Anaesthesiologists' perspectives of the need for nurse anaesthetists in South Africa.

Background: South Africa faces a significant shortage of anaesthesiologists, compromising healthcare access and increasing anaesthesia-related risks. Addressing this issue requires sustainable, locally relevant solutions aligned with global surgery initiatives to enhance surgical care access. Object...

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Publicado en:Curationis Vol. 48; no. 1; pp. 1 - 11
Autores principales: Yezu, Kalonji K., Downing, Charlene, Matlala, Sidwell
Formato: research tables/charts Journal Article
Publicado: African Online Scientific Information System PTY LTD 2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Anaesthesiologists' perspectives of the need for nurse anaesthetists in South Africa.
      aug:
        au:
          Yezu, Kalonji K.
          Downing, Charlene
          Matlala, Sidwell
        affil: Department of Nursing, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa
      sug:
        subj:
          Anesthesiologists Psychosocial Factors
          Physician Attitudes Evaluation
          Needs Assessment
          Certified Registered Nurse Anesthetists
          Scope of Nursing Practice
          Human
          South Africa
          Qualitative Studies
          Descriptive Research
          Purposive Sample
          Snowball Sample
          Semi-Structured Interview
          Clinical Supervision
          Anesthesia Nursing
          Nurse Educators
          Education, Nurse Anesthesia
          Personnel Shortage
          Anesthesiologists Labor Supply
          Descriptive Statistics
          Audiorecording
          Field Notes
          Phenomenological Research
          Rural Areas
          Medically Underserved Area
          Health Services Accessibility
          Nursing Skills
          Patient Safety
          Liability, Legal
          Costs and Cost Analysis
          Registration
          Curriculum
          Anatomy Education
          Physiology Education
          Pharmacy and Pharmacology Education
          Student Placement
          Perioperative Care Education
          Resuscitation Education
          Teamwork Education
          Decision Making, Clinical Education
          Collaboration
          Mentorship
          Protocols
          Public Health Infrastructure
          Pilot Studies
          Outcomes Research
      ab: Background: South Africa faces a significant shortage of anaesthesiologists, compromising healthcare access and increasing anaesthesia-related risks. Addressing this issue requires sustainable, locally relevant solutions aligned with global surgery initiatives to enhance surgical care access. Objectives: This study explores anaesthesiologists' perspectives on the necessity of nurse anaesthetists in South Africa and offers recommendations for developing their practice. Method: A qualitative, descriptive, and contextual design was employed, using purposive and snowball sampling methods. The population consisted of anaesthesiologists registered with the Health Professions Council of South Africa (HPCSA). Data were collected through in-depth, semi-structured interviews conducted face-to-face and online. Analysis followed Colaizzi's seven-step method, supported by an independent coder. Results: Findings revealed diverse perspectives, ranging from support for independent, well-trained nurse anaesthetists under supervision or as assistants, to complete opposition to nurse anaesthetists administering anaesthesia. Participants emphasised that the anaesthesiology specialist community should define nurse anaesthetists' scope of practice, which must be regulated. Training should align with diplomate anaesthetists' standards and involve anaesthesiologists supported by nursing educators. Conclusion: This pioneering research addresses a critical gap in South Africa's healthcare system by exploring the introduction of nurse anaesthetists to mitigate the shortage of anaesthesia providers. Contribution: Its findings hold the potential to inform policy and practice, contributing to the advancement of anaesthesia services and addressing a pressing healthcare need in South Africa.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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