{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T12:26:48Z","timestamp":1793622408571,"version":"4.5.0"},"reference-count":16,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Creative Nursing"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Publicly funded health services face persistent challenges in meeting demand for specialty care, particularly in rhinology. Task shifting\u2014the redistribution of clinical tasks from specialists to trained non-specialists\u2014may offer a strategy to optimize health-care delivery. This study evaluates the outcomes of a nurse-led assessment pathway within an outpatient rhinology service in New Zealand.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>To address increased demand for rhinology services, a registered nurse (RN) at Waikato Hospital was trained to perform initial assessments for patients referred for undifferentiated chronic nasal symptoms. We describe outcomes of this approach over the initial 18-month period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 309 patients were assessed through the nurse-led pathway. The average wait time from referral to assessment decreased when compared to the specialist-led clinic. Most patients were discharged with a treatment plan that did not require specialist care. Patient feedback indicated high satisfaction with the nurse-led consultation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Task shifting offers a promising solution to address resource constraints in publicly funded health-care systems. Nurse-led assessments can enhance efficiency and optimize care delivery without compromising quality. These findings suggest that task-shifting may be broadly applied to improve outcomes in other resource-constrained health-care settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10784535261453383","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T13:58:21Z","timestamp":1780408701000},"page":"450-456","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Task Shifting in a Public Hospital Rhinology Clinic: A Nurse-Led Assessment Process"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-8074-3864","authenticated-orcid":false,"given":"Ellie","family":"Shimizu","sequence":"first","affiliation":[{"name":"The University of Auckland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Barnett","sequence":"additional","affiliation":[{"name":"Waikato Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4233-1135","authenticated-orcid":false,"given":"Mohamedbaqir","family":"Rassan","sequence":"additional","affiliation":[{"name":"Waikato Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1132-9130","authenticated-orcid":false,"given":"Andrew J.","family":"Wood","sequence":"additional","affiliation":[{"name":"The University of Auckland"},{"name":"Waikato Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,2]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40136-023-00475-0"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.21037\/ajo-20-72"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0001712"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489419834947"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.1322"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10198-023-01598-3"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2009.01995.x"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2022.02.008"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnsa.2021.100034"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/14.6.540"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000001636"},{"key":"e_1_3_3_13_1","unstructured":"New Zealand Ministry of Health. (n.d.). Impact on Life questionnaire."},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/1945892420961962"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12960-017-0200-9"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215116009361"},{"issue":"11","key":"e_1_3_3_17_1","article-title":"Task shifting and task sharing in the health sector in sub-Saharan Africa: Evidence, success indicators, challenges, and opportunities","volume":"46","author":"Yankam B. M.","year":"2023","unstructured":"Yankam B. M., Adeagbo O., Amu H., Dowou R. K., Nyamen B. G. M., Ubechu S. C., F\u00e9lix P. G., Nkfusai N. C., Badru O., Bain L. E. (2023). Task shifting and task sharing in the health sector in sub-Saharan Africa: Evidence, success indicators, challenges, and opportunities. Pan African Medical Journal, 46(11). https:\/\/doi.org\/10.11604\/pamj.2023.46.11.40984","journal-title":"Pan African Medical Journal"}],"container-title":["Creative Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10784535261453383","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10784535261453383","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10784535261453383","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T23:18:43Z","timestamp":1786144723000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10784535261453383"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,2]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1177\/10784535261453383"],"URL":"https:\/\/doi.org\/10.1177\/10784535261453383","relation":{},"ISSN":["1078-4535","1946-1895"],"issn-type":[{"value":"1078-4535","type":"print"},{"value":"1946-1895","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,2]]}}}