The Registered Nurse Surgical First Assistant (RNSFA) in Adult Cardiac Surgery.
Issayeva, Ainash (2019)
2019
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2019081317802
https://urn.fi/URN:NBN:fi:amk-2019081317802
Tiivistelmä
Background. Worldwide, the proportion of older people, and with it the number of chronic diseases is steadily increasing. The most common chronic diseases are cardiovascular diseases, where are the heart diseases still remain in the first place in the 10 main causes of death. More than 10 million people die from cardiovascular diseases each year, and by 2030 the projected mortality rate will increase to 23.6 million. There are not always possible to treat the patient therapeutically, sometimes you have to resort to open heart surgery, and it is the most effective way to treat certain heart diseases. The world practice shows that where professional nurses work, mortality decreases, and outcomes of care of diseases are much better.
Objective. Determine the feasibility of creating the Registered Nurse as surgical first assistant in adult cardiac surgery for improving medical care for persons with cardiac surgical needs in Kazakhstan.
Methods. Scoping review was used as a type of literature review. 1513 articles were selected (CINAHL - 807 articles, Pubmed - 706 articles). Of these, 554 articles were selected by names and abstracts, then 379 full-text articles were evaluated for eligibility and finally, 11 articles were included in the scoping review.
Results. Scoping review included 11 articles from databases CINAHL (3) and PubMED (8). There were Quantitative (6) and Qualitative (5) researches, described sources Primary (5), Secondary (6). There were 6 different research designs: RCT (Prospective and Retrospective), Descriptive, Analytical, Retrospective, Prospective, Case-control. Four determinants were identified: 1 competence, 2 educations, 3 benefıts and 4 inhibiting factors. All 11 articles described the competencies of RNFSA, 6 articles were written about the education, 8 articles were described as benefits of speciality anf 6 articles were described as inhibit factors.
Conclusions. As a result of the study, the following recommendations were made: 1 - development of a regulatory framework defining the role, rights and responsibilities of RNFA, 2 - development of training programs for preparing RNFA, 3 - introduction of staffing units of RFFA in cardiac hospitals.
Objective. Determine the feasibility of creating the Registered Nurse as surgical first assistant in adult cardiac surgery for improving medical care for persons with cardiac surgical needs in Kazakhstan.
Methods. Scoping review was used as a type of literature review. 1513 articles were selected (CINAHL - 807 articles, Pubmed - 706 articles). Of these, 554 articles were selected by names and abstracts, then 379 full-text articles were evaluated for eligibility and finally, 11 articles were included in the scoping review.
Results. Scoping review included 11 articles from databases CINAHL (3) and PubMED (8). There were Quantitative (6) and Qualitative (5) researches, described sources Primary (5), Secondary (6). There were 6 different research designs: RCT (Prospective and Retrospective), Descriptive, Analytical, Retrospective, Prospective, Case-control. Four determinants were identified: 1 competence, 2 educations, 3 benefıts and 4 inhibiting factors. All 11 articles described the competencies of RNFSA, 6 articles were written about the education, 8 articles were described as benefits of speciality anf 6 articles were described as inhibit factors.
Conclusions. As a result of the study, the following recommendations were made: 1 - development of a regulatory framework defining the role, rights and responsibilities of RNFA, 2 - development of training programs for preparing RNFA, 3 - introduction of staffing units of RFFA in cardiac hospitals.