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Curationis
On-line version ISSN 2223-6279
Print version ISSN 0379-8577
Curationis vol.32 n.3 Pretoria 2009
RESEARCH ARTICLE
Clinical skills required of ophthalmic nurse practitioners in tertiary level public hospitals in the Western Cape Province
U KyriacosI; LD ScheepersII; EW HillIII; S JordanIV
IMSc (Nursing) (UCT). Senior Lecturer, Division of Nursing and Midwifery, University of Cape Town
IIPostgraduate Diploma in Nursing (UCT), RN, RM. Chief Professional Nurse, Eye Clinic, Eerste Rivier Hospital, Cape Town
IIIPostgraduate Diploma in Nursing (UCT), RN, RM. Chief Professional Nurse, Eye Outpatient Department, Groote Schuur Hospital, Observatory, Cape Town
IVMB.BCh., PhD., PGCE (FE). Reader, School of Health Science, Swansea University, Wales, United Kingdom
ABSTRACT
BACKGROUND: South Africa has a 32-year history of training ophthalmic nurse practitioners (ONPs). The role and required skills and competencies of ONPs are not well documented in the international literature and are also absent from South African publications, including South African Nursing Council publications.
AIM: This study aims to inform curriculum development and human resource planning by reporting on the clinical skills expected of ONPs by members of multidisciplinary ophthalmology teams.
METHOD: A limited survey was undertaken in the ophthalmology wards and outpatient departments of three tertiary level hospitals in the Western Cape Province. A researcher-designed structured self-completion questionnaire was distributed to 30 ophthalmology practitioners: doctors, nurses and technicians. Respondents were asked to indicate the expected clinical skills of ONPs.
FINDINGS: All questionnaires were completed. All respondents favoured ONPs taking histories and performing emergency eye irrigations. There was less support for more complex procedures, such as B-scans. One-third of respondents did not expect ONPs to have skills in eight key areas, including examination of the anterior chamber angle for glaucoma. No statistically significant differences were found between responses of doctors and nurses, with one exception: more nurses (15/18) than doctors (4/10) had confidence in the ONP undertaking basic eye examinations for ocular motility (Fisher 's exact test, P=0.035).
CONCLUSION: In the study settings, ONPs are not using their specialist skills to the full. Not all practitioners were receptive to ONPs using the skills that they had acquired during their postgraduate diploma, threatening the educational effectiveness of this initiative.
Key words: ophthalmic nurse practitioners; clinical skills; post-registration/continuing education; expanded roles; tertiary level nursing care
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References
BANERJEE, S; BEATTY, S; TYAGI, A & KIRKBY, GR 1998: The role of ophthalmic triage and the nurse practitioner in an eye-dedicated casualty department. Eye, 12:880-882. [ Links ]
BATHO PELE PRINCIPLES. http://www.dpsa.gov.za/batho-pele/Principles.asp. Accessed 17 August 2009. [ Links ]
BOWMAN, RJC & KIRUPANANTHAN, S 2006: How to manage a patient with glaucoma in Africa. Community Eve Health Journal. 19(59): 38-9, September. [ Links ]
BOYNTON, P 2004: Administering, analysing and reporting your questionnaire. BML 328:1372-5. [ Links ]
BUCHAN, JC; SAIHAN, Z & REYNOLDS, AG 2003: Nurse triage, diagnosis and treatment of eye casualty patients: a study of quality and utility. Accident and Emergency Nursing. 11(4): 226-8, October. [ Links ]
CAMPANELLI, P 2008: Testing Survey Questions. In: Hox, J; de Leeuw, E & Dillman, D, eds. International Handbook of Survey Methodology. [ Links ]
CLAMMER, R 1984: Approaches to ethnographic research. In: ELLEN, R, ed. Ethnographic Research. London, Academic Press, pp. 63-85. [ Links ]
CONNOLLY, A & HOSKER, C 2001 : The nurse's role in screening for diabetic retinopathy. Nursing Times. 97(13):40-41. [ Links ]
SOUTH AFRICA (REPUBLIC): Constitution of South Africa (Act 108 of 1996), http://www.info.gov.za/documents/constitution/1996/index.htm. Accessed 17 August 2009. [ Links ]
COOK, C & QURESHI, B 2005: VISION 2020 at the district level. Community Eve Health Journal. 15(54): 85-87. [ Links ]
SOUTH AFRICA (REPUBLIC) 2006: Department of Health South Africa 2006, A National Human Resources for Health Planning Framework. Pretoria: Government Printer. [ Links ]
DILLMAN, D 2007: Mail and Internet Surveys: the tailored design method. New York: Wiley. [ Links ]
EZRA, DG; MELLINGTON, F; CUGNONI, H & WESTCOTT, M 2005: Reliability of ophthalmic accident and emergency referrals: a new role for the emergency nurse practitioner? Emergency Medical Journal. 22(10): 696-699. [ Links ]
FIELD, A 2009: Discovering statistics using SPSS. 3rd edition. London: Sage. [ Links ]
HARDWICK, S & JORDAN, S 2002: The Impact of Part-Time, Post-Registration Degrees on Clinical Practice. Journal of Advanced Nursing 38(5): 524-35. [ Links ]
ILANGO, B; MCGALLIARD, JN & HUGHES, A 2000: The role of nurse practitioners in a primary care eye clinic. Accident and Emergency Nursing, 8(1):42-45. [ Links ]
JOHNSON, GJ 1992: Global perspective on blindness. Oxford Textbook of Ophthalmology, Volume 2, Section 2.4-3.24:953-957. Oxford University Press. [ Links ]
JORDAN, S; COLEMAN, M; HARDY, B & HUGHES, D 1999: Assessing educational effectiveness: the impact of a specialist course on the delivery of care. Journal of Advanced Nursing. 30(4): 796-807. [ Links ]
JORDAN, S & HUGHES, D 1998: Using Bioscience knowledge in nursing: actions, interactions and reactions. Journal of Advanced Nursing. 27(5): 1060-8. [ Links ]
KIRKWOOD, BJ; COSTER, DJ & ESSEX, RW 2006: Ophthalmic nurse practitioner led diabetic retinopathv screening. Results of a 3-month trial, Eye. 20(2):173-177, February. [ Links ]
KIRKWOOD, BJ; PESUDOVS, K; LOH, RS & COSTER, DJ 2005: Implementation and evaluation of an ophthalmic nurse practitioner emergency eye unit. Clinical and Experimental Ophthalmology. 33: 593-597. [ Links ]
MCNEILL, P 1990: Research Methods. (2nd edition). London: Routledge. [ Links ]
MITCHELL, JC 1983: Case and situation analysis. Sociogical Review. 31(2):187-211. [ Links ]
PERSONAL COMMUNICATION: Green, A. Executive Manager: Information Management, South African Nursing Council, 11 February 2009. [ Links ]
PERSONAL COMMUNICATION: Powell, D. Project Manager, Eye Care Services, Metro District Health Services, 2006). [ Links ]
POLIT, DF & BECK, C 2008: Nursing Research: Generating and Assessing Evidence for Nursing Practice. (8" Edition ). Philadelphia: Lippincott. [ Links ]
ROYAL COLLEGE OF NURSING 2009: RCN Competencies: an integrated career and competency framework for ophthalmic nursing, London: RCN. [ Links ]
SAYER, A 1992: Method in Social Science. London: Routledge. [ Links ]
SIMONS, H 1980: Towards a Science of the Singular. Norwich, Centre for Applied Research. Occasional publication No. 10. Norwich: University of East Anglia. [ Links ]
SOUTH AFRICAN NURSING COUNCIL 1984: Regulations Relating to the Keeping, Supply, Administering or Prescribing of Medicines by Registered Nurses, Government Notice No. R. 2418,2 November. [ Links ]
SOUTH AFRICA (REPUBLIC) UNDATED: The Patients Rights Charter. www.doh.gov.za/docs/IegisIation/patientsright/chartere.html. Accessed 17 August 2009. [ Links ]
THOMAS, R & PARIKH, RS 2006: Community Eve Health Journal. 19(59): 36-7 September. [ Links ]
UNIVERSITY OF CAPE TOWN 2008: Postgraduate Diploma in Nursing curriculum: Ophthalmic Nursing. KYRIACOS, U. Unpublished. [ Links ]
WATERMAN, E; WATERMAN, H 1999: Trends in ophthalmology services, nursing skill mix and education: 2nd national survey. Journal of Advanced Nursing. 30(4): 942-949. [ Links ]
WORLD HEALTH ORGANIZATION 2006: 59'" World Health Assembly, A59/12, 24 April. Prevention of avoidable blindness and visual impairment, Report by the Secretariat http://www.vision2020.nl/contents/WHA5912.pdf Accessed 17 August 2009. [ Links ]
WORLD HEALTH ORGANIZATION 2007: VISION 2020 The Right to Sight Global Initiative for the elimination of avoidable blindness Action plan 20062011. http://www.who.int/blindness/Vision2020%20-report.pdf. Accessed 17 August 2009. [ Links ]
WORLD HEALTH ORGANIZATION 2000: WHO/27 Press Release 19 April. Global initiative for the elimination of avoidable blindness Vision 2020 launched in English speaking Africa, South Africa set to eliminate cataract blindness within the next five years. [ Links ]
YIN, R 2003: Case Study Research: Design and Methods. Applied Social Research Methods Series, Volume 5. California: Sage, Thousand Oaks. [ Links ]
Correspondence:
U Kyriacos
Faculty of Health Sciences
School of Health & Rehabilitation Sciences
Division of Nursing & Midwifery Old Main Building
Groote Schuur Hospital Observatory, 7925
Telephone: (021) 406-6401; Fax:(021)406-6323
E-mail: una.kyriacos@uct.ac.za