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Journal articles on the topic 'Nurse Anesthetists'

Author: Grafiati

Published: 4 June 2021

Last updated: 27 January 2023

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1

Romare, Charlotte, Per Enlöf, Peter Anderberg, Pether Jildenstål, Johan Sanmartin Berglund, and Lisa Skär. "Nurse anesthetists’ experiences using smart glasses to monitor patients’ vital signs during anesthesia care: A qualitative study." PLOS ONE 16, no. 4 (April 21, 2021): e0250122. http://dx.doi.org/10.1371/journal.pone.0250122.

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Purpose To describe nurse anesthetists’ experiences using smart glasses to monitor patients’ vital signs during anesthesia care. Methods Data was collected through individual semi-structured interviews with seven nurse anesthetists who had used smart glasses, with a customized application for monitoring vital signs, during clinical anesthesia care. Data was analyzed using thematic content analysis. Results An overarching theme became evident during analysis; Facing and embracing responsibility. Being a nurse anesthetist entails a great responsibility, and the participants demonstrated that they shouldered this responsibility with pride. The theme was divided in two sub-themes. The first of these, A new way of working, comprised the categories Adoption and Utility. This involved incorporating smart glasses into existing routines in order to provide safe anesthesia care. The second sub-theme, Encountering side effects, consisted of the categories Obstacles and Personal affect. This sub-theme concerned the possibility to use smart glasses as intended, as well as the affect on nurse anesthetists as users. Conclusion Smart glasses improved access to vital signs and enabled continuous monitoring regardless of location. Continued development and improvement, both in terms of the application software and the hardware, are necessary for smart glasses to meet nurse anesthetists’ needs in clinical practice.

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Sun, Eric C., Thomas R. Miller, Jasmin Moshfegh, and Laurence C. Baker. "Anesthesia Care Team Composition and Surgical Outcomes." Anesthesiology 129, no. 4 (October 1, 2018): 700–709. http://dx.doi.org/10.1097/aln.0000000000002275.

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Abstract Editor’s Perspective What We Already Know about This Topic What This Article Tells Us That Is New Background In the United States, anesthesia care can be provided by an anesthesia care team consisting of nonphysician providers (nurse anesthetists and anesthesiologist assistants) working under the supervision of a physician anesthesiologist. Nurse anesthetists may practice nationwide, whereas anesthesiologist assistants are restricted to 16 states. To inform policies concerning the expanded use of anesthesiologist assistants, the authors examined whether the specific anesthesia care team composition (physician anesthesiologist plus nurse anesthetist or anesthesiologist assistant) was associated with differences in perioperative outcomes. Methods A retrospective analysis was performed of national claims data for 443,098 publicly insured elderly (ages 65 to 89 yr) patients who underwent inpatient surgery between January 1, 2004, and December 31, 2011. The differences in inpatient mortality, spending, and length of stay between cases where an anesthesiologist supervised an anesthesiologist assistant compared to cases where an anesthesiologist supervised a nurse anesthetist were estimated. The approach used a quasirandomization technique known as instrumental variables to reduce confounding. Results The adjusted mortality for care teams with anesthesiologist assistants was 1.6% (95% CI, 1.4 to 1.8) versus 1.7% for care teams with nurse anesthetists (95% CI, 1.7 to 1.7; difference −0.08; 95% CI, −0.3 to 0.1; P = 0.47). Compared to care teams with nurse anesthetists, care teams with anesthesiologist assistants were associated with non–statistically significant decreases in length of stay (−0.009 days; 95% CI, −0.1 to 0.1; P = 0.89) and medical spending (−$56; 95% CI, −334 to 223; P = 0.70). Conclusions The specific composition of the anesthesia care team was not associated with any significant differences in mortality, length of stay, or inpatient spending.

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Kassa, Mamo Woldu, and Alemayehu Ginbo Bedada. "Job Satisfaction and Its Determinants among Nurse Anesthetists in Clinical Practice: The Botswana Experience." Anesthesiology Research and Practice 2021 (September 7, 2021): 1–7. http://dx.doi.org/10.1155/2021/5739584.

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Job satisfaction (JS) correlates positively with patients’ satisfaction and outcomes and employees’ well-being. In Botswana, the level of job satisfaction and its determinants among nurse anesthetists were not investigated. A cross-sectional study was conducted from January 2020 to June 2020 encompassing all nurse anesthetists in clinical practice in Botswana. A self-administered questionnaire was used that incorporated demographic data, reasons to stay on or leave their job, and a validated 20-item short form of the Minnesota Satisfaction Questionnaire which was pretested on five of our nurse anesthetists. Percentage is used to describe the data. The independence of categorical variables was examined using chi-square or Fisher’s exact test. p value <0.05 was considered statistically significant. In Botswana, a total of 76 nurse anesthetists were in clinical practice during the study period. Sixty-six (86.9%) responded to the survey. Gender distribution was even, 50.0%. The overall JS was 36.4%. Males had significantly higher JS than females, p = 0.001 . Significantly higher job satisfaction was found in married nurse anesthetists ( p = 0.039 ), expatriate nurse anesthetists ( p = 0.001 ), nurse anesthetists in non-referral hospitals ( p = 0.023 ), and nurse anesthetists with ≥10 years’ experience ( p = 0.019 ). Nurse anesthetists were satisfied with security, social service, authority, ability utilization, and responsibility in ≥60.0% of the cases. They were not satisfied in compensation, working condition, and advancement in a similar percentage. The main reason to stay on their job was to serve the public in 68.2%. In Botswana, employers should make an effort to address the working conditions, compensation, and advancement of nurse anesthetists in clinical practice.

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4

LaRocco, Susan A. "Men as Nurse Anesthetists." AJN, American Journal of Nursing 115, no. 10 (October 2015): 68–69. http://dx.doi.org/10.1097/01.naj.0000471948.74609.2b.

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5

Gabbard, Kelly L., and Rachel M. Smith-Steinert. "Advanced Cardiac Life Support Simulation for Nurse Anesthetists and Student Nurse Anesthetists." Clinical Simulation in Nursing 50 (January 2021): 65–73. http://dx.doi.org/10.1016/j.ecns.2020.06.006.

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6

Posa-Kearney, Kathleen, Samantha M. Aranda, Elizabeth M. Day, Erin Dowding, Kristen Fisher, Marites Gonzaga-Reardon, Megan Gross, and Barbara Gulczynski. "Impact of Clinical Nurse Specialist Roles on COVID-19 Pandemic Care." Connect: The World of Critical Care Nursing 14, no. 3 (September 1, 2020): 141–46. http://dx.doi.org/10.1891/wfccn-d-20-00028.

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Advanced practice nurses including nurse practitioners, clinical nurse specialists (CNS), certified registered nurse anesthetists, and certified nurse midwives contribute in many ways to improve care in the intensive care unit. This article reports on the roles of the CNS at an academic medical center and how they contribute to improving patient outcomes and support critical care nursing practice during the COVID-19 pandemic.

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7

Vetter, Thomas R., Edward J. Mascha, and Meredith L. Kilgore. "Physician Supervision of Nurse Anesthetists." Anesthesia & Analgesia 122, no. 6 (June 2016): 1766–68. http://dx.doi.org/10.1213/ane.0000000000001318.

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8

Aagaard, Karin, Erik Elgaard Sørensen, Bodil Steen Rasmussen, and Birgitte Schantz Laursen. "Identifying Nurse Anesthetists' Professional Identity." Journal of PeriAnesthesia Nursing 32, no. 6 (December 2017): 619–30. http://dx.doi.org/10.1016/j.jopan.2016.08.006.

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9

Chambers, Deborah A. "Nurse Anesthetists Are Safe Option." Health Affairs 21, no. 6 (November 2002): 272–73. http://dx.doi.org/10.1377/hlthaff.21.6.272.

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10

Moos, Daniel D. "Certified Registered Nurse Anesthetists in America." British Journal of Anaesthetic and Recovery Nursing 8, no. 4 (November 2007): 79–82. http://dx.doi.org/10.1017/s1742645607000290.

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ABSTRACTNurse anesthetists are crucial healthcare providers throughout the world. The duties, regulations, and educational requirements for nurse anesthetists vary from country to country. The purpose of this article is to provide the reader with a brief historical perspective on the development of nurse anesthesia in the United States; describe current nurse anesthesia practice; and allow the reader to compare and contrast it with the practice of nurse anesthesia in their own country.

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11

Rujirojindakul, Panthila, Edward McNeil, Rongrong Rueangchira-urai, and Niranuch Siripunt. "Learning Curves of Macintosh Laryngoscope in Nurse Anesthetist Trainees Using Cumulative Sum Method." Anesthesiology Research and Practice 2014 (2014): 1–6. http://dx.doi.org/10.1155/2014/850731.

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Background. Tracheal intubation is a potentially life-saving procedure. This skill is taught to many anesthetic healthcare professionals, including nurse anesthetists. Our goal was to evaluate the learning ability of nurse anesthetist trainees in their performance of orotracheal intubation with the Macintosh laryngoscope.Methods. Eleven nurse anesthetist trainees were enrolled in the study during the first three months of their training. All trainees attended formal lectures and practice sessions with manikins at least one time on performing successful tracheal intubation under supervision of anesthesiology staff. Learning curves for each nurse anesthetist trainee were constructed with the standard cumulative summation (cusum) methods.Results. Tracheal intubation was attempted on 388 patients. Three hundred and six patients (78.9%) were successfully intubated on the trainees’ first attempt and 17 patients (4.4%) on the second attempt. The mean±SD number of orotracheal intubations per trainee was35.5 ± 5.1(range 30–47). Ten (90.9%) of 11 trainees crossed the 20% acceptable failure rate line. A median of 22 procedures was required to achieve an 80% orotracheal intubations success rate.Conclusion. At least 22 procedures were required to reach an 80% success rate for orotracheal intubation using Macintosh laryngoscope in nonexperienced nurse anesthetist trainees.

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Kwetey, Philip Kwame, Donna Nyght, and Paul Bennetts. "Evaluation of the readiness of nurse anesthetists in Ghana for a master’s degree completion program: An exploratory, observational study." Journal of Nursing Education and Practice 9, no. 11 (September 12, 2019): 114. http://dx.doi.org/10.5430/jnep.v9n11p114.

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Ghana is a developing country in West Africa with limited anesthesia providers impacting surgical access and anesthesia safety. There are only two anesthesia providers per 100,000 population, with the majority of providers being nurse anesthetists, most of whom hold only diplomas, and more recently, bachelor’s in anesthesia education. This paper reports an observational study exploring the prospects of an advanced degree at the master’s degree level for practicing nurse anesthetists in Ghana. Three focus groups and one semi-structured individual interview were conducted with a total of 69 participants. Four major themes emerged following data analysis: desire for improved clinical expertise; focus on research methods to improve patient outcomes; perceived inadequate physician support for graduate nurse anesthetists (NA) education and infrastructure; and desires for an advanced degree for career progression. Findings highlight the readiness of nurse anesthetists in Ghana for an advanced degree and the necessary infrastructure and needed areas of clinical anesthesia education and research that must be included in the curriculum development for a master’s level education.

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Saager, Leif, Brian D. Hesler, Jing You, Alparslan Turan, Edward J. Mascha, Daniel I. Sessler, and Andrea Kurz. "Intraoperative Transitions of Anesthesia Care and Postoperative Adverse Outcomes." Anesthesiology 121, no. 4 (October 1, 2014): 695–706. http://dx.doi.org/10.1097/aln.0000000000000401.

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Abstract Background: Transfers of patient care and responsibility among caregivers, “handovers,” are common. Whether handovers worsen patient outcome remains unclear. The authors tested the hypothesis that intraoperative care transitions among anesthesia providers are associated with postoperative complications. Methods: From the records of 138,932 adult Cleveland Clinic (Cleveland, Ohio) surgical patients, the authors assessed the association between total number of anesthesia handovers during a case and an adjusted collapsed composite of in-hospital mortality and major morbidities using multivariable logistic regression. Results: Anesthesia care transitions were significantly associated with higher odds of experiencing any major in-hospital mortality/morbidity (incidence of 8.8, 11.6, 14.2, 17.0, and 21.2% for patients with 0, 1, 2, 3, and ≥4 transitions; odds ratio 1.08 [95% CI, 1.05 to 1.10] for an increase of 1 transition category, P < 0.001). Care transitions among attending anesthesiologists and residents or nurse anesthetists were similarly associated with harm (odds ratio 1.07 [98.3% CI, 1.03 to 1.12] for attending [incidence of 9.4, 13.9, 17.4, and 21.5% for patients with 0, 1, 2, and ≥3 transitions] and 1.07 [1.04 to 1.11] for residents or nurses [incidence of 9.4, 13.0, 15.4, and 21.2% for patients with 0, 1, 2, and ≥3 transitions], both P < 0.001). There was no difference between matched resident only (8.5%) and nurse anesthetist only (8.8%) cases on the collapsed composite outcome (odds ratio, 1.00 [98.3%, 0.93 to 1.07]; P = 0.92). Conclusion: Intraoperative anesthesia care transitions are strongly associated with worse outcomes, with a similar effect size for attendings, residents, and nurse anesthetists.

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14

McAuliffe, Maura S. "Practice and Philosophy of Nurse Anesthetists." Image: the Journal of Nursing Scholarship 29, no. 3 (September 1997): 289–90. http://dx.doi.org/10.1111/j.1547-5069.1997.tb01001.x.

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15

Lyttle, Bethany. "Physicians Want Supervision of Nurse Anesthetists." AJN, American Journal of Nursing 110, no. 5 (May 2010): 15. http://dx.doi.org/10.1097/01.naj.0000372054.88694.60.

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16

Gunn, Ira P. "The proposal to certify nurse anesthetists." Journal of Clinical Anesthesia 8, no. 8 (December 1996): 683–85. http://dx.doi.org/10.1016/s0952-8180(96)00180-8.

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17

Bettin, Christopher. "American Association of Nurse Anesthetists: Update on HCFA’s Proposal to Remove Supervision Requirement for Nurse Anesthetists." Policy, Politics, & Nursing Practice 1, no. 3 (August 2000): 185–88. http://dx.doi.org/10.1177/152715440000100304.

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18

Suharti, Titiek, Yustiana Olfah, and Abdul Majid. "Faktor-faktor yang Mempengaruhi Kesiapan Perawat Anestesi Melakukan Tindakan General Anestesi di RSUP Mataram Nusa Tenggara Barat." Journal of Health 3, no. 1 (January 31, 2016): 1. http://dx.doi.org/10.30590/vol3-no1-p1-7.

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Background : The provision of the type of anesthesia in patients undergoing surgery can be performed under general anesthesia, and with the anesthetic to a specific body part (regional anesthesia). The type of anesthesia used in surgery, either by using general anesthesia or regional anesthesia with each having its own complications. Readiness of each participant looks diverse, there is no action in the first prepare medications and tools so often happens unpreparedness in implementing the action. Readiness of nurses in providing anesthesia is influenced by various factors such as age, education, work experience, knowledge and gender. Methods : The aim of research to explore preparedness for nurse anesthetists in general anesthetic action. This study used a naturalistic qualitative research. Participants in this study is a nurse anesthetist who is still on active duty in the department of West Nusa Tenggara Province. Intake of total participants performed the sampling technique. Data collection was conducted in natural conditions, the primary data sources and data collection techniques through observation, in-depth interviews to the participants to explore the role of a nurse anesthetist does and documentation. Data obtained through the data collection process immediately processed and analyzed by the researchers. Results of the study : The study states that the age of anesthesia nurses between 21 to 59 years, that the longer the period of employment will be more and more experience and better prepared for the patient, not the readiness of gender and all have the same roles and functions. Suggestion : Readiness nurse anesthesia before and during work is crucial to achieve satisfactory results in implementing the anesthesia.

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19

Hrezo, Richard J. "Navy nurse anesthetists at Fleet Hospital Five." Critical Care Nursing Clinics of North America 15, no. 2 (June 2003): 213–20. http://dx.doi.org/10.1016/s0899-5885(02)00057-6.

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Morgan, Brett, Lorraine Jordan, and Luis A. Rivera. "Considerations for an aging nurse anesthetists workforce." Geriatric Nursing 41, no. 6 (November 2020): 1017–19. http://dx.doi.org/10.1016/j.gerinurse.2020.10.010.

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21

Diaz, James H. "LEFT-HANDED DEQUERVAINʼS TENOSYNOVITIS IN NURSE ANESTHETISTS." Southern Medical Journal 91, Supplement (October 1998): S62. http://dx.doi.org/10.1097/00007611-199810001-00152.

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22

Haydek, John P., John M. Haydek, and Bergein F. Overholt. "Unsupervised Certified Nurse Anesthetists (UCRNA) Use Less Propofol (P) and Ancillary Medications Then Supervised Certified Nurse Anesthetists (SCRNA)." Gastrointestinal Endoscopy 69, no. 5 (April 2009): AB227. http://dx.doi.org/10.1016/j.gie.2009.03.547.

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23

McCain, Gail. "Yet Another Degree for the Nursing Profession." Neonatal Network 24, no. 4 (July 2005): 7. http://dx.doi.org/10.1891/0730-0832.24.4.7.

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THE AMERICAN ASSOCIATION OF COLLEGES OF NURSING (AACN) issued a position statement on the practice doctorate in nursing in October of 2004.1 It proposes a terminal professional degree, doctor of nursing practice (DNP), to replace the master’s degree in nursing as preparation for advanced practice nursing. Advanced practice nursing refers to certified nurse practitioners (e.g., neonatal nurse practitioners), certified nurse midwives, certified nurse anesthetists, and clinical nurse specialists.

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24

Brodie, Barbara, and Marianne Bankert. "Watchful Care: A History of America's Nurse Anesthetists." Journal of American History 78, no. 1 (June 1991): 358. http://dx.doi.org/10.2307/2078198.

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&NA;. "Nurse Anesthetists Participate in National Public Service Campaign." Plastic Surgical Nursing 7, no. 2 (1987): 72. http://dx.doi.org/10.1097/00006527-198707020-00014.

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&NA;. "Nurse Anesthetists Participate in National Public Service Campaign." Plastic Surgical Nursing 7, no. 3 (1987): 72. http://dx.doi.org/10.1097/00006527-198707030-00012.

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Bankert, M. "Nurse Anesthetists Began the Fight for Womenʼs Rights." Plastic Surgical Nursing 10, no. 3 (1991): 142. http://dx.doi.org/10.1097/00006527-199101030-00014.

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28

Inglis, Toni. "Nurse Anesthetists: One Step Forward, One Step Back." AJN, American Journal of Nursing 103, no. 1 (January 2003): 91–94. http://dx.doi.org/10.1097/00000446-200301000-00080.

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29

Cromwell, Jerry, and Margo Rosenbach. "The Impact of Nurse Anesthetists on Anesthesiologist Productivity." Medical Care 28, no. 2 (1990): 159–69. http://dx.doi.org/10.1097/00005650-199002000-00006.

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30

Silber, Jeffrey H., Sean K. Kennedy, Laurie F. Koziol, Ann M. Showan, and David E. Longnecker. "DO NURSE ANESTHETISTS NEED MEDICAL DIRECTION BY ANESTHESIOLOGISTS?" Anesthesiology 89, Supplement (September 1998): 1184A. http://dx.doi.org/10.1097/00000542-199809200-00013.

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Davis, Janice L. "Watchful Care: A History of America's Nurse Anesthetists." AORN Journal 53, no. 3 (March 1991): 831–32. http://dx.doi.org/10.1016/s0001-2092(07)68963-7.

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Hamza, Heather, and Todd Monroe. "Reentry and Recidivism for Certified Registered Nurse Anesthetists." Journal of Nursing Regulation 2, no. 1 (April 2011): 17–22. http://dx.doi.org/10.1016/s2155-8256(15)30297-0.

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Diaz, James H. "LEFT-HANDED CARPAL TUNNEL SYNDROME IN NURSE ANESTHETISTS." Southern Medical Journal 91, Supplement (October 1998): S62. http://dx.doi.org/10.1097/00007611-199810001-00150.

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Meeusen, Vera C. H., Karen Van Dam, Chris Brown-Mahoney, Andre A. J. Van Zundert, and Hans T. A. Knape. "Understanding nurse anesthetists' intention to leave their job." Health Care Management Review 36, no. 2 (April 2011): 155–63. http://dx.doi.org/10.1097/hmr.0b013e3181fb0f41.

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Nordström, Anna, and Monne Wihlborg. "A Phenomenographic Study of Swedish Nurse Anesthetists’ and OR Nurses’ Work Experiences." AORN Journal 109, no. 2 (January 29, 2019): 217–26. http://dx.doi.org/10.1002/aorn.12582.

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Manchikanti, Laxmaiah. "CMS Proposal for Interventional Pain Management by Nurse Anesthetists: Evidence by Proclamation with Poor Prognosis." Pain Physician 5;15, no. 5;9 (September 14, 2012): E641—E664. http://dx.doi.org/10.36076/ppj.2012/15/e641.

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The Office of Inspector General (OIG), Department of Health and Human Services (HHS), in a 2009 report, showed that unqualified nonphysicians performed 21% of the services. These nonphysicians did not possess the necessary licenses, certifications, credentials, or training to perform the services. Since the time the medical profession was founded, advances in treatments and technology, as well as educational and training standards, have promoted a desire to go beyond the basic scope of practice. Many have sought to broaden the scope of practice through legislative efforts and proclamation rather than education and training. In 2001, President Clinton signed into law a rule that permitted states to “opt out” of the Centers for Medicare and Medicaid Services’ (CMS) requirement for nurse anesthetists to be supervised by any physician. Since then, 17 states have adopted this rule. While it was originally intended to help rural areas improve access to care, the opt out rule essentially supports any hospital or organization that seeks to make a profit or cut costs by allowing nurse anesthetists to function as physicians. With the implementation of sweeping health care regulations under the Affordable Care Act (ACA, also popularly known as Obamacare), the future of nurses and other professionals has been empowered. In fact, it has been proposed that medical training may be reduced by 30%, which will in their minds equalize training between nonphysicians and physicians. In 2010, the Federal Trade Commission (FTC) issued an opinion exerting their power to empower CRNAs with unlimited practice, with threats to opposing parties. In the 2013 proposed physician payment rule, CMS is proposing that CRNAs may perform interventional pain management services. Interventional pain management is a medical discipline with defined interventional techniques to be performed by professionals who are well trained and qualified. Without considering the consequences of the lack of education and training qualifications for CRNAs to offer interventional techniques, the FTC issued their opinion and CMS proposed to expand these practice patterns with a policy of improved access and reduced cost. However, in reality, the opposite will happen and will increase fraud, reduce access due to inappropriate procedures, and increase complications, all as a result of privileges by legislation without education. The CMS proposal for interventional pain management by nurse anesthetists is a proclamation with a poor prognosis. Key words: Interventional pain management, interventional techniques, certified registered nurse anesthetists, evidence-based medicine, fraud and abuse, education and training.

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Charuluxananan, Somrat, Wanwimol Saengchote, Sireeluck Klanarong, Yodying Punjasawadwong, Waraporn Chau-in, Chanrit Lawthaweesawat, and Thewarug Werawatganon. "Quality and patient safety in anesthesia service: Thai survey." Asian Biomedicine 4, no. 3 (June 1, 2010): 395–401. http://dx.doi.org/10.2478/abm-2010-0048.

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Abstract Background: The Royal College of Anesthesiologists of Thailand (RCAT) performed large-scale epidemiologic study of anesthesia-related complications and national incidents study in 2004 and 2007, respectively. Objectives: Evaluate the anesthesia service in Thailand with regard to status of quality and patient safety. Material and methods: A pre-planned structured questionnaire regarding demographic, administrative, preanesthetic, intraoperative postanesthetic variables and complications were requested to be filled in by nurse anesthetists attending the refresher course lecture of RCAT in February 2008. Descriptive statistics was used. Results: Three hundred fifty questionnaires were given and 341 respondents (97%) returned the questionnaires. Most of the respondents (90%) worked in government section. Thirty percent of respondents practiced in hospital without medical doctor anesthesiologist and 58% of nurse anesthetists worked in hospitals that have been accredited. Forty-six percent of respondents reported unavailability of a 24-hour recovery room. The questionnaires revealed of inadequacy of anesthesia personnel (64%), inadequate supervision during emergency condition (53%), inadequacy of patient information regarding anesthesia (57-69%), and low opportunity for patient to choose choice of anesthesia (19%). The commonly used monitoring were pulse oximeter (92% of respondents) and electrocardiography (63%). One-third (32%) of respondents had to provide of anesthesia for patients with insufficient NPO (non per oral) time. Common problems that the respondents experienced were miscommunication (49%), intraoperative cardiac arrest during the past year (35%), error related to infusion pump (24%) and medication error (8%). Fifty-five percent of respondents had to monitor at least one patient per month receiving spinal anesthesia. Conclusion: Suggested strategies for quality and patient safety improvement in anesthesia service are increasing personnel, increasing 24-hour recovery room, improvement of supervision, improvement of communication, compliance to guidelines and improvement of nurse anesthetist’s training regarding monitoring patient receiving spinal anesthesia and cardiopulmonary resuscitation.

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Falk-Brynhildsen, Karin, Maria Jaensson, Brigid M. Gillespie, and Ulrica Nilsson. "Swedish Operating Room Nurses and Nurse Anesthetists' Perceptions of Competence and Self-Efficacy." Journal of PeriAnesthesia Nursing 34, no. 4 (August 2019): 842–50. http://dx.doi.org/10.1016/j.jopan.2018.09.015.

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Cahana, Alex, Henrik Weibel, and Samia A. Hurst. "Ethical Decision-Making: Do Anesthesiologists, Surgeons, Nurse Anesthetists, and Surgical Nurses Reason Similarly?" Pain Medicine 9, no. 6 (September 2008): 728–36. http://dx.doi.org/10.1111/j.1526-4637.2007.00346.x.

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Meeusen, Vera, Sandy Ouellette, and Betty Horton. "The global organization of nurses in anesthesia: The International Federation of Nurse Anesthetists." Trends in Anaesthesia and Critical Care 6 (February 2016): 20–25. http://dx.doi.org/10.1016/j.tacc.2016.03.001.

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Jans, Jessica, Karin Falk-Brynhildsen, and Martin Salzmann-Erikson. "Nurse anesthetists’ reflections and strategies when supervising master's students." Nurse Education in Practice 54 (July 2021): 103120. http://dx.doi.org/10.1016/j.nepr.2021.103120.

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Hensel, Desiree, Rachel Cooper, and Neil Craney. "Operating Room Personnel Viewpoints About Certified Registered Nurse Anesthetists." Western Journal of Nursing Research 40, no. 2 (December 22, 2016): 242–56. http://dx.doi.org/10.1177/0193945916682730.

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Grundy, Betty L., Anne Medsgser, Myrna Silverman, Edmund Ricci, Charles Bottoms, Margaret J. Gunter, and Catherine Callahan. "Characteristics of Nurse Anesthetists Working With and Without Anesthesiologists." Medical Care 25, no. 12 (December 1987): 1129–38. http://dx.doi.org/10.1097/00005650-198712000-00002.

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Hedenskog, Christina, Ulrica Nilsson, and Maria Jaensson. "Swedish-Registered Nurse Anesthetists' Evaluation of Their Professional Self." Journal of PeriAnesthesia Nursing 32, no. 2 (April 2017): 106–11. http://dx.doi.org/10.1016/j.jopan.2015.07.002.

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Wooden, Steve, Mary Anne Krogh, Ed Waters, and Karen Plaus. "Developing the Continued Professional Certification Program for Nurse Anesthetists." Journal of Nursing Regulation 8, no. 1 (April 2017): 31–37. http://dx.doi.org/10.1016/s2155-8256(17)30072-8.

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Horton, B. J., S. P. Anang, M. Riesen, H. J. Yang, and K. B. Björkelund. "International Federation of Nurse Anesthetists' Anesthesia Program Approval Process." International Nursing Review 61, no. 2 (April 22, 2014): 285–89. http://dx.doi.org/10.1111/inr.12089.

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Torabizadeh, Camellia, Fatemeh Darari, and Shahrzad Yektatalab. "Operating room nurses’ perception of professional values." Nursing Ethics 26, no. 6 (June 21, 2018): 1765–76. http://dx.doi.org/10.1177/0969733018772077.

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Background and significance of research: Nurses’ awareness of professional values and how those values affect their behaviors is an integral part of nursing care. There is a large body of research on nursing professional values, however, a careful survey of the available literature did not yield any studies investigating the status of professional values in operating rooms. Objective: This study aims to investigate the perception of operating room nurses of university hospitals toward professional values. Research plan: In this cross-sectional study, data were collected using Schank and Weis’s Nurses Professional Values Scale–Revised. The collected data were analyzed in SPSS version 16. Participants and settings: The 513 participants of the study consisted of operating room nurses and nurse anesthetists from six university hospitals. Ethical considerations: This study has been approved by the ethics committee of the university. Findings: The mean total professional values score of the operating room staff was found to be 100.84 ± 15.685, which indicates that the participants had a positive perception toward observance of nursing professional values in practice. The results showed that the participants considered the domains of justice and activism as, respectively, the most and the least important. The operating room staff’s overall professional values scores were not found to correlate significantly with their ages, professional experience, university majors, or attendance at ethics workshops. However, a significant difference was found between the professional values scores of the female and male staff. The professional values scores of the operating room nurses and the nurse anesthetists were not significantly different (p value = 0.494). Conclusion: Operating room staff’s awareness of professional values is essential to providing care to patients based on professional principles. Accordingly, there is need for programs to raise operating room nurses’ awareness of their professional duties and improve their professional performance.

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Lefave, Melissa, Brad Harrell, and Molly Wright. "Analysis of Cricoid Pressure Force and Technique Among Anesthesiologists, Nurse Anesthetists, and Registered Nurses." Journal of PeriAnesthesia Nursing 31, no. 3 (June 2016): 237–44. http://dx.doi.org/10.1016/j.jopan.2014.09.007.

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Martin, David P., Toby N. Weingarten, Paul W. Gunn, KunMoo Lee, Michael A. Mahr, Darrell R. Schroeder, and Juraj Sprung. "Performance Improvement System and Postoperative Corneal Injuries." Anesthesiology 111, no. 2 (August 1, 2009): 320–26. http://dx.doi.org/10.1097/aln.0b013e3181ae63f0.

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Background The authors' department conducted a performance improvement initiative aimed to reduce the rate of perioperative corneal injuries. This study reports the effects of the initiative and examines the risk factors for corneal injury. Method The rate of corneal injuries during nonophthalmologic procedures under anesthesia was compared between the two time periods: preinitiative baseline (August 1, 2005-December 31, 2005) and initiative period (January 1, 2006-April 30, 2007). To examine the risk factors for corneal injury, a nested case-control study with a 2:1 matched-set design was separately performed and included cases between January 1, 2006 and July 31, 2008. Results During the baseline period, the corneal injury rate was 1.51 per 1,000, and it decreased to 0.79 per 1,000 during the performance initiative (P = 0.008). Independent risk factors were longer anesthetics (odds ratio = 1.2, 95% confidence interval (CI) 1.1-1.3 per 30 min), lower American Society of Anesthesiologists physical status (odds ratio 0.5, 95% CI 0.3-0.8 for American Society of Anesthesiologists physical status 3-4 vs. 1-2), and student nurse anesthetist as a primary anesthesia provider (odds ratio 2.6, 95% CI 1.3-5.0). Conclusion Corneal injury rate in our institution was significantly reduced and remains at low levels long after initiation of perioperative eye care improvement initiative. The higher rate of corneal injuries among student nurse anesthetists highlights the importance of standardizing education and supervision among all anesthesia providers. We believe that our model of performance improvement initiative can be used to improve other perioperative outcomes.

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Mukhopadhyay, S., P. Milsom, and F. Federspiel. "Global task shifting to nurse anesthetists: A systematic literature review." Annals of Global Health 82, no. 3 (August 20, 2016): 484. http://dx.doi.org/10.29024/j.aogh.2016.04.325.

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