Valuing the role of the non‐medical surgical assistant in Australia

Hains, Toni; Turner, Catherine; Gao, Yu; Strand, Haakan

doi:10.1111/ans.13900

Cited by 4 publications

(2 citation statements)

References 7 publications

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“…17 The one Advanced Practice Nursing (APN) role that has been successful with professional recognition and regulation in Australia is the Nurse Practitioner (NP), which has demonstrated nurses can build on their current knowledge and skills and become more independent practitioners. 13,18,19 The Nursing and Midwifery Board of Australia (NMBA) limit use of the term APN to the NP role. The NMBA acknowledge there are many other specialty groups and areas within nursing but do not recognise them as APN roles.…”

Section: Introductionmentioning

confidence: 99%

Benefits and impacts of the PNSA role: surgeon and nurse perspectives

Sonneborn¹,

Stacey²

2022

AJAN

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Section: Introductionmentioning

confidence: 99%

Benefits and impacts of the PNSA role: surgeon and nurse perspectives

Sonneborn¹,

Stacey²

2022

AJAN

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“…14 Similarly, it has been established, through surveys of key stakeholders, the examination of peak professional bodies' position statements and a review of the law that the nurse practitioner (NP) and registered nurse (RN) are legitimate clinicians to perform the role of NMSA in Australia. [15][16][17] Due to inequity in the delivery of healthcare many first-world countries currently report differing access to healthcare. 18,19 In the United States of America (USA) the National Advisory Council on Nursing Education and Practice said that a diverse nursing workforce is essential for the development of equity in healthcare.…”

Section: Introductionmentioning

confidence: 99%

The non-medical surgical assistant and inequity in the Australian healthcare system

Hains

Rowell

Strand

2020

AJAN

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Objectives:The objective of this discussion paper is two-fold. The first is to quantify if the non-medical surgical assistant increases access to surgery by investigating what percentages of cases these clinicians undertake in the private sector surgical units where they work. The second is to examine procedural and distributive justice and how they impact on private sector surgical care. Aim:The aim of this paper is to investigate if the non-medical surgical assistant increases equity via access, for the patient, to private sector surgical care; and if government policy has an impact on equity in the form of access. Background:The private healthcare sector completes approximately two-thirds of all elective surgery in Australia; without this contribution, there would be more pressure on the public healthcare sector. In the private sector, recognition and federal funding of the surgical assistant differs depending on whether this clinician has a medical or non-medical, eg. nursing, qualification. The role of the non-medical surgical assistant is well established internationally and this role has been practiced in Australia for more than 20 years. Discussion: Inequity; as a result of the procedural injustice of government funding policy, impacts the private sector surgical patient causing distributive injustice. This distributive injustice results in an out-of-pocket expense to the patient. Rising outof-pocket expenses has started a trend of patients moving away from private health insurance and into the public sector. The registered nurse and nurse practitioner are qualified to practise as a non-medical surgical assistant and provide increased access to care, and effective care compared to the medical surgical assistant. The nurse practitioner is an eligible provider of Medical Benefits Schedule services but restricted from accessing the intraoperative assisting item numbers. Conclusion:The non-medical surgical assistant; or at least the nurse practitioner as non-medical surgical assistant; require access to the Medical Benefits Schedule intraoperative item numbers. Access would alleviate the out-of-pocket expense incurred by Australian patients when a non-medical surgical assistant assists with their surgery. Lack of access to these item numbers means patients may have their surgery delayed until an appropriately skilled medical surgical assistant is available, or the public healthcare sector can accommodate them.

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Advanced non-medical roles within surgery and their engagement with assistive health technologies

Bradburn,

Garbutt

2023

Br J Nurs

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The role of the surgical care practitioner (SCP) is common in UK surgical centres. The SCP curriculum is robust and well developed in multiple specialties since it was first developed in 1989. The SCP role can often concentrate on technical skills, developing a skillset that is highly effective during traditional open surgical procedures. This skillset requires further investigation because technology-assisted surgeries are becoming more common, including the use of novel approaches to developing non-technical skills. To effectively develop this skillset, analysis of robust advanced practice frameworks is necessary, alongside clear alignment to the advanced practitioners' professional regulations. This article examines the interpretation of the advanced practice concept within technology-assisted surgeries, which is potentially guiding the evolution of advanced practice within operating theatres and improving patient care.

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Valuing the role of the non‐medical surgical assistant in Australia

Cited by 4 publications

References 7 publications

Benefits and impacts of the PNSA role: surgeon and nurse perspectives

Benefits and impacts of the PNSA role: surgeon and nurse perspectives

The non-medical surgical assistant and inequity in the Australian healthcare system

Advanced non-medical roles within surgery and their engagement with assistive health technologies

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