Development of nurse-led clinics in genitourinary medicine

Annals of Saudi Medicine

Al‐Sanea

Balens

2012

In many parts of the world, vulnerable patient populations may be cared for by a clinical nurse specialist (CNS). Nurses desiring to develop themselves professionally in the clinical arena, within the specialty of their choice, have the opportunity to obtain the knowledge, skills, experience and qualifications necessary to attain advanced practice positions such as CNS or nurse consultant (NC). Although studies have demonstrated the benefits of such roles and while the World Health Organization (WHO) recommends it, advanced nursing practice is not yet integrated into the health care culture in Saudi Arabia. The reasons for this are multiple, but the most important is the poor image of clinical nursing throughout the country. This article aims to share a perspective on CNS practice, while casting light on some of the obstacles encountered within Saudi Arabia. A model is proposed representing specialist nurse–physician collaborative practice for implementation nationally. The model has been implemented in the care of the colorectal and stoma patient populations while taking into consideration patient population needs and local health care culture. This model is based on the concepts of holistic “patient-centered care”, specialist nurse–physician collaborative practice, and the four practice domains for NCs (expert practice, leadership, research and education) as indicated by the Department of Health in the United Kingdom. We suggest this model will enable the introduction of advanced specialist nursing and collaborative partnerships in Saudi Arabia with benefits for patients, physicians, health care organizations and the nursing profession as a whole.

Section: Impact Of Specialist Nursing Practice On Patient Carementioning

confidence: 99%

Section: Impact Of Specialist Nursing Practice On Patient Carementioning

confidence: 99%

Perspectives on Specialist Nursing in Saudi Arabia: A National Model for Success

Annals of Saudi Medicine

Al‐Sanea

Balens

2012

Developing enterostomal therapy as a nursing specialty in Saudi Arabia: which model fits best?

Gastrointestinal Nursing

Al-Dossari

2015

Nurse training programmes commenced in Saudi Arabia in the late 1950s, around the time of the birth of enterostomal therapy internationally. Although stoma care emerged as the first nursing specialty in the late 1980s, in Saudi Arabia, the first nurses graduated as enterostomal therapists only in 2010. Since the 1970s, western nurse executives have influenced models of care in Saudi hospitals. Both North American and British models are evident today, including enterostomal therapy models, such as wound, ostomy, and continence nursing and stoma therapy nursing. In order to meet the needs of these vulnerable patient populations, it may be necessary to standardise a model of education in Saudi Arabia. This article is an overview of enterostomal therapy in Saudi Arabia and provides insight into some of the challenges encountered.

The development of nurse-led bowel dysfunction clinics in Saudi Arabia: against all odds

Gastrointestinal Nursing

Rafferty

2015

Around the world, nurse-led clinics are commonly introduced within health-care settings to reduce waiting times, improve patient satisfaction, and reduce health-care costs. The importance of improving or maintaining a high standard of patient-centred care must not be forgotten. The Ministry of Health (MOH) in Saudi Arabia has yet to call on nurses to provide nurse-led clinics to meet national health-care requirements. Furthermore, advanced nursing practice is yet to be defined, legislated or regulated. Despite this, patient needs are driving the advancement of nursing practice, including the development of nurse-led clinics. This article will describe the development of a nurse-led bowel dysfunction clinic in a tertiary referral centre in Saudi Arabia and will discuss the benefits.