Abstract
South Africa faces a significant shortage of anaesthesiologists, compromising
healthcare access and increasing anaesthesia-related risks. Addressing this issue requires
sustainable, locally relevant solutions aligned with global surgery initiatives to enhance
surgical care access.
Objectives: This study explores anaesthesiologists’ perspectives on the necessity of nurse
anaesthetists in South Africa and offers recommendations for developing their practice.
Method: A qualitative, descriptive, and contextual design was employed, using purposive
and snowball sampling methods. The population consisted of anaesthesiologists registered
with the Health Professions Council of South Africa (HPCSA). Data were collected through
in-depth, semi-structured interviews conducted face-to-face and online. Analysis followed
Colaizzi’s seven-step method, supported by an independent coder.
Results: Findings revealed diverse perspectives, ranging from support for independent, welltrained
nurse anaesthetists under supervision or as assistants, to complete opposition to nurse
anaesthetists administering anaesthesia. Participants emphasised that the anaesthesiology
specialist community should define nurse anaesthetists’ scope of practice, which must be
regulated. Training should align with diplomate anaesthetists’ standards and involve
anaesthesiologists supported by nursing educators.
Conclusion: This pioneering research addresses a critical gap in South Africa’s healthcare
system by exploring the introduction of nurse anaesthetists to mitigate the shortage of
anaesthesia providers.
Contribution: Its findings hold the potential to inform policy and practice, contributing to the
advancement of anaesthesia services and addressing a pressing healthcare need in South Africa.