The profille of anaesthetic nurses in selected public hospitals in Gauteng

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2016

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Nkuna, Amanda Vutomi

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Background: Modern anaesthesia has become very safe with an estimated mortality of about one death in every 50 000 procedures. Rates of preventable morbidity associated with anaesthesia are, however, much higher than this. The presence of a trained anaesthetic assistant has been shown to improve the safety of anaesthesia. A review of the literature revealed no studies determining the demographic and educational profile of anaesthetic nurses in South Africa. Objectives: The objectives of this study were to describe the demographic and educational profiles, the other roles fulfilled by anaesthetic nurses and availability of anaesthetic nurses in selected public hospitals of Gauteng. Method: A descriptive, prospective, exploratory study was done in seven selected public hospitals in Gauteng. The data were collected from the operating theatre nursing managers of the selected hospitals. The data collected included the anaesthetic nurse demographics and educational profiles, the other roles they fulfil and general information. Results: Information relating to one hundred and thirty five (n=135) anaesthetic nurses was obtained. The majority (96%) of nurses were females. The mean age (SD) of anaesthetic nurses was 38.1 (8.2) years, ranging from 24 to 59 years. The median years of theatre experience of the anaesthetic nurses was 6 years, ranging from 1 month to 26 years. The majority (80%) of anaesthetic nurses has less than 10 years’ experience. Of the 135 anaesthetic nurses, 115 (85%) were enrolled nurses and 20 (15%) were registered nurses. Only two registered nurses had done an anaesthetic course. The other roles fulfilled by anaesthetic nurses in theatre of selected hospitals were recovery room nursing, floor nursing and as scrub nurses. None of the hospitals used agency nurses. Only one hospital had an anaesthetic nurse available for every theatre case. Conclusion: Suitably trained and competent anaesthetic nurses to assist the anaesthetist as stipulated by South African Society of Anaesthesiologists are not readily available in the public hospitals included in the study.

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A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, in partial fulfilment of the requirements for the degree of Master of Medicine in Anaesthesia, Johannesburg, 2016

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