Job Redesign for an RNFA

Registered nurse first assistants (RFNAs) are educated to collaborate with surgeons and health care team members in performing surgical procedures with optimal outcomes for patients. RNFAs must acquire the necessary knowledge, skills, and judgment needed for clinical practice and must function in collaboration with and at the direction of the surgeon during the intraoperative phase of the perioperative experience (Homan & Dunscombe, 2000). In the changing health climate of today, patients need the continuity of care that an RNFA can provide. This brief report will discuss job redesigning strategies for the RNFA in the hospital setting. It will first identify job redesign approaches that could be used for the position and then identify the present components of the RNFA role. Finally, the report will describe two major position components after job redesign and recommend an implementation strategy for redesigning the position.

Perspectives on the design and redesign of work are classified by Ivancevich (1998) into four major categories: 1) the perceptual-motor approach; 2) the biological approach; 3) the mechanistic approach; and 4) the motivational approach. Both the perceptual-motor approach and the biological approach are rooted in human factors engineering and their major focus is on the integration of human and machine systems. They are therefore not applicable with respect to the RNFA.

The two remaining approaches more clearly hig

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y rounds, observe surgical incision and subsequent wound care, remove catheters, drains, and sutures, and communicate to surgeons any deviation from normal clinical progress (Homan & Dunscombe, 2000). As this listing of the components of the RNFA position and job description demonstrates, the tasks assigned to the RNFA are extensive at the present time. However, as Hlozek, Zacharias, and Mizener (1999) have noted, over the 25-year history of RNFAs in the United States, surgical staff members have consistently expanded the roles of these professionals to include activities once reserved entirely for physicians. In the preoperative and intraoperative phases, for example, the RNFA's role can be expanded to move beyond its current limits. In the thoracic and cardiovascular surgical and cardiology theaters, the RNFA can take a lead role in coordinating heart and lung transplants, left ventricular assist devices, and extra corporeal life support programs. Additionally, qualified RNFAs who have received training can and perhaps should begin to assist in new surgical techniques, conducting research studies, evaluating cost containment issues, and improving patient care and outcomes. A specific example of how the RNFA rol

Category: Medical - J