Age and the anaesthetist: considerations for the individual anaesthetist and workforce planning

Davies, M.; Clyburn, Paul; Barker, P; Flatt, N. W.; Noble, Nikki; Swart, M.; Redfern, N.; Davidson, R; Fleming, R; Stacey, K.; Richards, C

doi:10.1111/anae.15825

Cited by 9 publications

(7 citation statements)

References 8 publications

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“…Concerningly, studies directly assessing specialists’ performance identified evidence of inadequate performance in managing medical emergencies and insufficient knowledge related to clinical skills and procedures. These findings corroborate existing evidence of a decline in anesthetists’ knowledge and skills over time and reinforce the importance of CPD and the need for evidence‐based educational activities that ensure safe and effective clinical practice 26 . However, they also raise multiple important ethical considerations related to the clinical implications of inadequate performance that need to be addressed within the context of CPD: should anesthetists be able to practice whilst undertaking remediating measures, should the use of assessment be increased within CPD, should there be core competencies which all anesthetists regularly recertify?…”

Section: Discussionsupporting

confidence: 83%

Continuing professional development (CPD) for anesthetists: A systematic review

Petersen

Bray

Østergaard

2023

Acta Anaesthesiol Scand

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BackgroundIn accordance with the focus on patient safety and quality in healthcare, continuing professional development (CPD) has received increasing levels of attention as a means to ensure physicians maintain their clinical competencies and are fit to practice. There is some evidence of a beneficial effect of CPD, though few studies have evaluated its effect within anesthesia. The primary aim of this systematic review was to establish which CPD activities anesthetists are engaged in and their effectiveness. The secondary aim was to explore which methods are employed to evaluate anesthetists’ clinical performance.MethodsDatabases searched: Medline, Embase and Web of Science, in May 2023. Additional papers were identified through searching the references of included studies. Eligible studies included anesthetists, either exclusively or combined with other healthcare professionals, who underwent a learning activity or assessment method as part of a formalized CPD program or a stand‐alone activity. Non‐English language studies, non‐peer reviewed studies and studies published prior to 2000 were excluded. Eligible studies were quality assessed and narratively synthesized, with results presented as descriptive summaries.ResultsA total of 2112 studies were identified, of which 63 were eligible for inclusion, encompassing more than 137,518 participants. Studies were primarily of quantitative design and medium quality. Forty‐one studies reported outcomes of single learning activities, whilst 12 studies investigated different roles of assessment methods in CPD and ten studies evaluated CPD programs or combined CPD activities. A 36 of the 41 studies reported positive effects of single learning activities. Investigations of assessment methods revealed evidence of inadequate performance amongst anesthetists and a mixed effect of feedback. Positive attitudes and high levels of engagement were identified for CPD programs, with some evidence of a positive impact on patient/organizational outcomes.DiscussionAnesthetists are engaged in a variety of CPD activities, with evidence of high levels of satisfaction and a positive learning effect. However, the impact on clinical practice and patient outcomes remains unclear and the role of assessment is less well‐defined. There is a need for further, high‐quality studies, evaluating a broader range of outcomes, in order to identify which methods are most effective to train and assess specialists in anesthesia.

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Section: Discussionsupporting

confidence: 83%

Continuing professional development (CPD) for anesthetists: A systematic review

Petersen

Bray

Østergaard

2023

Acta Anaesthesiol Scand

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“…Davies et al stated that the successful performance of anesthesia team members relies on optimization of the ergonomics of the operating room, and if due attention is not paid to these details, their performance will be disrupted. According to their results, temperature, humidity, adequate lighting, and visibility or availability of equipment needed by the anesthesia team member in the operating room are influencing factors in this regard (34). Moreover, amenities are not equally distributed in all operating rooms.…”

Section: Discussionmentioning

confidence: 99%

Workplace health in anesthesia team: A qualitative study in Iran

Khalafi

Sarmeydani²,

Adarvishi³

2023

Front. Public Health

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BackgroundAll anesthesia providers, including nurse anesthetists and anesthesiologists work in a stressful environment with diverse tasks. The profession is characterized by high workload, both dependent and independent job descriptions, and unpredictable conditions. This study was designed and conducted to explain the factors affecting the workplace health of Iranian anesthesia teams.MethodsTwenty anesthesia team members including nurse anesthetists and anesthesiologists from 7 different hospitals were enrolled in this phenomenological research. The data were collected in 2022. Semi-structured interviews were used for data collection, and the transcripts were analyzed using qualitative content analysis.FindingsThe most notable theme emerging from the data which was found to affect workplace health was consistency of anesthesia team. Other themes derived from the data included team tranquility and physical well-being.ConclusionThe participants' emphasis was more on behavioral and managerial factors affecting workplace health, and desirable interpersonal cooperation to create a suitable work environment for them was more prominent. These findings can raise the awareness of chief nurse anesthetists and planners to provide more effective teamwork, modify the job description structure, and reduce staff conflicts.

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“…The culture of the department should encourage formal and informal mechanisms to provide support in these circumstances. Impairment of vision and hearing tends to increase with age, and this should be recognised by the individual as well as their department [51].…”

Section: Individual/unique Considerationsmentioning

confidence: 99%

Handling injectable medications in anaesthesia

Kinsella,

Boaden,

El‐Ghazali

et al. 2023

Anaesthesia

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SummaryPeri‐operative medication safety is complex. Avoidance of medication errors is both system‐ and practitioner‐based, and many departments within the hospital contribute to safe and effective systems. For the individual anaesthetist, drawing up, labelling and then the correct administration of medications are key components in a patient's peri‐operative journey. These guidelines aim to provide pragmatic safety steps for the practitioner and other individuals within the operative environment, as well as short‐ to long‐term goals for development of a collaborative approach to reducing errors. The aim is that they will be used as a basis for instilling good practice.

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Age and the anaesthetist: considerations for the individual anaesthetist and workforce planning

Cited by 9 publications

References 8 publications

Continuing professional development (CPD) for anesthetists: A systematic review

Continuing professional development (CPD) for anesthetists: A systematic review

Workplace health in anesthesia team: A qualitative study in Iran

Handling injectable medications in anaesthesia

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