Impact of COVID-19 Pandemic on Certified Registered Nurse Anesthetist Practice.

Autor:	Callan V; is an associate professor at Webster University in St Louis, Missouri, and the director of clinical education for the Department of Nurse Anesthesia. Email: vickicoopmans20@webster.edu., Eshkevari L; is an associate professor at Georgetown University in Washington, DC, and program director of the Doctorate of Nurse Anesthesia Practice program., Finder S; is a staff CRNA in Memphis, Tennessee., Jeter L; is an instructor at the Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, and a practicing CRNA in Georgia., May S; is a staff CRNA in Denver, Colorado., Schirle L; is an assistant professor of research at Vanderbilt University School of Nursing in Nashville, Tennessee., Stulce J; is an associate professor at Webster University in St Louis, Missouri, and program director for the Department of Nurse Anesthesia., Hoyem RL; is a research associate for the Research and Quality Division of the American Association of Nurse Anesthesiology in Park Ridge, Illinois., Everson M; is a limited faculty member of The Johns Hopkins University DNP Nurse Anesthesia Track and a clinician at Benefis Hospital, Great Falls, Montana.
Jazyk:	angličtina
Zdroj:	AANA journal [AANA J] 2021 Aug; Vol. 89 (4), pp. 334-340.
Abstrakt:	The coronavirus disease 2019 (COVID-19) pandemic prompted profound shifts in the delivery of critical healthcare services. A mixed-methods study was conducted to explore the impact of the pandemic on Certified Registered Nurse Anesthetist (CRNA) practice. The quantitative component involved a survey of CRNAs during the initial period of the pandemic to determine changes in practice and any relationship to removal of state and federal barriers. Approximately 16% of 2,202 responding CRNAs reported practice expansion beyond their normal responsibilities, primarily outside the operating room and involving tracheal intubation, ventilator management, arterial line placement, and central line placement. CRNAs were more likely to experience an expansion of practice in states affected by removal of regulatory barriers. However, respondents also reported missed opportunities to use the full expertise of CRNAs because of state and institutional restrictions. Findings from the qualitative component of this study are reported in a separate article. Competing Interests: This research was supported by the American Association of Nurse Anesthesiology Foundation, Park Ridge, Illinois. Name: Vicki Callan, PhD, CRNA, CHSE Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Ladan Eshkevari, PhD, CRNA, LAc, FAAN Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Stephen Finder, DNP, CRNA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Leslie Jeter, DNP, MSNA, CRNA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Stephanie May, DNAP, MSNA, CRNA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Lori Schirle, PhD, CRNA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Jill Stulce, PhD, CRNA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Ruby L. Hoyem, PhD Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Marjorie Everson, PhD, CRNA, FNAP Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. The authors did not discuss off-label use within the article. Disclosure statements are available for viewing upon request. (Copyright © by the American Association of Nurse Anesthetists.)
Databáze:	MEDLINE
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