在麻醉护理团队模型中对CRNA实践视角的叙述性,定性研究研究
Cindi Dabney1, Michael Carter2, Michael Herr3
1Assistant Professor at the University of South Florida, Tampa, Florida.
AANA journal
|February 13, 2025
概括
经过认证的注册护士麻醉师在麻醉护理团队 (ACT) 模型中更喜欢合作而不是医生监督. 他们倡导实践自主,改进支付结构和认证改革,以加强患者护理.
科学领域:
- 麻醉学 麻醉学
- 护理实践 护理实践
- 医疗保健管理局的管理.
背景情况:
- 麻醉护理团队 (ACT) 模型是提供麻醉服务的常见框架.
- 经过认证的注册护士麻醉师 (CRNA) 在ACT中发挥着至关重要的作用.
- 了解CRNA对ACT模型的看法对于优化团队动态和患者护理至关重要.
研究的目的:
- 探索认证注册护士麻醉师 (CRNAs) 对在麻醉护理团队 (ACT) 模型中练习的观点.
- 从CRNA的角度来看,确定ACT模型的感知优势和挑战.
- 了解CRNA在ACT模型内或外的改善实践的建议.
主要方法:
- 采用了定性,叙事研究设计.
- 通过参与者采访收集数据,重点关注ACT模型中的经验.
- 专题分析被用来解释参与者对协作,监督和冲突解决的观点.
主要成果:
- 在ACT中,CRNA区分了繁重的医生监督和有益的团队协作.
- 参与者报告了与合作的积极经验,引用了效率和增强的问题解决.
- 许多CRNA表达了对监督的不满,有些人离开了ACT模型,进行独立实践,并报告工作满意度增加.
结论:
- 在ACT模型中,CRNA倾向于协作实践,而不是强制性的医生监督.
- 建议包括取消监督要求,加强合作,改革支付和更新医院资格证书.
- 实施这些变化可以使CRNA能够完全完成其培训范围,并提高麻醉护理质量.
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