Impact of nurse-surgeons on patient-centred outcomes: A systematic review

Grota, Tenber; Betihavas, Vasiliki; Burston, Adam; Jacob, Élisabeth

doi:10.1016/j.ijnsa.2022.100086

Cited by 2 publications

(9 citation statements)

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“…Patients who were also satisfied with their nurse-surgeon during surgery and postoperatively, would recommend their nurse-surgeon to friends or opt to have a surgery provided by a nurse-surgeon again (Satyapan et al, 1983). These findings are consistent with Grota et al (2022) and Grota et al (2021) findings where both systematic reviews concluded the high patient satisfaction from nurse-surgeons.…”

Section: Discussionsupporting

confidence: 73%

“…This review also identified the positive contribution of nurse-surgeons in the efficient delivery of global surgical care in the context of timely patient access to surgery, waiting times, surgery times, patient show rates, preoperative patient education, physician workload and rest times, and junior physicians' training (Cooper, 2021;Cusack et al, 2018;Ge et al, 2021;Gifford & Stone, 1993;Giramonti & Kogan, 2018;Godsell, 2005;Johal & Dodd, 2017;Kanchanasinith et al, 1990;Laing, 1999;Marsh, 2005;McConkey et al, 2019;Meo et al, 2006;Quick, 2013;Rich et al, 2021;Sapre et al, 2012;Thommasen et al, 1996). While Grota et al (2021Grota et al ( , 2022) also reported the contribution of nurse-surgeons in surgical access, waiting times and patient show rates, this scoping review further added the benefits of nurse-surgeons in improving patient show rates in rural settings and provision of a more comprehensive patient education prior to surgery. In lieu of the restrictions to junior physicians' work hours, this scoping review also found that nurse-surgeons contributed to the enhancement of junior physicians' training experience which offered them more time to rest and mitigate their clinical workload (Johal & Dodd, 2017;Quick, 2013;Rich et al, 2021;Thommasen et al, 1996).…”

Section: Discussionmentioning

confidence: 96%

“…Grota et al. (2022) further confirmed the categorically positive global impact of nurse‐surgeons in surgical outcomes particularly in emergency surgeries, diagnostic surgeries, minor surgeries and rural health. Therefore, considering the potential of nurse‐surgeons in easing the surgical burden globally, initial mapping and scoping of the roles of this group of advanced practice nurses is necessary in the hopes of formally regulating their credentialing pathway and clinical practice.…”

Section: Introductionmentioning

confidence: 90%

“…The desperate need of the health systems laid the foundation for the innovation of surgical capacity (supply) to meet surgical demands (Bath et al, 2019;World Health Organization, 2014). Similar with how nurse-surgeons were incepted in low-and lower-middle income countries, nurse-surgeons in high-income countries also emerged from supply and demand challenges (Grota et al, 2022). The provision of surgical services required innovation to meet ballooning surgical demands and achieve positive surgical outcomes amidst the ageing healthcare population (OECD iLibrary, 2019), the restrictions to ensure that junior physicians do not work unsafe hours (Abraham et al, 2016;…”

Section: Introductionmentioning

confidence: 99%

“…Globally, nurse‐surgeons have reduced surgical waiting times, improved patient access to surgery and prevented deaths from surgically treatable illnesses (Grota et al., 2021; Grota et al., 2022). The contributions of nurse‐surgeons have been invaluable in decreasing the unnecessary treatment delays in various surgical specialties (Johal & Dodd, 2017; Joseph et al., 2015; Salibian et al., 2016).…”

Section: Introductionmentioning

confidence: 99%

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Roles of nurse‐surgeons in global surgical care: A scoping review

Grota,

Betihavas,

Burston

et al. 2023

Journal of Advanced Nursing

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AimTo identify the roles of nurse‐surgeons in the provision of surgical care.DesignScoping review.MethodsThis 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.ResultsNinety‐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.ConclusionNurse‐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.ImpactThis 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.

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Section: Discussionsupporting

confidence: 73%