Clinical Nurse Specialist, Lead Clinical Nurse Specialist, and Surgical First Assistant, The Royal National Orthopaedic Hospital NHS Trust, London.
Br J Nurs. 2021 Nov 11;30(20):1178-1183. doi: 10.12968/bjon.2021.30.20.1178.
Clinical nurse specialists (CNSs) are experienced senior nurses with advanced clinical knowledge, communication and leadership skills and commonly take on extended roles to optimise care delivery within health and social care.
To critically explore the experience of one clinical nurse specialist who undertook an enhanced qualification to become a surgical first assistant.
A case-study approach based on Gibbs' reflective model is used to reflect on the experience, its benefits to patient care and the challenges and facilitators related to taking on advanced surgical roles.
Long-term benefits can be achieved by investing in CNSs educated to hold the enhanced surgical first assistant qualification. Advanced roles enhance evidence-based service delivery, while also benefitting the clinical nurse specialist, the patient and the trust.
临床护理专家 (CNS) 是经验丰富的高级护士，具有先进的临床知识、沟通和领导技能，通常承担扩展角色，以优化卫生和社会保健服务的提供。
批判性地探讨一位临床护理专家的经验，她接受了强化培训，成为了一名外科第一助手。
采用基于 Gibbs 反思模型的案例研究方法来反思经验、对患者护理的益处以及承担高级外科角色相关的挑战和促进因素。
投资于接受过增强型外科第一助手资格培训的 CNS 可以实现长期效益。高级角色增强了循证服务的提供，同时也使临床护理专家、患者和信托受益。
