [1·47,3·07]). Training programs varied but were all surgical specialty-specific, and usually included a practical component, theoretical component, and competency assessment prior to independent practice. Participants rated employment prospects for nurse-surgeons as poor to average due to limited work opportunities, politics, and strong pushbacks from Australian medical societies. The support received from nurses, surgeons and management was rated by participants as good providing reasons such as supportiveness, value recognition, jealousy, and resentment. The participants were very likely (95 % CI [7.436 – 9.364] to continue practicing due to positive job satisfaction but recommended the standardising of training and practice to ensure role futureproofing.

Conclusions

Nurse-surgeons have been practicing in Australia for decades, yet no standard training and credentialing pathway exist for them. This study identified the various roles, non-standard training, and perceptions of nurse-surgeons in the Australian public health system. The findings of this study will have an impact on policymakers and stakeholders to develop standard national credentialing pathway for nurse-surgeons in Australia to enhance clinical practices and ensure a consistent framework for recognition and development of these advanced practice nurses.
澳大利亚公共卫生系统中的护士-外科医生:描述性定量调查
背景全世界有 50 多亿人无法获得外科手术,因此创新解决方案对于解决全球外科手术危机至关重要。护士外科医生是一项很有前景的创新。目标调查澳大利亚公共卫生系统中执业外科护士的角色、培训、教育以及对职业前景和所获支持的看法。方法目标人群为澳大利亚公共卫生系统中的执业外科护士。调查问卷包括四个部分,分别涉及护士-外科医生的人口统计学、角色、培训、对职业前景的看法以及获得的支持。数据收集是通过向公立医院发送电子邮件、众包和滚雪球的方式进行的。结果有 28 名外科护士参与了研究,其中 22 名女性,6 名男性。大多数参与者(n = 10)拥有硕士学位,并接受了平均 2-27 年(95 % CI [1-47,3-07])的外科医生护士培训。培训计划各不相同,但都是针对外科专科的,通常包括实践部分、理论部分和独立执业前的能力评估。由于工作机会有限、政治因素以及澳大利亚医学会的强烈反对,参与者认为外科护士的就业前景很差,甚至一般。参与者认为从护士、外科医生和管理层获得的支持是好的,原因包括支持、价值认可、嫉妒和怨恨。由于工作满意度高,参与者很有可能(95 % CI [7.436 - 9.364])继续执业,但他们建议对培训和实践进行标准化,以确保未来的角色定位。本研究确定了澳大利亚公共卫生系统中护士外科医生的各种角色、非标准培训和看法。本研究的结果将对政策制定者和利益相关者产生影响,从而为澳大利亚的外科医生制定标准的国家资格认证途径,以加强临床实践,并确保为这些高级执业护士的认可和发展提供一致的框架。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.80
自引率
0.00%
发文量
45
审稿时长
81 days
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