AANA journal最新文献_第6页

Comparative Study of Nurse Anesthetist Competency in Finland, South Korea, Taiwan, and the United States. 芬兰、韩国、台湾、美国护士麻醉师胜任力比较研究。

AANA journal Pub Date : 2026-04-01 DOI: 10.70278/AANAJ/.0000001054

Michong Kong Rayborn, Gyeseon Jeong, Hui Ju Yang, Yunsuk Jeon

{"title":"Comparative Study of Nurse Anesthetist Competency in Finland, South Korea, Taiwan, and the United States.","authors":"Michong Kong Rayborn, Gyeseon Jeong, Hui Ju Yang, Yunsuk Jeon","doi":"10.70278/AANAJ/.0000001054","DOIUrl":"10.70278/AANAJ/.0000001054","url":null,"abstract":"The aim of this study was to identify and assess factors associated with nurse anesthetist competency in Finland, South Korea, Taiwan, and the United States. A cross-sectional design was used. The Anesthesia Nursing Competence Scale consisting of seven competencies was utilized: ethics, patient risk management, technological skills, collaboration, medication, optimizing anesthesia care, and anesthesia knowledge (0 = not competent at all, 10 = excellent competence). The data were collected via an online survey (N = 582) in 2024. Data analysis included correlation tests, t-tests, and linear regression analysis. The highest-rated competencies varied by country: collaboration in Finland (9.31 ± 0.68), medication in Taiwan (9.01 ± 1.19), and ethics in the United States (9.58 ± 0.84). However, anesthesia knowledge was the lowest-rated competency across all countries. Age, educational level, and work experience showed a positive correlation with competency and education level was identified as the most important factor influencing anesthesia nursing competency. Assessing these competencies as outcomes of nursing education in an international context remains crucial for promoting global standards in the education and practice of nurse anesthetists. Strengthening international collaboration in anesthesia nursing education and establishing standardized competency assessments could further promote high quality practices and ensure quality patient care.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"94 2","pages":"89-97"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147637635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of Using Virtual Reality Technology on Preoperative Anxiety in Pediatrics: An Evidence-Based Practice Initiative. 使用虚拟现实技术对儿科术前焦虑的影响：一项基于证据的实践倡议。

AANA journal Pub Date : 2026-02-01 DOI: 10.70278/AANAJ/.0000001045

Yolanda Perez Duncan, Margaret A Gettis

{"title":"Effect of Using Virtual Reality Technology on Preoperative Anxiety in Pediatrics: An Evidence-Based Practice Initiative.","authors":"Yolanda Perez Duncan, Margaret A Gettis","doi":"10.70278/AANAJ/.0000001045","DOIUrl":"10.70278/AANAJ/.0000001045","url":null,"abstract":"Anxiety is a common preoperative occurrence in children having surgery, and it can compromise surgical results, have long-term psychological effects, and lead to future healthcare challenges. In the surgical setting, preoperative anxiety is frequently treated with a combination of pharmaceutical and nonpharmacological interventions. One nonpharmacological approach is the use of virtual reality (VR), a computer-generated environment accessed by headset or goggles. This evidence-based practice initiative utilized VR goggles to address the question: to what degree would previous research on virtual reality distraction in the preoperative area and in the operating room impact preoperative anxiety levels among pediatric patients undergoing surgery at an outpatient surgery center? A preoperative registered nurse assessed and scored the patient for preoperative anxiety utilizing the modified Yale preoperative anxiety scale (mYPAS) tool while a certified registered nurse anesthetist intraoperatively obtained a second mYPAS score. The findings demonstrated how VR goggles utilized preoperatively and intraoperatively improved patients' anxiety with innovative technology indicating that results were clinically and statistically significant.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"94 1","pages":"36-41"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146111688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

AANA Journal Course--Optimizing Buprenorphine Induction: Updated Approaches in Opioid Use Disorder Management. AANA期刊课程-优化丁丙诺啡诱导：阿片类药物使用障碍管理的最新方法。

AANA journal Pub Date : 2026-02-01 DOI: 10.70278/AANAJ/.0000001064

Michelle Canale, Hannah Messenger, Ruchama Barkai, Cindi Dabney, Marleny Estevez, Jennifer Louis, Sarah Jingying Zhang

{"title":"AANA Journal Course--Optimizing Buprenorphine Induction: Updated Approaches in Opioid Use Disorder Management.","authors":"Michelle Canale, Hannah Messenger, Ruchama Barkai, Cindi Dabney, Marleny Estevez, Jennifer Louis, Sarah Jingying Zhang","doi":"10.70278/AANAJ/.0000001064","DOIUrl":"10.70278/AANAJ/.0000001064","url":null,"abstract":"Buprenorphine's unique pharmacologic profile and safety characteristics make it a first-line treatment for opioid use disorder (OUD). While buprenorphine is increasingly used in opioid dependence treatment, transitioning patients from full opioid agonists to buprenorphine remains a clinical challenge, particularly due to limited familiarity and complexities of induction of buprenorphine in managing OUD. Traditional clinical guidelines recommend initiating buprenorphine following a period of mild-to-moderate prerequisite opioid withdrawal. However, during the transition, inadequate equianalgesic dosing and inappropriate timing and routes of buprenorphine administration may precipitate withdrawal symptoms. Two primary induction strategies, microdosing and bridging, have currently demonstrated success in minimizing withdrawal and improving patient comfort. This journal course examines these two strategies when switching patients from common opioids to buprenorphine. Additionally, this article reviews the pharmacologic mechanisms of buprenorphine, compares the two induction techniques, and explores regulatory and practical considerations with current, evidence-based guidance on initiating buprenorphine in opioid-dependent patients for safer and more effective OUD care.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"94 1","pages":"62-70"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146111559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Editor's Desk: AI in Nurse Anesthesiology: A Mandate for Rigor, Reproducibility, and Transparency. 编辑台：护士麻醉学中的人工智能：要求严谨性、可重复性和透明度。

AANA journal Pub Date : 2026-02-01 DOI: 10.70278/AANAJ/.0000001082

Edwin N Aroke

引用次数: 0

Comparison of Dexmedetomidine In Ultrasound-Guided Supraclavicular Brachial Plexus Block Versus Intramuscular Administration In Upper Limb Surgeries. 右美托咪定在超声引导下锁骨上臂丛阻滞与上肢手术肌内给药的比较。

AANA journal Pub Date : 2026-02-01 DOI: 10.70278/AANAJ/.0000001050

Sanjana Subbiah, Anitha Nileshwar

{"title":"Comparison of Dexmedetomidine In Ultrasound-Guided Supraclavicular Brachial Plexus Block Versus Intramuscular Administration In Upper Limb Surgeries.","authors":"Sanjana Subbiah, Anitha Nileshwar","doi":"10.70278/AANAJ/.0000001050","DOIUrl":"10.70278/AANAJ/.0000001050","url":null,"abstract":"Dexmedetomidine is known to prolong sensory and motor blockade by local anesthetics. In this study we compared the efficacy of dexmedetomidine given intramuscularly and perineurally as an additive to supraclavicular brachial plexus block. Sixty-two patients requiring upper limb surgeries were randomly assigned to two groups. All patients received 2% lidocaine (10 mL) + 0.5% levobupivacaine (10 mL) + normal saline (5 mL). In the perineural group (PN), 0.5 µg/kg dexmedetomidine was administered perineurally in the block whereas in the intramuscular group (IM), 0.5 µg/kg dexmedetomidine was administered intramuscularly in the blocked arm. Onset and duration of sensory and motor blockade, time taken to request analgesia, sedation, and overall patient satisfaction were noted. Onset of sensory blockade occurred at 5 min in both groups. Onset of motor blockade (mean ± SD) occurred at 16.93 ± 6.91 min and 17.25 ± 6.93 min, in Group PN and Group IM, respectively. Sensory blockade (mean ± SD) lasted for 773.71 ± 222.6 min and 701.29±233.34 min, while motor blockade (median) lasted for 275 and 300 min in Group PN and Group IM, respectively. The onset and duration of blockade were comparable between the two groups. Onset and duration of brachial plexus block are comparable whether dexmedetomidine is given perineurally or intramuscularly as an adjunct to local anesthetic.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"94 1","pages":"56-61"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146111693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pectoral Nerve Blocks for Breast Cancer Surgery: A Systematic Review and Meta-Analysis. 胸神经阻滞用于乳腺癌手术：系统回顾和荟萃分析。

AANA journal Pub Date : 2026-02-01 DOI: 10.70278/AANAJ/.0000001052

Hewan Alemayehu, Rebecca Litchholt, Kathryn Metcalf, Alyssa Miró, Tito D Tubog, Hallie Evans

{"title":"Pectoral Nerve Blocks for Breast Cancer Surgery: A Systematic Review and Meta-Analysis.","authors":"Hewan Alemayehu, Rebecca Litchholt, Kathryn Metcalf, Alyssa Miró, Tito D Tubog, Hallie Evans","doi":"10.70278/AANAJ/.0000001052","DOIUrl":"10.70278/AANAJ/.0000001052","url":null,"abstract":"Breast cancer surgery results in significant postoperative pain. Pectoral nerve blocks (PECS I and II) may lessen the use of opioids during surgery and enhance pain management. This systematic review and meta-analysis assessed the efficacy of PECS blocks compared with placebo in breast cancer surgery. The Cochrane Collaboration, PubMed, CINAHL, Google Scholar, and grey literature were all thoroughly searched. We only included randomized controlled trials (RCTs) that compared PECS I or II blocks to a placebo. Mean differences (MD) and risk ratios (RR) were calculated for primary and secondary outcomes. Meta-analysis was conducted using RevMan 5.4, and evidence was appraised using the GRADE system. Twenty-two RCTs were included. PECS blocks significantly decreased pain scores up to 48 hours after surgery during activity (MD, -1.66) and at rest (MD, -1.38). Additionally, they decreased the use of opioids during surgery (MD, -5.28) and after surgery (MD, -9.82), extended the time until first rescue analgesia (MD, 4.95 hours), and decreased PONV (RR, 0.48) with no effect on chronic pain (RR, 0.40). PECS blocks support their role in multimodal analgesia by improving postoperative pain control, lowering the need for opioids, and promoting recovery following breast cancer surgery.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"94 1","pages":"21-35"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146111672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Impact of Education on the Perioperative Care of Transgender and Gender Nonbinary Patients on Anesthesia Trainees. 教育对麻醉学员跨性别及性别非二元患者围手术期护理的影响。

AANA journal Pub Date : 2026-02-01 DOI: 10.70278/AANAJ/.0000001051

Kyle J Sanchez, Michael G Healy, David A Rollins, Joshua A Lea, Ariel S Frey-Vogel

{"title":"The Impact of Education on the Perioperative Care of Transgender and Gender Nonbinary Patients on Anesthesia Trainees.","authors":"Kyle J Sanchez, Michael G Healy, David A Rollins, Joshua A Lea, Ariel S Frey-Vogel","doi":"10.70278/AANAJ/.0000001051","DOIUrl":"10.70278/AANAJ/.0000001051","url":null,"abstract":"As the number of individuals identifying as transgender and gender nonbinary (TGNB) rises, the amount of TGNB patients requiring surgery increases in tandem. However, there are gaps in proficiency for certified registered nurse anesthetists and anesthesiologists which, compounded by a dearth of literature on TGNB-focused perioperative education, limit curricular implementation. Given the important need for improved perioperative care of TGNB patients, this study evaluates the impact of providing a 50-minute lecture to first-year resident registered nurse anesthetists (RRNAs) and second-year anesthesiology residents regarding their attitude, comfort, and perceived ability to care for TGNB patients. Participants completed prelecture and postlecture surveys, which were analyzed descriptively and using either chi-square tests or Fisher's exact tests. Based on our results, improvements were identified in areas such as the participants' understanding of TGNB patients' feelings, comfort interacting with TGNB patients, comfort in addressing transphobia, and perceived ability to care for TGNB patients. These results highlight the positive impact of TGNB-focused education on RRNAs and anesthesiology residents and emphasizes the importance of integrating instruction into anesthesia curricula.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"94 1","pages":"49-55"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146111739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Importance of Values Solicitation for Informed Consent Deficiencies. 价值征求对知情同意缺陷的重要性。

AANA journal Pub Date : 2026-02-01 DOI: 10.70278/AANAJ/.0000001062

J Patrick Haltom

引用次数: 0

Lived Experiences of Certified Registered Nurse Anesthetists Regarding Anesthesia Provision: A Heuristic Inquiry. 注册护士麻醉师对麻醉提供的生活经验：启发式调查。

AANA journal Pub Date : 2026-02-01 DOI: 10.70278/AANAJ/.0000001049

Michael L Nosbisch

{"title":"Lived Experiences of Certified Registered Nurse Anesthetists Regarding Anesthesia Provision: A Heuristic Inquiry.","authors":"Michael L Nosbisch","doi":"10.70278/AANAJ/.0000001049","DOIUrl":"10.70278/AANAJ/.0000001049","url":null,"abstract":"The purpose of this study was to explore lived experiences of certified registered nurse anesthetists (CRNAs) regarding anesthesia provision. This was a phenomenological qualitative study conducted using a Heuristic Inquiry approach. One-on-one interviews were conducted with 17 American Association of Nurse Anesthesiology (AANA)-member CRNAs responding to an invitation sent by the AANA. The interview explored the attitudes, understandings, and opinions each CRNA held regarding their anesthesia provision behaviors. Interview questions were based on the Integrated Behavior Model (IBM). The IBM posits that intentional behaviors in a phenomenon are influenced by constructs of attitudes, beliefs, and personal agency. Analysis using the Colaizzi strategy method identified themes in three areas: 1) participant-identified important components of anesthesia provision (skills, clinical knowledge, vigilance, permeated trust); 2) feelings or attitudes experienced (performance quality, value, confidence); 3) agency beliefs held (provision ability, personal commitment, personal fulfillment). The study also revealed the theme of 'empowerment' as the meaningful essence of anesthesia provision by CRNAs. Beliefs that CRNAs hold regarding anesthesia provision, feelings about their provision of anesthesia, and beliefs about their ability to perform important anesthesia components are affected by empowerment or disenfranchisements they experience in anesthesia provision.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"94 1","pages":"9-19"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146111732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Author Replies. 作者回复。

AANA journal Pub Date : 2026-02-01 DOI: 10.70278/AANAJ/.0000001063

Pamela Chambers

引用次数: 0