Grota Tenber, Betihavas Vasiliki, Burston Adam, Jacob Elisabeth
School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Sydney, New South Wales, Australia.
School of Nursing & Midwifery, University of Notre Dame, Darlinghurst, New South Wales, Australia.
J Adv Nurs. 2024 Aug;80(8):3006-3036. doi: 10.1111/jan.15906. Epub 2023 Oct 27.
To identify the roles of nurse-surgeons in the provision of surgical care.
Scoping review.
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.
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.
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.
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.
确定护士外科医生在提供外科护理中的作用。
范围综述。
本范围综述遵循JBI范围综述指南和EQUATOR网络的PRISMA-ScR清单。2022年5月至2022年7月进行检索，通过数据库结合医学主题词、关键词和筛选器，并根据纳入标准进行手工检索。关键词包括护士外科医生、护士内镜医师、护士宫腔镜医师和护士膀胱镜医师。数据来源为CINAHL、Cochrane、谷歌学术、PubMed和Scopus。采用描述性分析报告研究结果。
96篇纳入记录表明26个国家存在护士外科医生的实践。共发现41种护士外科医生头衔，其中大多数是执业护士类型。护士外科医生共进行了5,684,198例手术，范围从剖腹手术到活检。9篇记录报告护士外科医生进行手术安全，且与医生相当，并发症为零或极少。19篇记录报告护士外科医生在患者手术可及性、等待时间、手术时间、患者到场率、患者教育、医生工作量和初级医生培训方面提高了手术护理效率。7篇记录报告患者满意度高。根据5篇记录，护士外科医生具有成本效益。13篇记录建议规范护士外科医生的实践。
护士外科医生在全球范围内进行了数百万例手术，有助于减轻全球外科负担。本综述确定了护士外科医生在全球外科护理中的作用和益处。发现了护士外科医生角色方面的研究空白，包括护士外科医生头衔的模糊性以及规范护士外科医生实践的必要性。
本研究探讨了护士外科医生所做手术的临床安全性、质量、对及时手术可及性的贡献和成本效益，以及规范护士外科医生实践和使用更一致的护士外科医生头衔以确保角色识别和监测的必要性。
