Role of nurse-surgeons in global surgical care : A scoping review
Journal article
Grota, Tenber, Betihavas, Vasiliki, Burston, Adam and Jacob, Elisabeth. (2023). Role of nurse-surgeons in global surgical care : A scoping review. Journal of Advanced Nursing. 80(8), pp. 3006-3036. https://doi.org/10.1111/jan.15906
Authors | Grota, Tenber, Betihavas, Vasiliki, Burston, Adam and Jacob, Elisabeth |
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Abstract | Aim: To identify the roles of nurse-surgeons in the provision of surgical care. Design: Scoping review. Methods: This scoping review adhered to the JBI guideline for scoping reviews and EQUATOR Network's PRISMA-ScR checklist. Searches were performed from May 2022 to July 2022 using a combination of MeSH headings, keywords and filters via database and hand searching based on the eligibility criteria. Keywords included nurse-surgeon, nurse endoscopist, nurse hysteroscopist and nurse cystoscopist. Data sources were CINAHL, Cochrane, Google Scholar, PubMed and Scopus. Descriptive analysis was used to report the findings. Results: Ninety-six included records indicated nurse-surgeon practice in 26 countries. Forty-one nurse-surgeon titles were found, the majority of which were types of nurse practitioner. A total of 5,684,198 surgeries were performed by nurse-surgeons varying from laparotomies to biopsies. Nine records reported that nurse-surgeons perform surgeries safely and on par with physicians with zero to minimal complications. Nineteen records reported improved surgical care efficiency by nurse-surgeons in terms of patient access to surgery, waiting times, surgery times, patient show rates, patient education, physician workload and junior physicians' training. Seven records reported high patient satisfaction. Nurse-surgeons were cost-effective according to five records. Thirteen records recommended the standardization of nurse-surgeon practice. Conclusion: Nurse-surgeons performed millions of surgeries worldwide assisting in easing the global surgical burden. This review identified the roles and benefits nurse-surgeons play in global surgical care. Research gaps on nurse-surgeon roles were discovered including the ambiguity in nurse-surgeon titles and the need to regulate nurse-surgeon practice. Impact: This research addressed the clinical safety, quality, contribution to timely surgical access and cost efficiency of nurse-surgeon performed surgeries, as well as the need to standardize nurse-surgeon practice and use a more consistent nurse-surgeon title to ensure role identification and monitoring. |
Keywords | advanced practice; day surgery; empowerment; endoscopy; nurse practitioners; nurse roles; surgical nursing; systematic reviews and meta-analyses; theatre nursing; workforce issues |
Year | 2023 |
Journal | Journal of Advanced Nursing |
Journal citation | 80 (8), pp. 3006-3036 |
Publisher | John Wiley & Sons Ltd |
ISSN | 1365-2648 |
Digital Object Identifier (DOI) | https://doi.org/10.1111/jan.15906 |
PubMed ID | 37897097 |
Scopus EID | 2-s2.0-85175006528 |
Web address (URL) | https://onlinelibrary.wiley.com/doi/10.1111/jan.15906 |
Open access | Published as ‘gold’ (paid) open access |
Research or scholarly | Research |
Page range | 3006-3036 |
Funder | Research Training Program Scholarship (RTP), Australian Government |
Publisher's version | License File Access Level Open |
Output status | Published |
Publication dates | |
Online | 27 Oct 2023 |
Publication process dates | |
Accepted | 10 Oct 2023 |
Deposited | 28 Nov 2023 |
Additional information | © 2023 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd. |
This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. |
https://acuresearchbank.acu.edu.au/item/8zzx1/role-of-nurse-surgeons-in-global-surgical-care-a-scoping-review
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Publisher's version
OA_Grota_2023_Role_of_nurse_surgeons_in_global.pdf | |
License: CC BY-NC-ND 4.0 | |
File access level: Open |
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