Tracy Andy
is an assistant professor, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois. Dr Tracy was a nursing doctoral student at the time he wrote this article.
AANA J. 2017 Dec;85(6):438-444.
The role transition from student registered nurse anesthetist (SRNA) to Certified Registered Nurse Anesthetist (CRNA) can be challenging and stressful. In the United States, CRNAs practice in every healthcare and administer anesthesia to more than 32 million patients a year. A qualitative phenomenographic research approach was used to identify the factors affecting CRNAs' role transition. Online recruitment and interviewing techniques were used to sample recently graduated CRNAs to identify these factors. Five factors were perceived as promoting the CRNA role transition: mastery of self-efficacy and confidence, expert mentoring and guidance, supportive work envi-ronment, peer support, and previous experience as a SRNA. Four factors were also perceived as impeding CRNAs' role transition: practice limitations, lack of orientation and preceptor, hostile work environment, and decreased workload or caseload. This study has implications for employers of newly graduated CRNAs in implementing interventions that promote successful role transition and guide future research.
从学生注册护士麻醉师（SRNA）到注册护士麻醉师（CRNA）的角色转变可能具有挑战性且压力重重。在美国，CRNA在各个医疗保健领域执业，每年为超过3200万患者实施麻醉。采用质性现象学研究方法来确定影响CRNA角色转变的因素。运用在线招募和访谈技巧对近期毕业的CRNA进行抽样，以确定这些因素。有五个因素被认为有助于CRNA的角色转变：自我效能感和自信心的掌握、专家指导和引导、支持性的工作环境、同行支持以及之前作为SRNA的经验。还有四个因素被认为阻碍了CRNA的角色转变：实践限制、缺乏入职培训和带教老师、恶劣的工作环境以及工作量或病例量的减少。本研究对新毕业CRNA的雇主实施促进成功角色转变的干预措施以及指导未来研究具有启示意义。
