Daigle S
Montreal Heart Institute.
Can Oper Room Nurs J. 1996 Oct;14(3):16-22.
Changes in the work environment, quotas imposed on the number of resident physicians, scientific and technological advances, and nurses having to play two roles, that of scrub nurse and of nurse first assistant, have all contributed to the development of a new role, that of nurse first assistant. For the purpose of providing optimal quality care to patients and at the request of its surgeons, the Montreal Heart Institute has presented a project to the Ordre des infirmières et infirmiers du Québec and the Professional Corporation of Physicians of Québec. The project was accepted by both bodies. The OIIQ moved in favour of recognizing the function of nurse first assistant in September, 1994, and the PCPQ gave its approval for the project on March 30, 1995. A 186 hour training program was developed. The two selected nurses have been trained and have been integrated into a medico-surgical team since February, 1996. The Nurse First Assistant pilot project will be evaluated in February, 1997.
工作环境的变化、对住院医师数量的配额限制、科技进步以及护士不得不扮演两种角色（即刷手护士和第一助手护士），所有这些都促成了一个新角色的发展，即第一助手护士。为了向患者提供最佳质量的护理，并应外科医生的要求，蒙特利尔心脏研究所向魁北克护士协会和魁北克医师专业公司提交了一个项目。该项目得到了这两个机构的认可。魁北克护士协会于1994年9月支持认可第一助手护士的职能，魁北克医师专业公司于1995年3月30日批准了该项目。制定了一个186小时的培训计划。两名被选中的护士已经接受了培训，并自1996年2月起融入了一个内科-外科团队。第一助手护士试点项目将于1997年2月进行评估。
