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Barriers To Point-Of-Care Ultrasound Use In Nurse Anesthesiologists: A Preliminary Survey
Morgan Morrow1, Angela Burgess1, Janet Vaughn1
1Assistant Professor at Midwestern University, Glendale, Arizona.
AANA Journal
|March 25, 2025
Summary
Point-of-care ultrasonography (POCUS) is beneficial for certified registered nurse anesthetists (CRNAs), but education and training are key barriers to its adoption. Most CRNAs using POCUS received in-person training.
Area of Science:
- Anesthesiology
- Medical Ultrasound
- Nursing Practice
Background:
- Point-of-care ultrasonography (POCUS) is an emerging tool for healthcare professionals.
- Certified Registered Nurse Anesthetists (CRNAs) may use POCUS to enhance physical assessments.
- The adoption rates and obstacles for POCUS use among CRNAs are not well-documented.
Purpose of the Study:
- To determine the prevalence of POCUS utilization by CRNAs in the United States.
- To identify barriers hindering POCUS implementation in nurse anesthesiology practice.
- To understand the training preferences of CRNAs regarding POCUS.
Main Methods:
- A quantitative survey was distributed to 2,648 CRNAs nationwide.
- Data collected focused on POCUS usage, perceived benefits, and identified barriers.
- Statistical analysis was performed on the survey responses.
Main Results:
- 11.9% of surveyed CRNAs reported actively using POCUS.
- A significant majority (90.5%) recognized POCUS as beneficial for their practice.
- The primary barrier identified was the need for enhanced POCUS education and training.
Conclusions:
- POCUS holds significant potential for CRNA practice, with widespread perceived benefits.
- Lack of comprehensive education and training represents the most substantial barrier to POCUS adoption.
- Facility support, equipment availability, and perceived clinical necessity also impede POCUS implementation.
- Effective POCUS integration is often facilitated by in-person didactic and hands-on training experiences.
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