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Clinical nurse practitioner in a surgical team
Annals of the Royal College of Surgeons of England
|January 1, 1995
Summary
Clinical Nurse Practitioners can perform most elective surgical duties, easing workloads for surgical residents (PRHOs). However, they cannot fully replace PRHOs during on-call hours, suggesting a collaborative model for optimal surgical team support.
Area of Science:
- Surgical Nursing
- Healthcare Management
Background:
- Surgical teams face increasing workload pressures.
- The traditional role of surgical residents (PRHOs) is demanding.
Purpose of the Study:
- To describe the responsibilities, relationships, and limitations of nurses performing PRHO duties.
- To evaluate the potential of Clinical Nurse Practitioners (CNPs) in surgical teams.
Main Methods:
- Qualitative description of a nurse's role within a surgical team.
- Analysis of responsibilities, interprofessional relationships, and scope of practice.
Main Results:
- Nurses can effectively manage nearly all elective surgical activities, significantly reducing PRHO workload.
- Nurses cannot fully substitute for PRHOs during out-of-hours duties.
- A model of one PRHO supporting two consultant teams alongside a CNP is proposed.
Conclusions:
- Clinical Nurse Practitioners can substantially alleviate surgical resident workload.
- CNPs are valuable assets but cannot entirely replace PRHOs, especially during unsociable hours.
- Integration of CNPs can optimize surgical team efficiency and support consultant-led care.