AANA journal最新文献_第9页

Certified Registered Nurse Anesthetists' Experience of Relocation to COVID-19 Intensive Care-A Qualitative Interview Study. 注册护士麻醉师转移到COVID-19重症监护的经验——质性访谈研究

AANA journal Pub Date : 2023-08-01

Hanna Sundblad, Ami Hommel

{"title":"Certified Registered Nurse Anesthetists' Experience of Relocation to COVID-19 Intensive Care-A Qualitative Interview Study.","authors":"Hanna Sundblad, Ami Hommel","doi":"","DOIUrl":"","url":null,"abstract":"In spring 2020, a global SARS-Cov-2 pandemic was declared. The number of patients in need of intensive care exceeded the number of available care places at intensive care units (ICUs) and certified registered nurse anesthetists (CRNAs) were relocated to ICUs to support the care during the pandemic. The aim of this study was to illuminate the experiences of the CRNAs regarding relocation to COVID-19 intensive care. An interview study based on qualitative content analysis was conducted. The participants were CRNAs who usually work in the operating unit, however, were relocated to work in the COVID-19 ICU at a university hospital in southern Sweden during the pandemic. Four themes emerge in the results: sense of pride, competence, work environment, and nursing. The results illuminate the CRNAs' experience of relocating from their usual working environment to caring for critically ill patients in a COVID-19 ICU. The CRNAs managed the relocation well, although sometimes it was difficult. The CRNAs showed great loyalty, dedication, competence, and flexibility in their professional capacity. The time they worked in COVID-19 intensive care was a challenging period, but it gave them a well-deserved sense of pride and competence.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"91 4","pages":"273-278"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10282707","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

Racial And Ethnic Discrimination During Clinical Education and Its Impact on the Well-Being of Nurse Anesthesia Students. 临床教育中的种族、民族歧视及其对护理麻醉专业学生幸福感的影响。

AANA journal Pub Date : 2023-08-01

Yosmel Serrano, Carrie Bowman Dalley, Nancy A Crowell, Ladan Eshkevari

{"title":"Racial And Ethnic Discrimination During Clinical Education and Its Impact on the Well-Being of Nurse Anesthesia Students.","authors":"Yosmel Serrano, Carrie Bowman Dalley, Nancy A Crowell, Ladan Eshkevari","doi":"","DOIUrl":"","url":null,"abstract":"The effects of racial/ethnic discrimination in the clinical setting have been shown to cause psychological distress in populations of healthcare workers. However, there are currently no published studies that investigate racial/ethnic transgressions in the clinical arena and their impact on the well-being of student registered nurse anesthetists (SRNAs). The current study aimed to investigate 1) the prevalence and nature of racial/ethnic bias during clinical education and 2) its impact on wellness in a cohort of SRNAs. Data were collected using a three-part 16-item electronic questionnaire distributed to a national sample of SRNAs. A significant association was found between race/ethnicity and an increased incidence of discrimination (χ2 [5] = 24.1, P < .001). SRNAs who described experiencing at least one discrimination encounter during their training had significantly higher mean Well-Being Index scores-associated with more distress-compared with those students who had never experienced discrimination (P < .05). Participant responses were categorized into five major themes: overt discrimination, covert discrimination, disparate treatment, barriers to reporting, and incivility/bullying. Addressing the distinctive challenges related to race/ethnicity in clinical sites is paramount to ensuring the success of minority SRNAs.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"91 4","pages":"259-266"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9980074","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

Inadvertent Perioperative Hypothermia. 意外围手术期体温过低。

AANA journal Pub Date : 2023-08-01

Casandra Garceau, Marianne S Cosgrove, Kimberly Gonzalez

引用次数: 0

Anesthetic Management of a Patient With Eagle's Syndrome: A Case Study. 鹰氏综合征患者的麻醉管理:个案研究。

AANA journal Pub Date : 2023-08-01

Brian Supsic, Debra Minzola

引用次数: 0

Anesthesia Management For A Patient Having Transoral Approach For Anterior Cervical Osteophyte Resection. 经口入路颈椎前路骨赘切除术患者的麻醉处理。

AANA journal Pub Date : 2023-08-01

Minette T Silla, Paul Bennetts, Brittany Hollabaugh

引用次数: 0

Integrating the ASRA Pain Medicine Cannabis Consensus Guidelines into Certified Registered Nurse Anesthetist Clinical Practice. 将 ASRA 疼痛医学大麻共识指南纳入注册麻醉师临床实践。

AANA journal Pub Date : 2023-08-01

Daniel King, Ewa Greenier, Maya Caballero, Brett Morgan

引用次数: 0

A Ready Force: The U.S. Army Certified Registered Nurse Anesthetist Readiness Model. 准备就绪的部队：美国陆军注册麻醉师准备模式。

AANA journal Pub Date : 2023-08-01

Matthew D'Angelo, Janet Sims, Emily Leiter, Peter Attilio, Steven Kertes

引用次数: 0

Development and Validation of a Quantitative Grading Rubric for High-Fidelity Simulation Assessment. 高保真仿真评估定量分级标准的开发与验证。

AANA journal Pub Date : 2023-06-01

Jennifer E Greenwood, Michael Ledvina

{"title":"Development and Validation of a Quantitative Grading Rubric for High-Fidelity Simulation Assessment.","authors":"Jennifer E Greenwood, Michael Ledvina","doi":"","DOIUrl":"","url":null,"abstract":"High-fidelity simulation scenarios provide trainees the opportunity to demonstrate foundational anesthesia skills, complex prioritization, and decision making. One strategy used in trainee assessment is an objective structured clinical examination (OSCE). The purpose of this study was to design an OSCE with a reliable, quantitative grading rubric that could be used as part of a comprehensive assessment strategy to determine readiness for entry into clinical training for nurse anesthesia residents. An observational correlational study was developed to validate four high-fidelity simulation scenarios and accompanying quantitative grading rubrics. The rubrics were tested on junior nurse anesthesia residents and graded by program faculty members. Interrater reliability was tested using Krippendorff's alpha. Three cohorts of nurse anesthesia residents (n = 83) were assessed yielding 330 unique observations. Interrater reliability increased over the duration of the study with an overall reliability coefficient of 0.9092 (95% CI, 0.8509-0.9062), indicating a very high degree of interrater reliability among a variety of raters in complex simulated environments. Development of a quantitative rubric for high-fidelity simulation is achievable and should be considered as part of a summative assessment to differentiate individual student performance and readiness to proceed to clinical training within a front-loaded nurse anesthesia program.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"91 3","pages":"197-205"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9885244","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

Examination of a Nurse Anesthesia Program's Teaching Assistant Model and Its Impact on Increasing Nurse Anesthesia Education Capacity. 护士麻醉专业助教模式的检验及其对提高护士麻醉教育能力的影响。

AANA journal Pub Date : 2023-06-01

Olivia Baker, Hannah Sparks, Carrie Bowman Dalley, Marjorie Everson, Nancy Crowell, Ladan Eshkevari

{"title":"Examination of a Nurse Anesthesia Program's Teaching Assistant Model and Its Impact on Increasing Nurse Anesthesia Education Capacity.","authors":"Olivia Baker, Hannah Sparks, Carrie Bowman Dalley, Marjorie Everson, Nancy Crowell, Ladan Eshkevari","doi":"","DOIUrl":"","url":null,"abstract":"A nurse anesthesia educator shortage exists that is attributed to factors such as a lack of financial incentive and proper training to be an educator. Due to the faculty shortage, nurse anesthesia programs (NAPs) are forced to defer admission to qualified applicants which reduces the number of certified registered nurse anesthetists (CRNAs) that NAPs can produce. Research regarding students as teaching assistants (TAs) at the university level has shown benefits and challenges to students, professors, and the TAs themselves as well as the impact on the overall faculty capacity. Current research regarding TA programs does not pertain to NAPs, therefore, research regarding the impact of TA programs on increasing nurse anesthesia faculty merits further work. This study was conducted using quantitative surveys and qualitative interviews to bridge the gap in the literature on the potential impact of TA programs on NAP faculty shortages. A survey was sent via email to former TAs (n = 44) of the Georgetown University NAP to assess the impact that the TA program had on their decision to enter a role in academia after graduation. Interviews were then conducted on a voluntary basis via a video conferencing platform to add qualitative data to the survey results. The survey response rate was 45% (n = 20). Following proportional analysis, 80% of the survey respondents indicated that they participated in the education of student registered nurse anesthetists in the clinical or didactic setting as a CRNA. Eighty percent of respondents indicated that being a TA positively influenced their desire to become a faculty member. One hundred percent of CRNAs interviewed reported that the biggest barrier to becoming fulltime faculty was the lack of financial incentives offered by NAPs. Interviewees recalled their TA experience as the foundation for their enjoyment of teaching anesthesia. The results of this study indicate that TA programs in NAPs can be used as a method to increase faculty capacity.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"91 3","pages":"211-217"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9885246","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: A Look Back and a Nod to the Future. 《编辑台:回顾与展望未来》

AANA journal Pub Date : 2023-06-01

Chuck Biddle, Richmond Virginia

引用次数: 0