Comparison of expectations between veterinarians and veterinary nurses in tasks and responsibilities in clinical practice
Comparison of expectations between veterinarians and veterinary nurses in tasks and responsibilities in clinical practice
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兽医和兽医护士对临床实践任务和职责的期望比较
DOI：
10.12968/vetn.2019.10.6.327
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发表时间：
2019
期刊：
影响因子：
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通讯作者：
Kristie E. Cameron
中科院分区：
文献类型：
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作者：
Laura Harvey;Kristie E. Cameron
据报道，兽医护士和兽医对兽医护士在实践中承担的临床任务的期望差异很大。了解兽医护士报告的任务和责任与兽医期望的差异。使用在线调查，对新西兰兽医诊所从事临床任务的兽医护士的能力的期望进行了测量。受访者提供了一个清单的临床任务兽医护士进行常规培训，以执行作为正规的兽医护理教育的一部分，和两个任务兽医护士法律上目前无法执行（猫绝育和拔牙）。1479名兽医护士（19%）中有288名回复，2425名兽医（1.5%）中有37名回复。在受访者中，80%采集了血液样本，78%放置了静脉（IV）导管，95%设置了IV液体，72%进行了兽医护士咨询，62%进行了临床检查，许多人进行了诊断测试（例如iDEXX/Vetscan（86%），尿液分析（88%），显微镜检查（51%），拍摄X光片（81%）），54%进行牙齿刮除和抛光，86%协助手术，97%监测麻醉。新西兰的兽医护士目前在法律上不能进行猫绝育和拔牙-在这些任务中，25%和26%的兽医护士报告说他们接受过关于进行猫绝育和拔牙的培训（正式或非正式），12%和16%的兽医护士报告说他们在实践中进行了这种临床程序。当看到这些任务的选择，比较有多少兽医报告说，兽医护士应该承担他们，结果显示支持兽医护士承担这些任务。100%的兽医支持兽医护士放置静脉导管，只有78%的兽医护士报告完成了这项任务，96%的兽医支持兽医护士进行显微镜检查。总之，兽医护士在临床实践中不执行的任务进行培训。这种差异的理由是未来研究的主题，旨在为兽医诊所设计实际支持，以利用兽医护士的技能。
It is reported that expectations from veterinary nurses and veterinarians on the clinical tasks veterinary nurses undertake in practice vary widely. To understand the difference in tasks and responsibilities reported by veterinary nurses in comparison to veterinarian expectations. Using an online survey, expectations regarding the capability of veterinary nurses undertaking clinical tasks in New Zealand veterinary clinics, were measured. Respondents were provided with a list of clinical tasks veterinary nurses are routinely trained to perform as part of formal veterinary nursing education, and two tasks veterinary nurses legally are currently not able to perform (cat neuters and dental extractions). There were 288 responses from a veterinary nurse population of 1479 (19%), and 37 responses from a veterinarian population of 2425 (1.5%). Of respondents, 80% took blood samples, 78% placed intravenous (IV) catheters, 95% set-up of IV fluids, 72% carried out veterinary nurse consultations, 62% carried out clinical examinations, many carried out diagnostic testing (e.g. iDEXX/Vetscan (86%), urinalysis (88%), microscopy (51%), taking radiographs (81%)), 54% carried out dental scale and polish, 86% assisted with surgery, and 97% monitored anaesthetics. Veterinary nurses in New Zealand legally are currently not able to perform cat neuters and dental extractions — of these tasks, 25% and 26% of veterinary nurses reported having had training (either formal or informal) on performing cat neuters and dental extractions, with 12% and 16% of veterinary nurses reporting that they undertake this clinical procedure in practice. When looking at a selection of these tasks, comparing how many veterinarians report that veterinary nurses should be undertaking them, results show support for veterinary nurses undertaking these tasks. 100% of veterinarians support veterinary nurses placing IV catheters, with only 78% of veterinary nurses reporting completing this task, and 96% of veterinarians support veterinary nurses undertaking microscopy. In conclusion, veterinary nurses are trained in tasks they are not performing in clinical practice. The justification for this discrepancy is the subject of a future study with the aim of designing practical support for veterinary clinics to utilise the skills of veterinary nurses.