Penn Marlo, Ruthman Jacklyn
Anesthesiology Consultants, Bloomington, IL, USA.
AANA J. 2005 Jun;73(3):191-6.
Certified Registered Nurses Anesthetists (CRNAs) are airway experts who can stabilize the condition of trauma patients with skills acquired from practice as an anesthetist. CRNAs practice in a variety of settings; one of the most challenging is the rural hospital. Anesthetists have a wide range of skills. However, the setting in which CRNAs practice may influence the skills needed. This study was designed to address the issue of CRNA involvement in airway management and trauma stabilization in rural hospitals through a descriptive, quantitative, nonexperimental design study. A random sample of 382 CRNAs who practice in rural hospitals were invited to answer questions using a practice pattern questionnaire about these experiences developed for this study. Data were analyzed descriptively. The 13-item Airway Management and Trauma Stabilization Practice Pattern Questionnaire performed reliably (alpha = .8320). Results revealed the majority of CRNAs working in rural and semirural settings manage airways and stabilize the condition of trauma patients. Practice patterns suggest that nurse anesthesia students be trained to manage airways and stabilize trauma, particularly if they plan to work in rural or semirural settings.
注册护士麻醉师（CRNAs）是气道专家，他们能够运用麻醉师实践中获得的技能稳定创伤患者的病情。注册护士麻醉师在多种环境中工作；其中最具挑战性的之一是农村医院。麻醉师具备广泛的技能。然而，注册护士麻醉师的工作环境可能会影响所需的技能。本研究旨在通过描述性、定量、非实验性设计研究来解决农村医院中注册护士麻醉师参与气道管理和创伤稳定的问题。随机抽取了382名在农村医院工作的注册护士麻醉师，邀请他们使用为本研究编制的关于这些经历的实践模式问卷回答问题。对数据进行了描述性分析。这份包含13个项目的气道管理和创伤稳定实践模式问卷表现出了可靠性（α = 0.8320）。结果显示，大多数在农村和半农村地区工作的注册护士麻醉师负责气道管理并稳定创伤患者的病情。实践模式表明，护士麻醉专业的学生应接受气道管理和创伤稳定方面的培训，特别是如果他们计划在农村或半农村地区工作。
