The WFSA Global Anesthesia Workforce Survey

Kempthorne, Peter; Morriss, Wayne W.; Mellin‐Olsen, Jannicke; Gore-Booth, Julian

doi:10.1213/ane.0000000000002258

Cited by 240 publications

(279 citation statements)

References 12 publications

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“…In 40 LMICs, they work without physician supervision (Kempthorne et al. ). These differences influence the quality and safety of anesthesia care worldwide.…”

Section: Introductionmentioning

confidence: 99%

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Validating international CanMEDS‐based standards defining education and safe practice of nurse anesthetists

Herion

Egger

Greif

et al. 2019

International Nursing Review

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AimTo investigate whether the CanMEDS‐based International Federation of Nurse Anesthetists’ Standards could adequately define the scope of practice and reliably be used to train and evaluate Swiss nurse anesthetists (NAs).BackgroundAlthough nurse anesthetists represent a majority of the global workforce in anesthesia, policies that define the scope of practice are frequently non‐existent. In low‐ and middle‐income countries, the lack of anesthesia providers with adequate training is a major challenge.IntroductionDespite stringent training requirements, the scope of practice of Swiss nurse anesthetists is actually not defined. Therefore, we surveyed and assessed whether nurse anesthetists felt that the professional competencies outlined in this framework were aligned with their clinical practice.MethodsA cross‐sectional survey investigated Swiss nurse anesthetists’ relevance ratings of 76 competencies of the International Federation of Nurse Anesthetists according to their professional practice. Cronbach's alpha coefficients were used to determine the internal consistency of the competencies, as well as factor analyses to assess construct validity of these competencies integrated into the CanMEDS roles model.ResultsParticipants rated the Standards overall as very relevant with high reliability. Factor analyses provided evidence of construct validity of these.DiscussionThe International Federation of Nurse Anesthetists' Standards of Practice provide a highly relevant framework and a valuable set of competencies for the scope of practice of Swiss nurse anesthetists, which enabled translation from global guides to local national standards.Conclusion and implication for nursing and health policyAdopted by low‐ and middle‐income countries or countries where national standards are non‐existent, this survey could introduce national and local policies at minimally acceptable standards of care for nurse anesthetists worldwide. The above standards have the potential to align education, outcomes and assessment of nurse anesthetists with the needs of national healthcare systems.

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“…In 40 LMICs, they work without physician supervision (Kempthorne et al. ). These differences influence the quality and safety of anesthesia care worldwide.…”

Section: Introductionmentioning

confidence: 99%

“…In 77 countries from WHO regions, the density of anesthesia providers is <5 per 100 000 habitants (Kempthorne et al. ). This results in a crisis of patient safety during anesthesia for the poorest of the poor.…”

Section: Introductionmentioning

confidence: 99%

Validating international CanMEDS‐based standards defining education and safe practice of nurse anesthetists

Herion

Egger

Greif

et al. 2019

International Nursing Review

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“…As highlighted by the Lancet Commission on Global Surgery and the World Federation of Societies of Anaesthesiologists (WFSA) Global Anesthesia Workforce Survey, there is a major deficiency in the global specialist surgical workforce (SAO—surgeons, anesthetists, and obstetricians) especially in LMICs . The majority of LMICs especially in Africa and Southeast Asia are unable to meet the recommended minimum physician anesthesia providers of 5 per 100 000 population …”

Section: Workforce Challenges and The Use Of Simulation To Improve Pementioning

confidence: 99%

Adaptations in pediatric anesthesia care and airway management in the resource‐poor setting

Manyumwa

Chimhundu-Sithole

Marange-Chikuni

et al. 2020

Pediatric Anesthesia

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The need for safe and quality pediatric anesthesia care in low‐ and middle‐income countries (LMICs) is huge. An estimated 1.7 billion children do not have access to surgical care, and the majority are in LMICs. In addition, most LMICs do not have the requisite surgical workforce including anesthesia providers. Surgery is usually performed at three levels of facilities: district, provincial, and national referral hospitals. Unfortunately, the manpower, equipment, and other resources available to provide surgical care for children vary greatly at the different level facilities. The majority of district level hospitals are staffed solely by non‐physician anesthesia providers with variable training and little support to manage complicated pediatric patients. Airway and respiratory complications are known to account for a large portion of pediatric perioperative complications. Management of the difficult pediatric airway pathology is a challenge for anesthesia providers regardless of setting. However, in the low‐resource setting poor infrastructure, lack of transportation systems, and crippled referral systems lead to late presentation. There is often a lack of pediatric‐sized anesthesia equipment and resources, making management of the local pathology even more challenging. Efforts are being made to offer these providers additional training in pediatric anesthesia skills that incorporate low‐fidelity simulation. Out of necessity, anesthesia providers in this setting learn to be resourceful in order to manage complex pathologies with fewer, less ideal resources while still providing a safe anesthetic.

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“…If Dr. Goudsouzian's early work is the story of international collaborations within the walls of academic institutions over 50 years, the prominent role of global health in his later career points the way forward for the next half century. The tale of pediatric anesthesia over the next 50 years must be the worldwide translation and dissemination of that hard‐earned knowledge to the care and wellbeing of the children who most need it …”

Section: Creating a Better Worldmentioning

confidence: 99%

Half a century of anesthesia for children: An interview with Dr. Nishan G. ‘Nick’ Goudsouzian

King

Christine

Firth

2018

Pediatric Anesthesia

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Summary The career of Dr Nishan Goudsouzian spanned half a century of pediatric anesthesia. His 50 years saw seminal contributions to the use of neuromuscular blocking agents in children, the development of proton beam therapy and magnetic resonance imaging for pediatric cancer, the introduction of the laryngeal mask airway, an explosion in the volume and depth of knowledge about pediatric anesthesia, the expansion of formal training in pediatric anesthesia, and the widening of academic efforts to improve anesthetic care for children worldwide. Based on interviews with Dr Goudsouzian, this article reviews the contributions of this Robert M. Smith Award winner to the development of pediatric anesthesia.

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The WFSA Global Anesthesia Workforce Survey

Cited by 240 publications

References 12 publications

Validating international CanMEDS‐based standards defining education and safe practice of nurse anesthetists

Validating international CanMEDS‐based standards defining education and safe practice of nurse anesthetists

Adaptations in pediatric anesthesia care and airway management in the resource‐poor setting

Half a century of anesthesia for children: An interview with Dr. Nishan G. ‘Nick’ Goudsouzian

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