Hensel Desiree, Cooper Rachel, Craney Neil
1 Indiana University Bloomington, IN, USA.
West J Nurs Res. 2018 Feb;40(2):242-256. doi: 10.1177/0193945916682730. Epub 2016 Dec 22.
The purpose of this project was to explore what attitudes physicians, nurses, and operating room technicians had about working with Certified Registered Nurse Anesthetists (CRNAs) to better understand practice barriers and facilitators. This Q methodology study used a purposive sample of operating room personnel from four institutions in the Midwestern United States. Participants completed a -4 to +4 rank-ordering of their level of agreement with 34 attitude statements representing a wide range of beliefs about nurse anesthetists. Centroid factor analysis with varimax rotation was used to analyze 24 returned Q sorts. Three distinct viewpoints emerged that explained 66% of the variance: favoring unrestricted practice, favoring anesthesiologist supervision, and favoring anesthesiologist practice. Research is needed on how to develop workplace attitudes that support autonomous nurse anesthetist practice and to understand preferences for restricted practice in team members other than physicians.
本项目的目的是探究医生、护士和手术室技术人员对于与注册护士麻醉师（CRNA）合作持何种态度，以便更好地理解实践中的障碍和促进因素。这项Q方法研究采用了美国中西部四个机构的手术室人员作为有目的抽样。参与者对代表对护士麻醉师广泛信念的34条态度陈述，按照-4到+4的等级进行排序，表明他们的同意程度。使用具有方差最大化旋转的质心因子分析来分析24份返回的Q分类。出现了三种不同的观点，解释了66%的方差：支持无限制实践、支持麻醉医生监督和支持麻醉医生执业。需要开展研究，以探讨如何培养支持护士麻醉师自主执业的工作场所态度，并了解除医生以外的团队成员对受限执业的偏好。
