... during surgeries NATN (1994) Theatre nurses began to function as first assistants during World War Two when there was a shortage of surgeons and their juniors. Recently this role has evolved as nurses expand their practice as well as compensating for a similar shortage of surgeons, resulting from a reduction of doctors' working hours NHSME (1991). By assuming this role, nurses are acquiring greater responsibility and therefore greater legal accountability. Studies show that considering the amount of time nurses are spending on these expanded role activities, the continuing expansion has created cost implications which include training costs and the costs of increased hours required to enable the nurses to carry out these procedures. As the years are going by, it has become clear that the roles of all healthcare workers have changed and are still changing. Reforms in healthcare delivery have arisen from the move to degree level education of the ...

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