An analysis of three journal articles that discuss the role of nurse anesthetists with greater autonomy in a highly technology driven field.
Written in 2008; 2,114 words; 3 sources; MLA; $ 66.95
Paper Summary:
This paper examines three articles on nurse anesthetists. The paper first examines an article by Jessica Katz Jameson that articulates the problem of communication and autonomy between certified registered nurse anesthetists (CRNAs) and anesthesiologists. The paper then looks at the article by Amy C. Edmondson, Richard M. Bohmer and Gary P. Pisano that stresses the importance of creating a collective learning process that does not leave some members alienated from change. Lastly, the paper discusses an article by David M., et al. Gaba, (Singer, Sinaiko, Bowen and Ciavarelli) that develops the context of a high-hazard hospital environment and compares it to an equally challenging safety environment of aviation. The paper shows how these articles all stress personal advocacy and the need for greater communication and teamwork to create a more effective learning and caring environment for the development of the autonomy of CRNAs.
From the Paper:
"The role of the nurse anesthetist, as with many other areas of advanced practice nursing is once again expanding to allow the practitioner a greater amount of autonomy. Legislation to create such changes has developed in most states as a result of the success of other autonomous advanced practice nursing situations, especially with regard to the cost effective nature of the transition. In this new state of autonomy nurse anesthetists still must continue to be rigorous in training and adaptation to new technology in an environment of safety, teamwork and open communication. Anesthesiology is a highly skilled profession that requires extreme attention to detail. The inherent conflicts in this highly skilled care are those associated with a zero margin for error in application of anesthesia as well as a need for simultaneous autonomy and connectivity to the physician anesthesiologists and all other members of the surgical team."
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