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From Anaesthetic Nurse to Nurse Anaesthetist: Is This Possible in the UK?

Published online by Cambridge University Press:  25 February 2009

David Cowan
David Cowan
Affiliation:
Northwick Park Hospital and Florence Nightingale School of Nursing & Midwifery King's CollegLondon
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Extract

Current practice in the United Kingdom (UK) dictates that the administration of a general anaesthetic is undertaken by a physician. However, for several years now the controversial question has been raised as to whether other practitioners, primarily nurse anaesthetists, should also be allowed administer general anaesthetics. The ensuing debate has been refueled in recent times resulting from the trend towards providing cost-effective health care delivery combined with concerns over current and anticipated further shortages in anaesthetic manpower. This paper discusses some of the arguments both for and against the introduction non-physician anaesthetists in the UK, also drawing on the debate in other parts of the world, concluding with a call for more research to address the controversy. First though, because there appears to be some confusion over the difference between the meaning of the titles ‘Anaesthetic Nurse’ and ‘Nurse Anaesthetist’, it will be helpful to provide brief definitions of these terms.

Type
Research Article
Information
British Journal of Anaesthetic & Recovery Nursing , Volume 4 , Issue 3 , August 2003 , pp. 7 - 11
Copyright
Copyright © British Association of Anaesthetic and Recovery Nursing 2003

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References

Refernces

J.P, Abenstein. and M.A, Warner. (1996): Anaesthesia providers, patient outcomes and costs. Anesthesia Analgesia 82, pp. 1273–83.Google Scholar
M, Allen. (1991): Why the UK needs nurse anaesthetists. Nursing 4 (37), pp. 3.Google Scholar
American Association of Nurse Anaesthetists (2002): www.aana.com/crna Accessed 25th November 2002.Google Scholar
J, Arrowsmith. R, Alexander. de Lisle-Dear, G. Joo Gan, T. Hill, R.P. Olufolabi, A. Sanderson, I.C. and Soppit, A.J. (1998): Audit commission tackles anaesthetic services. Anaesthesia should remain physician based service. British Medical Journal 316 (7147), pp.1827.Google Scholar
Association of Anaesthetists of Great Britain and Ireland (1996): Anaesthesia in Great Britain and Ireland: a physician only service. Association of Anaesthetists of Great Britain and Ireland. London.Google Scholar
Audit Commission (1997): Anaesthesia under examination. Audit Commission. London.Google Scholar
R, Bailey. (1995): What's in a name? Nursing Standard 10 (8), pp. 23–25.Google Scholar
D.M, Bell. (1998): Physician supervision of CRNAs. British Medical Journal 316 (7135), pp. 881.Google Scholar
D, Carlisle. (1996): Crossing the line. Nursing Times 93 (23), pp. 26–29.Google Scholar
D.P, Carr. (1998): Nurse anaesthetists are not stewardesses. British Medical Journal 316 (7135), pp. 881.Google Scholar
C, Clabby. (1998): Anesthesiologists in battle against nurse anaesthetists in the US. British Medical Journal 316 (7135), pp. 886.Google Scholar
J.L, Craven. (1977): Shortage of anaesthetists. British Medical Journal 2, pp. 120.Google Scholar
G, Castledine. (1998): Professional protectionism and anaesthesia. British Journal of Nursing 7 (2), pp. 112.Google Scholar
V, Chopra. J.G, Bovill. and Spierdijk, J. (1990): Accidents, near accidents and complications during anaesthesia: A retrospective analysis of a 10-year period in a teaching hospital. Anaesthesia 45 (3), pp. 3–6.Google Scholar
V, Chopra. (1998): Quoted paper did not say that participation of nurses makes adverse outcomes more common. British Medical Journal 316 (7147), pp. 1827.Google Scholar
M.E, Gentili. (2001): Anaesthesia and nonphysician anaesthetists: what are the real needs for which kind of health policy? European Journal of Anaesthesiology 18 (5), pp. 336–337.Google Scholar
D.W, Green. (1998): Investment is required to increase the number of consultant anaesthetists. British Medical Journal 316(7147), pp. 1828.Google Scholar
B, Henry. and M, McAulliffe. (1999): Practice and education of nurse anaesthetists. Bulletin of the World Health Organisation 77 (3), pp. 267- 270.Google Scholar
D, Josefson. (2000): Unsupervised nurses may soon give anaesthetics in the United States. British Medical Journal 320 (7240), pp. 959.Google Scholar
J, Lassner. (2000): Who should provide anaesthesia? European Journal of Anaesthesiology 17 (10), pp. 648–9.Google Scholar
N, Lipley. (1999): Waiting in the wings. Nursing Standard 13 (39), pp. 12.Google Scholar
NHS Executive (1996): Professional roles in anaesthetics: a scoping study. NHS Executive. Leeds.Google Scholar
R, Preston. (1996): Anaesthesia-Room for advancing practice? British Journal of Theatre Nursing 6 (6), pp. 5–7.Google Scholar
D.N, Robinson. (1998): Audit commission tackles anaesthetic services. Non-physician anaesthetists may free up consultants to concentrate on patients requiring special attention. British Medical Journal 316 (7147), pp. 1827Google Scholar
Smith, A. (1998): Audit commission tackles anaesthetic services. British Medical Journal 316 (7124), pp. 3–4.Google Scholar
J.M, Torpy. (2001): Anesthesiologists urge safe, ethical practice. Journal of the American Medical Association 286 (21), pp. 2656–8.Google Scholar
H, Van Aken. (2000): Who should provide anaesthesia? European Journal of Anaesthesiology 286 (21), pp. 2656–8.Google Scholar
M.D, Vickers. (2000): Non-physician anaesthetists: can we agree on their role in Europe? European Journal of Anaesthesiology 17 (9), pp. 537–41.Google Scholar
J, Wise. (1998): NHS urged to appoint nurse anaesthetists. British Medical Journal 316, pp. 10.Google Scholar