Concept Analysis: The Scope of Practice of a Nurse Anesthetist in South Africa

Holtzhausen, Jan Dirk Visagie; Downing, Charlené; Poggenpoel, Marie; Ndawo, Gugu

doi:10.1016/j.jopan.2021.03.002

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…The concept ‘scope of practice’ as it applies to the nurse anaesthetist in South Africa can be defined as the individual’s competence, accountability, and responsibility as a health professional. A nurse anaesthetist is 1) competent: ready to use skills and judgment in practice; 2) accountable: able to be registered as a nurse anaesthetist and willing to abide by the regulations; and 3) responsible: upholding professionalism and demanding recognition from the public and peers [ 26 ].…”

Section: Methodsmentioning

confidence: 99%

The development and evaluation of a nurse anaesthesia model for practice in South Africa

Holtzhausen

Downing

Poggenpoel

et al. 2022

International Journal of Nursing Sciences

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Section: Methodsmentioning

confidence: 99%

The development and evaluation of a nurse anaesthesia model for practice in South Africa

Holtzhausen

Downing

Poggenpoel

et al. 2022

International Journal of Nursing Sciences

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“…Holtzhausene et al provided the defnition of the concept by the International Council of Nurses as "the medium by which the profession communicates its role, knowledge, skill, and professional accountabilities to the population it serves" (p.3) [7]. Tey proceeded to expound that scope of practice has its benefts because it regulates the "practice of the profession; guides curriculum development; assists employers in preparing job descriptions and performance contracts; and informs the public about the services its members are qualifed to provide" (p.3) [7]. Abbott stated that "scope of practice refers to the limitations imposed by law on diferent vocational pursuits, pursuits that require specifc education, experience, and demonstrated competency.…”

Section: Definitions and Use Of The Concept: Scope Of Practicementioning

confidence: 99%

Scope of Practice for Occupational Health Nurses: A Concept Analysis Based on Walker and Avant Methods

Onyeador,

Umberger

2023

Nursing Forum

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Purpose. The purpose of this paper is to analyze the concept of scope of practice for occupational health nurses. Background. Occupational health nurses (OHNs) practice in different industries alone or with other nurses, providing care to employees. The demand on occupational health nurses to respond to increasing organizational healthcare needs of employees and other healthcare demands raises the question, do occupational health nurses understand their scope of practice? Occupational health nurses inadvertently practicing outside their scope may jeopardize their nursing licenses, and the safety and quality of care of employees. Method. A literature review was conducted to identify defining attributes, antecedents, and consequences for the concept of scope of practice for OHNs. Walker and Avant’s eight-step framework for concept analysis was applied. Results. The defining attributes of the scope of practice for OHN include but are not limited to standards and guidelines: competency, public safety; practicing certificates; using sound judgement; regulatory restrictions, limitations of practice in occupational health settings, and type of educational qualifications. The antecedents include education, training, competency, regulation, and experience. The consequences include improved quality care when education, training, and competencies are met within the practice guidelines. Possible disciplinary actions against the nurse and employer violation of workplace safety standards may occur. Conclusion. OHNs must understand and practice within their scope of practice even when placed in situations by their employers that could defy the limits of their practice. Defining the scope of practice for OHNs will lay the framework for research studies.

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Enhancing Professionalism in Nurse Anesthesia Education: A Randomized Controlled Trial of Multi-Source Feedback

Khalafi,

Yazdanparast,

Sarvi Sarmeydani

et al. 2024

J Nurs Midwifery Sci

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Background: Professionalism is defined as a set of knowledge, skills, moral values, and personal and group identity that affect the quality of providing care to patients. Objectives: This study aimed to investigate the effect of Multi-Source Feedback (MSF) on the professionalism level of nurse anesthesia students. Methods: This study was a randomized controlled trial adopting a pre-test/post-test design and involved a sample of 46 third- and fourth-year nurse anesthesia students selected using the census method (27 females and 19 males with a mean age of 20.91). They were divided equally into two groups of 23 each. Students in the intervention group received MSF during the 3-month period of their academic semester. At the end of each month, they were evaluated by 3 external evaluators, including an anesthesiologist, a nurse anesthetist, and a nurse anesthesia instructor, using a researcher-made checklist. In addition to the mentioned evaluators, the students performed self-evaluation using the Professional Self-description Form (PSDF). Based on the scores of the evaluators, the necessary feedback was given to the students online and offline. Meanwhile, the students in the control group received routine training and feedback during the internship. The data were analyzed using the repeated measures MANOVA test. Results: The intervention group consistently scored higher in professionalism than the control group. Over time, the gap between the two groups increased, with the intervention group achieving significantly higher improvement (P < 0.001). In the intervention group, the mean scores obtained from all evaluators including the nurse anesthesia instructor, the nurse anesthetist, the anesthesiologist, and self-evaluation were 62.43 ± 3.86, 63.13 ± 4.67, 61.26 ± 3.94 and 80.91 ± 6.86 at baseline, which rose to 87.52 ± 6.04, 88.69 ± 6.37, 83.00 ± 7.33 and 101.82 ± 5.59, respectively (P < 0.001). Specifically, the two groups experienced an upward trend in terms of the MSF score, yet the control group displayed a slight increase, while the intervention group demonstrated a significantly steeper rise. Intergroup effect tests consistently revealed that across all evaluators, the intervention group outperformed the control group (P < 0.001). Conclusions: The multi-source evaluation process had a statistically significant effect on the level of professionalism of nurse anesthesia students. It is possible to benefit from integrating this method with other evaluation methods in future studies.

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Concept Analysis: The Scope of Practice of a Nurse Anesthetist in South Africa

Cited by 3 publications

References 12 publications

The development and evaluation of a nurse anaesthesia model for practice in South Africa

The development and evaluation of a nurse anaesthesia model for practice in South Africa

Scope of Practice for Occupational Health Nurses: A Concept Analysis Based on Walker and Avant Methods

Enhancing Professionalism in Nurse Anesthesia Education: A Randomized Controlled Trial of Multi-Source Feedback

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