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Nurse-Surgeons' Experiences Working in the Australian Public Health System: A Qualitative Exploration
Tenber Grota1, Adam Burston1,2, Vasiliki Betihavas3
1School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Sydney, New South Wales, 2060, Australia, acu.edu.au.
Journal of Nursing Management
|January 19, 2026
Summary
Nurse-surgeons in Australia face integration challenges, including initial antagonism from colleagues. Key facilitators for their role include awareness and standardized credentialing, while barriers involve systemic issues and professional attitudes.
Area of Science:
- Nursing
- Surgical Care
- Health Systems Research
Background:
- Nurse-surgeons play a unique role in perioperative care.
- Their integration into healthcare systems is complex and under-researched.
Purpose of the Study:
- To explore the experiences and perceptions of nurse-surgeons.
- To identify facilitators and barriers to their integration in the Australian public health system.
Main Methods:
- Qualitative study design.
- Five semi-structured interviews.
- Reflexive thematic analysis.
Main Results:
- Positive interactions with supervisors.
- Evolving relationships with nurses and physicians from antagonism to recognition.
- Facilitators: role awareness, collaboration, standardized credentialing, government support.
- Barriers: geographical limits, obstructive medical associations, financial issues, professional attitudes ('tall poppy syndrome', physician superiority).
Conclusions:
- The study provides valuable insights into nurse-surgeons' experiences.
- Highlights critical barriers and facilitators for healthcare system integration.
- Findings can guide institutions in improving interprofessional collaboration and credentialing.
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