There is a shortage of military Certified Registered Nurse Anesthetists (CRNAs). Relative deprivation is a perception of unfairness due to discrepancies between what one has and what one could or should have that is dependent on feelings (subjective data) and facts (objective data). Feelings of relative deprivation could contribute to the military CRNA shortage. The purposes of this study were ...

General anesthesia can lead to pulmonary compromise during surgery. Nurse anesthetists in the operating room are responsible for minimizing pulmonary complications while managing ventilation through mechanical ventilation. Positive end-expiratory pressure (PEEP) can be used to improve oxygenation, prevent airway collapse and facilitate expansion of alveoli during each breath. Yet the use of PEE...

Since Columbia University School of Nursing (CUSON) pioneered the clinical doctorate for nursing in 2004, the healthcare environment has become increasingly complex. At the same time, a number of changes to nursing education, regulation, reimbursement, and practice have been proposed by national nursing and healthcare organizations. In 2004, the American Association of Colleges of Nursing (AACN...

Research in anesthesia risk management has focused primarily on adverse patient outcomes. Most risk management studies have evaluated the practices of the physician anesthesiologist, while minimal research has been conducted to examine anesthesia care provided by Certified Registered Nurse Anesthetists (CRNAs). For this reason, the American Association of Nurse Anesthetists Foundation supported...

Anesthesia-associated nerve injury is a common cause of patient morbidity and litigation. To identify factors associated with perioperative nerve injuries and rationalize preventive strategies, 44 cases from the American Association of Nurse Anesthetists (AANA) Foundation Closed Malpractice Claims Database pertaining to nerve injuries in which nurse anesthetists provided care were analyzed. Eme...

Simulation represents a true paradigm shift in teaching and learning that has revolutionized healthcare education. However, few continuing education opportunities for anesthesia providers exist using simulation of any type. This article explores the usefulness of high-fidelity simulation (HFS) as a valuable tool for continuing education and reports the results of a needs assessment conducted am...

Research regarding the accuracy of estimating blood loss by anesthesia providers has been limited, generally consisting of small sample sizes with conflicting findings. We conducted a prospective study using a convenience sample of 91 anesthesia providers: 36 Certified Registered Nurse Anesthetists (CRNAs), 48 student registered nurse anesthetists (SRNAs), and 7 anesthesiologists. We applied a ...

The purpose of this study was to compare traditional methods of instruction to the use of audiovisual patient safety vignettes in terms of their impact on student registered nurse anesthetists' recall and subsequent clinical performance. These vignettes used simulated, crisis-oriented anesthetic events known to be associated with catastrophic patient outcomes. Using a randomized controlled cros...

Increased public attention to the costs of healthcare in the United States has resulted in greater scrutiny of all aspects of the health industry, including the education of healthcare providers. Because Certified Registered Nurse Anesthetists will, as in the past, have a major role in healthcare delivery systems of the future, knowledge of the educational costs and resulting benefits of this a...

The purpose of this study was twofold. First, to identify current roles and future role perceptions for Certified Registered Nurse Anesthetists (CRNAs) using the delphi methodology. Second, to analyze the level of agreement or disagreement of anesthesiologists and CRNAs with the identified roles. A survey instrument was developed using the delphi methodology which involved five CRNAs and five a...