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. pp. 1-31. https://doi.org/10.1111/jan.15906
AuthorsGrota, Tenber, Betihavas, Vasiliki, Burston, Adam and Jacob, Elisabeth
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.

Keywordsadvanced practice; day surgery; empowerment; endoscopy; nurse practitioners; nurse roles; surgical nursing; systematic reviews and meta-analyses; theatre nursing; workforce issues
Year2023
JournalJournal of Advanced Nursing
Journal citationpp. 1-31
PublisherJohn Wiley & Sons Ltd
ISSN1365-2648
Digital Object Identifier (DOI)https://doi.org/10.1111/jan.15906
PubMed ID37897097
Scopus EID2-s2.0-85175006528
Open accessPublished as ‘gold’ (paid) open access
Page range1-31
FunderResearch Training Program Scholarship (RTP), Australian Government
Publisher's version
License
File Access Level
Open
Output statusIn press
Publication dates
Online27 Oct 2023
Publication process dates
Accepted10 Oct 2023
Deposited28 Nov 2023
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Betihavas, Vasiliki, Newton, Phillip, Frost, Shaun, Alexandrou, Evan, Macdonald, Peter and Davidson, Patricia. (2013). Importance of Predictors of Rehospitalisation in Heart Failure : A Survey of Heart Failure Experts. Heart Lung and Circulation. 22(3), pp. 179-183. https://doi.org/10.1016/j.hlc.2012.05.008
Training of undergraduate clinicians in vascular access : An integrative review
Alexandrou, Evan, Ramjan, Lucie, Murphy, Jeff, Hunt, Leanne, Betihavas, Vasiliki and Frost, Steven A.. (2012). Training of undergraduate clinicians in vascular access : An integrative review. Journal of the Association for Vascular Access. 17(3), pp. 146-158. https://doi.org/10.1016/j.java.2012.07.001
What are the factors in risk prediction models for rehospitalisation for adults with chronic heart failure?
Betihavas, Vasiliki, Davidson, Patricia, Newton, Phillip, Frost, Steven and Macdonald, Peter. (2012). What are the factors in risk prediction models for rehospitalisation for adults with chronic heart failure? Australian Critical Care. 25(1), pp. 31 - 40. https://doi.org/10.1016/j.aucc.2011.07.004
Health span or life span : The role of patient-reported outcomes in informing health policy
Chang, Sungwon, Gholizadeh, Leila, Salamonson, Yenna, DiGiacomo, Michelle, Betihavas, Vasiliki and Davidson, Patricia M.. (2011). Health span or life span : The role of patient-reported outcomes in informing health policy. Health Policy. 100(1), pp. 96-104. https://doi.org/10.1016/j.healthpol.2010.07.001
Australia's health care reform agenda: implications for the nurses' role in chronic heart failure management
Betihavas, Vasiliki, Newton, Phillip, Du, HuiYun, Macdonald, Peter, Frost, Shaun, Stewart, Simon and Davidson, Patricia. (2011). Australia's health care reform agenda: implications for the nurses' role in chronic heart failure management. Australian Critical Care. 24(3), pp. 189 - 197. https://doi.org/10.1016/j.aucc.2010.08.003
Can a heart failure-specific cardiac rehabilitation program decrease hospitalizations and improve outcomes in high-risk patients?
Davidson, Patricia, Cockburn, Jill, Newton, Phillip, Webster, Julie K., Betihavas, Vasiliki, Howes, Laurie and Owensbye, Dwain O.. (2010). Can a heart failure-specific cardiac rehabilitation program decrease hospitalizations and improve outcomes in high-risk patients? European Journal of Preventative Cardiology. 17(4), pp. 393-402. https://doi.org/10.1097/HJR.0b013e328334ea56
The role of b-type natriuretic peptide in heart failure management
Newton, Phillip, Betihavas, Vasiliki and Macdonald, Peter. (2009). The role of b-type natriuretic peptide in heart failure management. Australian Critical Care. 22(3), pp. 117-123. https://doi.org/10.1016/j.aucc.2009.06.001