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This project sought to explore the experiences, self-perceived preparation, professional development needs, and preferred learning methods of certified registered nurse anesthetists (CRNAs) in a management role. A sample of 10 current chief CRNAs responded to a demographics survey and participated in one-on-one interviews using a 14-question, semi-structured interview framework modified from a previous study. Interview responses were deidentified and qualitatively analyzed for common themes by two content experts and one qualitative analysis expert. Results suggest that CRNAs entering the management field feel somewhat unprepared to perform the administrative tasks associated with their role. Qualitative analysis of interview responses elicited multiple key themes including interpersonal communication and handling crucial conversations, time and organizational management skills, team building and motivation, and financial management skills. Themes related to preferred learning methods of chief CRNAs included mentorship, peer networking, and experiential learning to obtain the required knowledge and skills for the role. The authors recommend incorporating each of the identified themes to guide development of CRNA management-specific educational programs. Establishing such a program will serve to better prepare aspiring CRNA managers and further develop the knowledge and skillset of current chief CRNAs.
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AANA J
April 2024
is an Assistant Professor and Associate Director of the Nurse Anesthesia Program at Columbia University School of Nursing and a CRNA at New York Columbia Presbyterian-Weill Cornell Hospital, New York, New York. Email:
Certified registered nurse anesthetists (CRNAs) who are responsible for airway management, may lack adequate continuing education for emergency front of neck access (EFONA), an advanced skill necessary in situations when a patient cannot be intubated and cannot be oxygenated (CICO). The purpose of this study was to improve CRNA knowledge and confidence when performing a scalpel-bougie cricothyrotomy for EFONA in a CICO event through the implementation of a spaced learning intervention. Thirteen CRNAs at a 160-bed community hospital participated in a 3-week educational intervention.
View Article and Find Full Text PDFAANA J
April 2024
is an Assistant Clinical Professor at University California San Francisco Doctor of Nursing Practice (DNP) Doctoral program, San Francisco, California. Email:
Although some researchers have reported health-related benefits of marijuana, others have reported adverse side effects in nearly every organ system. Patterns of marijuana use are evolving, as is researchers' understanding of marijuana use for healthcare. Despite these findings and developments, nurse anesthetists are inadequately educated about marijuana's perioperative effects on endosurgical patients.
View Article and Find Full Text PDFAANA J
April 2024
is a CRNA at Duke University Hospital and a Clinical Associate of the Duke School of Nursing Nurse Anesthesia Program in Durham, North Carolina. Email:
This project sought to explore the experiences, self-perceived preparation, professional development needs, and preferred learning methods of certified registered nurse anesthetists (CRNAs) in a management role. A sample of 10 current chief CRNAs responded to a demographics survey and participated in one-on-one interviews using a 14-question, semi-structured interview framework modified from a previous study. Interview responses were deidentified and qualitatively analyzed for common themes by two content experts and one qualitative analysis expert.
View Article and Find Full Text PDFAANA J
October 2023
is Director of Research, Quality and Strategic Policy at the American Association of Nurse Anesthesiology, Rosemont, Illinois. Email:
Anesthesia delivery models have long been shaped by workforce trends, state and federal regulations, economic incentives driven by reimbursement, and the normative preferences of provider and facility organizations. In recent years, there has been a significant shift toward greater use of more efficient certified registered nurse anesthetist (CRNA)-oriented delivery models observed at the national level Medicare data. However, given the wide range of these factors across states and regions, this shift has likely occurred at an uneven pace.
View Article and Find Full Text PDFAANA J
October 2022
is Chief CRNA, New York-Presbyterian, The Allen Hospital, New York, New York.
COVID-19 has a strong hold on New York City, and it has similar effects on other areas of the country. As COVID-19 strains healthcare systems and the certified registered nurse anesthetists (CRNAs) who work within them, optimization of CRNA organizational climate promotes transformation of care delivery and may positively impact provider and patient outcomes. This article describes one healthcare system's newly refined processes for managing the surge of COVID-19 patients.
View Article and Find Full Text PDF