Student Nurse Anesthetists’ Views on CRNA Role Transition

  • Andy Tracey, MSN, CRNA

Abstract

Purpose: Understanding student nurse anesthetists’ views on nurse anesthetist role transition.

Design and Methods: Three focus groups were conducted with a total of 17 nurse anesthesia students. Nurse Anesthesia Programs in the Chicago area were contacted to elicit volunteers.  Discussions were audiotaped and transcribed verbatim. Thematic analysis using constant comparison was completed within and across focus groups.

Findings: Nurse Anesthesia students defined successful role transition from RN to CRNA as the ability to function independently with minimal backup or assistance while ensuring patient safety through a successful anesthetic. The following themes were identified as factors affecting SRNAs’ successful role transition: Preceptor, Mentoring, Reflection, Training Variety, and CRNA role modeling.

Conclusions: Perceptions on what factors affect the role transition from RN to CRNA vary depending upon the level of training SRNAs have had in their anesthesia program. SRNAs nearing the end of their training have a firmer grasp on which factors affect their transition. This pilot study has allowed this researcher to examine the perceptions of SRNAs at different levels in their training and allowed for future changes in planning for a full study.


References

1. Hamrick, A. B. & Hanson, C. M. (2003). Educating advanced practice nurses for practice reality. Journal of Professional Nursing, 19(5), 262-268.
2. Miller, A. B. (2012, August). Attitudes and perceptions of newly graduated certified registered nurse anesthetists about their nurse anesthesia program’s ability to sufficiently educate graduates as full service providers. Paper presented at the annual meeting of the American Association of Nurse Anesthetists, San Francisco, CA.
3. Finch, H. & Lewis, L. (2010). Focus groups. In J. Ritchie & J. Lewis (Eds.). Qualitative research practice: A guide for social science students and researchers. (pp. 170-198). Thousand Oaks, CA: Sage.
4. Krueger, R. A. & Casey, M. A. (2009). Focus groups: A practical guide for applied research. (4th ed.). Thousand Oaks, CA: Sage.
5. Morgan, D.L. (2002). Focus group interviewing. In J.F. Gubrium & J.A. Holstein
(eds.), Handbook of interviewing research: Context & method (pp. 141–159). Thousand Oaks, CA: Sage.
6. Morgan, D. L. (1997). Focus groups as qualitative research. (2nd ed.). Thousand Oaks, CA: Sage.
7. Kaplan, L. & Brown, M. A. (2007). The transition of nurse practitioners to changes in prescriptive authority. Journal of Nursing Scholarship, 39(2), 184-190.
8. Grove, S. K., Burns, N., & Gray, J. R. (2013). The practice of nursing research: Appraisal, synthesis, and generation of evidence. (7th ed.). St Louis, MO: Elsevier Saunders.
9. Polit, D. F., & Beck, C. T. (2010). Generalization in quantitative and qualitative research: Myths and strategies. International Journal of Nursing Studies, 47(11), 1451-1458. doi:10.1016/j.ijnurstu.2010.06.004
10. Liamputtong, P. (2009). Qualitative data analysis: Conceptual and practical considerations. Health Promotion Journal of Australia, 20(2), 133-139.
11. Riessman, C. K. (2008). Narrative methods for the human sciences. Los Angeles, CA: Sage.
12. Poronsky, C. B. (2011). Online faculty mentoring and transition balance in family nurse practitioner students (Doctoral dissertation, University of Wisconsin-Milwaukee). Retrieved from ProQuest Dissertations & Theses database. (UMI No. 3510670).
13. Northcote, M. T. “Selecting criteria to evaluate qualitative research” (2012). Education Papers and Journal Articles. Paper 38. http://research.avondale.edu.au/edu_papers/38
14. Lewis, J. & Ritchie, J. (2010). Generalizing from qualitative research. In J. Ritchie & J. Lewis (Eds.). Qualitative research practice: A guide for social science students and researchers. (pp.263-286). Thousand Oaks, CA: Sage.
15. Giacomini, M. K. & Cook, D. J. (2000). Qualitative research in health care: Are the results of the study valid? Journal of the American Medical Association, 284(3), 357-362.
16. Gudmundsdottir, G. B. & Brock-Utne, B. (2010). An exploration of the importance of piloting and access as action research. Educational Action Research, 18(3), 359-372.
17. Lancaster, G. A., Dodd, S., & Williamson, P. R. (2004). Design and analysis of pilot studies: Recommendations for good practice. Journal of Evaluation in Clinical Practice, 10(2), 307-312.
Published
2015-08-07
How to Cite
TRACEY, MSN, CRNA, Andy. Student Nurse Anesthetists’ Views on CRNA Role Transition. Anesthesia eJournal, [S.l.], v. 3, n. 1, aug. 2015. ISSN 2333-2611. Available at: <https://anesthesiaejournal.com/index.php/aej/article/view/26>. Date accessed: 24 feb. 2020.
Section
Articles

Keywords

nurse anesthesia, anesthesia training, role transition