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Related Experiment Video

Updated: Jun 3, 2026

The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation

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Published on: August 2, 2024

Task Shifting in a Public Hospital Rhinology Clinic: A Nurse-Led Assessment Process.

Ellie Shimizu¹, Sarah Barnett², Mohamedbaqir Rassan²

¹Department of Surgery, The University of Auckland, Auckland, New Zealand.

Creative Nursing

|June 2, 2026

Summary

This summary is machine-generated.

A nurse-led assessment pathway for chronic nasal symptoms reduced wait times and maintained patient satisfaction. This task shifting strategy optimizes healthcare delivery in rhinology services.

Keywords:

Task-shifting equity health care nurse rhinology

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Area of Science:

Healthcare Management
Clinical Nursing
Otolaryngology

Background:

Publicly funded healthcare systems, especially in rhinology, struggle to meet patient demand for specialist care.
Task shifting, reallocating clinical tasks to non-specialists, is explored as a solution to optimize healthcare delivery.
This study examines a nurse-led assessment pathway in an outpatient rhinology service in New Zealand.

Purpose of the Study:

To evaluate the outcomes of a nurse-led initial assessment pathway for patients with chronic nasal symptoms.
To assess the impact of task shifting on efficiency and patient care in rhinology services.
To determine patient satisfaction with nurse-led consultations.

Main Methods:

A registered nurse (RN) received specialized training to conduct initial assessments for undifferentiated chronic nasal symptoms.
The nurse-led pathway was implemented in an outpatient rhinology service over an 18-month period.
Outcomes were analyzed, including wait times, referral management, and patient feedback.

Main Results:

309 patients were assessed via the nurse-led pathway.
The average wait time from referral to assessment was reduced compared to specialist-led clinics.
The majority of patients received treatment plans without needing specialist intervention, and reported high satisfaction.

Conclusions:

Task shifting, specifically nurse-led assessments, presents a viable strategy for addressing resource limitations in public healthcare.
This model enhances efficiency and optimizes care delivery in rhinology without compromising quality.
The findings suggest broader applicability of task shifting to improve outcomes in other strained healthcare settings.