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Related Experiment Videos

A comparison of nurse anesthesia practice types.

S H Shumway1, J Del Risco

  • 1Medical Center Hospital, McAllen, Texas, USA.

AANA Journal
|January 5, 2002
PubMed
Summary

Certified Registered Nurse Anesthetists (CRNAs) in anesthesia care team (ACT) settings differ significantly from those in non-ACT practices. ACT CRNAs are younger, more often female, and work in urban areas, while non-ACT CRNAs have higher incomes and more experience.

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Area of Science:

  • Anesthesiology
  • Nursing Practice
  • Healthcare Administration

Background:

  • Certified Registered Nurse Anesthetists (CRNAs) practice in diverse settings.
  • Understanding practice variations is crucial for professional development and healthcare policy.
  • Anesthesia Care Team (ACT) and non-ACT models represent distinct practice environments.

Purpose of the Study:

  • To investigate and delineate the key differences between CRNAs practicing within ACT models versus non-ACT models.
  • To analyze practice variables including demographics, scope of practice, and employment arrangements.

Main Methods:

  • A survey methodology was employed, distributing a 13-item questionnaire to 1,000 practicing CRNAs.
  • A response rate of 44.4% was achieved, yielding data for analysis.
  • Statistical analysis (alpha = 0.05) was used to compare practice types.

Main Results:

  • ACT CRNAs were younger, had less experience, and were more frequently female, holding master's degrees and practicing in urban settings.
  • ACT CRNAs performed more laryngeal mask airway and arterial line placements and provided anesthesia for complex cases (pediatric, trauma, etc.).
  • Non-ACT CRNAs performed more epidurals, central lines, and were more involved in pain management and critical care consultations, reporting higher incomes but longer work hours.

Conclusions:

  • Significant demographic, practice scope, and employment differences exist between ACT and non-ACT CRNA practice types.
  • As CRNA employment models evolve, awareness of these practice trends is essential for individual CRNAs.
  • These findings highlight the need for CRNAs to understand diverse practice alternatives and their implications.

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