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Related Experiment Videos

Rural nurse anesthesia practice: a pilot study.

Elizabeth Monti Seibert1, Judith Alexander, Alfred E Lupien

  • 1Virginia Commonwealth University, Department of Nurse Anesthesia, Richmond, Va., USA.

AANA Journal
|June 24, 2004
PubMed
Summary
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Certified Registered Nurse Anesthetists (CRNAs) are the main anesthesia providers in rural areas, offering diverse services. This study validated a tool to collect data on rural CRNA practice characteristics.

Area of Science:

  • Anesthesiology
  • Rural Health
  • Nursing Practice

Background:

  • Certified Registered Nurse Anesthetists (CRNAs) are recognized as primary anesthesia providers in rural settings.
  • Limited data exists regarding the specific services offered by CRNAs in these underserved areas.

Purpose of the Study:

  • To pilot test the Nurse Anesthesia Rural Practice Inventory (NARPI) for data collection.
  • To assess the feasibility of CRNAs providing data on their practice.
  • To characterize the practice patterns of CRNAs in rural environments.

Main Methods:

  • A newly developed, 39-item self-administered questionnaire (NARPI) was utilized.
  • The survey was distributed to a stratified convenience sample of 146 rural CRNAs.
  • Descriptive statistics were applied to analyze data from 28 usable surveys (23% response rate).

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Main Results:

  • Rural CRNAs deliver a wide spectrum of anesthesia and related services, both in and out of the operating room.
  • Findings support the assertion that CRNAs are the predominant anesthesia providers in rural areas.
  • Variations were observed in employment settings, availability of anesthetic agents/monitoring devices, and surgical specialist representation based on practice size.

Conclusions:

  • The NARPI is a potentially valuable tool for future research on rural anesthesia practice.
  • CRNAs play a crucial role in providing comprehensive anesthesia care in rural communities.
  • Practice characteristics of rural CRNAs vary significantly with employment models and facility size.