Literature Review Critically Exploring and Evaluating Advanced Perioperative Roles in United Kingdom (UK)
نویسنده
چکیده
Background UK healthcare has undergone significant modernisation; within perioperative practice reform has occurred mainly due to a reduction in junior doctors and the government directives to reduce patient operative waiting times. Consequently roles such as Surgical Care Practitioner (SCP), Perioperative Specialist Practitioner (PSP) and Physician Assistant in Anaesthesia (PA-A) have been developed. Method Five electronic databases (Cinahl, Medline, Pubmed, Google scholar and Cochrane Database) were searched from 2006 to October 2012 for UK primary research. Results Only six research studies were retrieved. The studies used a variety of methodologies, none evaluated established roles; the majority addressed educational rather than clinical aspects of the role. Methodological weaknesses were seen in most studies which limited validity and generalisability of results. Conclusion Insufficient primary research exists exploring and evaluating advanced perioperative roles, further research is recommended to fully evaluate the scope of practice, integration and impact of these roles within clinical practice.
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