Optimizing the role of the dermatology nurse

Abstract

According to the 2012 CSPA, wait times for dermatology care in Canada are becoming worse. Healthcare professionals other than Dermatologists can provide care. The purpose of this study is to understand how the dermatology nursing role can be optimized in Canada. An on-line survey of dermatology nurses and Dermatologists was completed to assess current and desired nurse activities. Barriers and views on enhancing the role of the nurse were explored. Results overall found that dermatology nurses in Canada are working at competent to proficient levels in most activities however wish for increased education and desire to be working at more proficient levels. Dermatologists had differing past experiences with nurses however desired for them to be working at expert levels in most activities. Areas for optimization were with teledermatology, having nurse-led clinics, prescribing, wound care, Moh’s surgery, and skin cancer screening. Recommendations for practice, education and, research are discussed.