{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T15:32:18Z","timestamp":1783006338028,"version":"3.54.5"},"reference-count":34,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T00:00:00Z","timestamp":1701043200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To compare anaesthesia\u2010related outcomes between patients monitored by newly recruited nurse anaesthetists and those monitored by newly recruited anaesthesiologists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This was a retrospective study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective study that collected demographic information on newly recruited nurse anaesthetists and anaesthesiologists between 2017 and 2022 and recorded information on patients within 6\u2009months of monitoring. Postoperative pain, emergency agitation, nausea, and vomiting were designated anaesthesia\u2010related outcomes. Propensity score matching was used to adjust for covariates. The study adhered to the STROBE guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study's statistical analysis included 4483 patients monitored by 22 newly recruited nurse anaesthetists and 4959 patients monitored by 23 newly recruited anaesthesiologists. Compared with patients monitored by newly trained anaesthesiologists, the patients monitored by nurse anaesthetists were younger (42.07\u2009\u00b1\u200920.00 vs. 47.39\u2009\u00b1\u200918.45\u2009years, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and had a lower body mass index (23.56\u2009\u00b1\u20094.46 vs. 24.19\u2009\u00b1\u20094.25, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Patients monitored by anaesthesiologists had a greater proportion of women (61.62% vs. 59.25%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), a high proportion of ASA III and ASA IV (17.1% vs. 8.88%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), and a longer mean surgery duration (78.65\u2009\u00b1\u200959.01 vs. 70.70\u2009\u00b1\u200960.65\u2009min, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). After propensity score matching was used to adjust for covariates, no statistically significant differences were found in the prevalence of postoperative pain, emergency agitation, or postoperative nausea and vomiting between the two groups (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Nurse anaesthetists monitoring alone during anaesthesia maintenance is feasible and safe. The two groups had no significant differences in the incidence of postoperative pain, emergency agitation, or postoperative nausea and vomiting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to Clinical Practice<\/jats:title><jats:p>The shortage of anaesthesiologists leads to heavy work burden and high incidence of occupational burnout among anaesthesiologists. The study found that it was safe for nurse anaesthetists to perform anaesthetic monitoring alone in the operating room under the supervision of the attending anaesthesiologist and did reduce the burden of anaesthesiologists\u2019 work. The results of the current study contribute to the expansion of occupational categories for nurse anaesthetists in countries where anaesthesiologists are in short supply. It provides new ideas for hospital administrators and policy\u2010makers to formulate medical and nursing service policies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.16940","type":"journal-article","created":{"date-parts":[[2023,11,28]],"date-time":"2023-11-28T05:45:50Z","timestamp":1701150350000},"page":"1482-1492","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Comparison of anaesthesia\u2010related outcomes in patients monitored by newly recruited nurse anaesthetists and anaesthesiologists: An observational study"],"prefix":"10.1111","volume":"33","author":[{"given":"Qinqin","family":"Cao","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology Affiliated Hospital of Jining Medical University  Jining Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chengjuan","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of Nephrology Affiliated Hospital of Jining Medical University  Jining Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaolei","family":"Ren","sequence":"additional","affiliation":[{"name":"Data Centre Affiliated Hospital of Jining Medical University  Jining Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuling","family":"Bai","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology Affiliated Hospital of Jining Medical University  Jining Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hemin","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology Affiliated Hospital of Jining Medical University  Jining Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Wei","sequence":"additional","affiliation":[{"name":"Medical Consortium Service Centre Affiliated Hospital of Jining Medical University  Jining Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4996-775X","authenticated-orcid":false,"given":"Haihong","family":"Meng","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology Affiliated Hospital of Jining Medical University  Jining Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,27]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.23736\/S0375\u20109393.22.16489\u20108"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwq224"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.51731\/cjht.2021.143"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.12968\/hmed.2019.0249"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeu442"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000000891"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2020.09.032"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2022.909982"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12893\u2010021\u201001172\u20109"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2020.101174"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd\u201021\u20101740"},{"issue":"1","key":"e_1_2_13_13_1","first-page":"15","article-title":"A view from China: Scope of practice of the Chinese anesthesia nurse and a proposal for an evolving role","volume":"81","author":"Hu J.","year":"2013","journal-title":"AANA Journal"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00540\u2010020\u201002826\u20103"},{"issue":"5","key":"e_1_2_13_15_1","first-page":"292","article-title":"History of certified registered nurse anesthetists (CRNAs) in the United States and their contribution to anesthesia care: Implication of nursing role expansion to promote autonomous and collaborative professional nursing practice in Japan","volume":"110","author":"Iwata E.","year":"2009","journal-title":"Nihon Geka Gakkai Zasshi"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/aas.13936"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00101\u2010021\u201001045\u2010z"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S142889"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.thorsurg.2020.03.001"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.5753"},{"key":"e_1_2_13_21_1","unstructured":"National Health Commission Of The People S Republic Of China. 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