Grota Tenber, Burston Adam, Betihavas Vasiliki, Jacob Elisabeth
School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Sydney, NSW 2060 Australia.
Nursing Research and Practice Development Centre, The Prince Charles Hospital, Chermside, QLD 4032 Australia.
Int J Nurs Stud Adv. 2024 Nov 19;7:100268. doi: 10.1016/j.ijnsa.2024.100268. eCollection 2024 Dec.
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.
To investigate the roles, training, education, and perceptions of career prospects and support received by practicing nurse-surgeons in the Australian public health system.
Non-experimental descriptive national survey.
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.
Twenty-eight nurse-surgeons participated in the study, 22 females and six males. Most commonly, participants ( = 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.
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.
全球有超过50亿人无法获得外科手术治疗，创新解决方案对于应对全球外科危机至关重要。护士外科医生是一项很有前景的创新。鉴于他们在全球的贡献以及对澳大利亚外科护理的影响，对这些高级实践护士进行探索正逢其时。
调查澳大利亚公共卫生系统中执业护士外科医生的角色、培训、教育情况，以及他们对职业前景的看法和所获得的支持。
非实验性描述性全国性调查。
目标人群是在澳大利亚公共卫生系统中执业的护士外科医生。调查问卷由四个部分组成，包含有关护士外科医生人口统计学、角色、培训以及对职业前景的看法和所获得支持的问题。数据收集通过向公立医院发送电子邮件、众包和滚雪球抽样的方式进行。采用描述性分析来报告研究结果。
28名护士外科医生参与了该研究，其中女性22名，男性6名。参与者大多（n = 10）拥有硕士学位，平均经过2.27年（95%可信区间[1.47, 3.07]）的培训成为护士外科医生。培训项目各不相同，但都是针对外科专科的，通常包括实践部分、理论部分以及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协会的强烈抵制，参与者认为护士外科医生的就业前景较差至一般。参与者认为从护士、外科医生和管理层获得的支持良好，理由包括支持性、价值认可、嫉妒和怨恨等。由于工作满意度较高，参与者非常有可能（95%可信区间[7.436 - 9.364]）继续执业，但建议对培训和实践进行标准化，以确保该职业的未来发展。
护士外科医生在澳大利亚已经执业数十年，但他们没有标准的培训和认证途径。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、非标准培训以及看法。本研究结果将对政策制定者和利益相关者产生影响，促使他们为澳大利亚的护士外科医生制定标准的国家认证途径，以加强临床实践，并确保为这些高级实践护士的认可和发展建立一个一致的框架。
