Wong Elizabeth, Li Qiaowu
Los Angeles County and University of Southern California Medical Center, Los Angeles, USA.
AANA J. 2011 Jun;79(3):227-35.
A review of the literature revealed that nurse anesthesia educational program (NAEP) faculty members perceive certain personality characteristics and clinical awareness as the most important traits needed for clinical success in an NAEP. Clinical success in an NAEP is equated with safe nurse anesthesia practice. The purpose of this study is for NAEP academic faculty and expert Certified Registered Nurse Anesthetist (CRNA) clinical faculty to discern which of the 63 intrapersonal and 15 interpersonal characteristics that student registered nurse anesthetists (SRNAs) exhibit contribute to safe or unsafe nurse anesthesia practice. A pilot study of expert CRNA clinical faculty (n = 10) was undertaken, followed by a prospective randomized survey of NAEP academic faculty (n = 25). The results were analyzed and determined that 17 intrapersonal and 4 interpersonal characteristics are beneficial for safe nurse anesthesia practice, whereas 20 intrapersonal and 3 interpersonal characteristics portend unsafe nurse anesthesia practice. This information can be used to predict clinical performance, develop more stringent NAEP admission processes in the form of a checklist or test, provide an outline for clinical evaluation, help create a tool to educate novice CRNA clinical faculty, and furnish a strategy for the remediation of unsuccessful of SRNAs.
文献综述显示,护士麻醉教育项目(NAEP)的教员认为某些个性特征和临床意识是NAEP临床成功所需的最重要特质。NAEP的临床成功等同于安全的护士麻醉实践。本研究的目的是让NAEP学术教员和专家认证注册护士麻醉师(CRNA)临床教员辨别学生注册护士麻醉师(SRNA)所表现出的63种个人特质和15种人际特质中,哪些有助于安全或不安全的护士麻醉实践。对专家CRNA临床教员(n = 10)进行了一项试点研究,随后对NAEP学术教员(n = 25)进行了一项前瞻性随机调查。对结果进行分析后确定,17种个人特质和4种人际特质有利于安全的护士麻醉实践,而20种个人特质和3种人际特质预示着不安全的护士麻醉实践。这些信息可用于预测临床表现,以清单或测试的形式制定更严格的NAEP录取流程,提供临床评估大纲,帮助创建教育新手CRNA临床教员的工具,并为补救不成功的SRNA提供策略。