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Identifying Nurse Anesthetists' Professional Identity.

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    Registered nurse anesthetists (RNAs) may prioritize technology over patient care due to work culture. Their professional identity involves balancing tasks and independence while meeting team expectations.

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    Area of Science:

    • Nursing
    • Anesthesiology
    • Healthcare Professions

    Background:

    • Professional identity is crucial for healthcare providers.
    • Registered nurse anesthetists (RNAs) play a vital role in patient care during anesthesia.
    • Understanding the professional identity of RNAs is essential for optimizing team collaboration and patient outcomes.

    Purpose of the Study:

    • To explore the professional identity of registered nurse anesthetists (RNAs).
    • To examine RNAs' self-perceptions and expectations.
    • To investigate how interdisciplinary teams perceive RNAs' roles in preparing patients for general anesthesia.

    Main Methods:

    • A focused ethnography approach was employed for data collection.
    • Data were gathered through participant observation and interviews with RNAs, anesthesiologists, and operating room nurses.
    • Analysis was informed by grounded theory principles.

    Main Results:

    • The core variable 'Identifying the professional self' was identified.
    • Two subcore variables emerged: 'Gliding between tasks and structures' and 'Depending on independence'.
    • Findings highlight the influence of work culture on RNAs' professional values.

    Conclusions:

    • Registered nurse anesthetists (RNAs) may risk de-emphasizing psychosocial care in favor of technical tasks.
    • The work culture within anesthesiology departments significantly shapes RNAs' professional values.
    • Further research is needed to support RNAs in maintaining holistic patient care.