Sanclemente-Dalmau Montserrat, Rubinat Arnaldo Esther, Blanco-Blanco Joan, Palomar-Aumatell Xavier, Pedreira-Robles Guillermo, Galbany-Estragués Paola
Social Determinants and Health Education Research Group (SDHEd), Hospital del Mar Research Institute, Barcelona, Spain.
Hospital del Mar Nursing School (ESIHMar), Universitat Pompeu Fabra-affiliated, Barcelona, Spain.
Int Nurs Rev. 2025 Sep;72(3):e70039. doi: 10.1111/inr.70039.
To explore the current and future professional landscape of nurse anaesthetists within the healthcare system of Catalonia (Spain).
Nurse anaesthetists have played a key role in anaesthesia administration since the 19th century. In Catalonia, they are recognised as advanced practice nurses, with an evolving competency framework designed to meet contemporary healthcare demands.
A descriptive qualitative approach was employed, with data collected through a focus group conducted in June 2021. The discussion followed a structured script addressing competency differences between nurse anaesthetists and generalist nurses, the evolution of anaesthesia nursing in the Catalan healthcare system, and its future trajectory. Discourse analysis and microanalysis of interlocutors were performed.
Twenty-one codes were identified and grouped into four main categories: 'Nurse anaesthetist profile' (competencies, care provision, health education, experience, training, humanisation, perioperative process, patient safety), 'Current professional situation' (role differentiation, institutional organisation, work intrusion), 'Factors extrinsic to the NA profession' (increased demand for anaesthetic procedures, financial interests, shortage of anaesthetists) and 'Future prospects' (growth of the profession, nursing specialty, advocacy, institutional recognition).
This study highlights the expansion of the nurse anaesthetist role in Catalonia, driven by skill enhancement and the shortage of anaesthetists. While nurse anaesthetists advocate for greater autonomy and emphasise their contribution to patient safety, concerns persist regarding limited professional recognition and the risk of role displacement.
The growing presence of nurse anaesthetists in Catalonia, driven by increasing procedural demand, anaesthetist shortages and nursing advancements, has led to the proposal of a collaborative model that safeguards their professional autonomy. Recognising this role, establishing clear regulatory frameworks and addressing pay disparities are essential steps towards enhancing patient care and optimising healthcare service delivery.
探索西班牙加泰罗尼亚医疗体系中麻醉护士当前及未来的职业前景。
自19世纪以来，麻醉护士在麻醉管理中发挥了关键作用。在加泰罗尼亚，他们被视为高级执业护士，其能力框架不断发展，以满足当代医疗需求。
采用描述性定性研究方法，于2021年6月通过焦点小组收集数据。讨论遵循结构化脚本，涉及麻醉护士与普通护士的能力差异、加泰罗尼亚医疗体系中麻醉护理的发展及其未来轨迹。对话进行了话语分析和微观分析。
确定了21个编码，并分为四个主要类别：“麻醉护士概况”（能力、护理提供、健康教育、经验、培训、人性化、围手术期流程、患者安全）、“当前职业状况”（角色分化、机构组织、工作干扰）、“麻醉护士职业外部因素”（麻醉程序需求增加、经济利益、麻醉师短缺）和“未来前景”（职业发展、护理专业、宣传、机构认可）。
本研究强调了加泰罗尼亚麻醉护士角色的扩展，这是由技能提升和麻醉师短缺推动的。虽然麻醉护士主张更大的自主权，并强调他们对患者安全的贡献，但对于专业认可度有限和角色替代风险的担忧仍然存在。
在手术需求增加、麻醉师短缺和护理进步的推动下，加泰罗尼亚麻醉护士数量不断增加，这导致了一种保障其职业自主权的合作模式的提议。认识到这一角色、建立明确的监管框架和解决薪酬差距是提高患者护理水平和优化医疗服务提供的关键步骤。
