DOI QR코드

DOI QR Code

Comparison of Job Tasks and Task Elements of Korean Nurse Anesthetists by Type of Medical Institution: Hospital, General Hospital and Higher General Hospital

의료기관 규모에 따른 마취전문간호사의 직무관련 특성, 직무 및 직무요소의 수행빈도 차이 비교

  • Received : 2012.11.13
  • Accepted : 2013.02.14
  • Published : 2013.03.31

Abstract

Purpose: This study was done to identify job tasks and task elements of Korean nurse anesthetists according to type of medical institution. Methods: A job task scale which consisted of 9 job tasks and 40 task elements was developed. Data were collected from December, 2009 to February, 2010 from 182 nurse anesthetists who were working in medical institutions (response rate: 75.8%). Results: Forty-eight percent of nurse anesthetists were independent from anesthesiologists in anesthetic practice. Preanesthetic nursing assessment was much more frequent in small hospitals than in general hospitals (p<.05), and anesthetic nursing intervention, administering the anesthetics, monitoring the patient's status during anesthesia, and provision of safety and compliance with anesthetic ethics were much more frequent in general hospitals than medical centers (p<.001). There were no differences among the medical institutions for job tasks in post-anesthetic nursing interventions (p=.229), administering anesthetics (p=.354) and monitoring patients' status during anesthesia (p=.099), providing safe anesthetic environment (p=.896), and management of ancillary personnel/equipment (p=.617). Conclusion: Results indicate that nurse anesthetists contribute significantly to anesthetic practice in small hospitals and general hospitals. Therefore, it recommended that nursing leaders make efforts to enact legal nurse anesthetist-related policies for safe and high quality anesthetic nursing care.

Keywords

References

  1. American Association of Nurse Anesthetists. (2010). Scope and standards for nurse anesthesia practice. Park Ridge, IL: Author.
  2. Cromwell, J., & Snyder, K. (2000). Alternative cost-effective anesthesia care teams. Nursing Economic$, 18, 185-193.
  3. Dai, W. J., Chao, Y. F., Kuo, C. J., Liang, K. M., & Chen, T. L. (2009). Analysis of manpower and career characteristics of nurse anesthetists in Taiwan: Results of a cross-sectional survey of 113 institutes. Acta Anaesthesiologica Taiwanica, 47, 189-195. http://dx.doi.org/10.1016/S1875-4597(09)60053-9
  4. Downey, P. M. (2010). Achieving the opt out for medicare physician supervision for nurse anesthetists. AANA Journal, 78, 96-100.
  5. Dulisse, B., & Cromwell, J. (2010). No harm found when nurse anesthetists work without supervision by physicians. Health Affairs (Millwood), 29, 1469-1475. http://dx.doi.org/10.1377/hlthaff.2008.0966
  6. Erie, A. J., McHugh, R., Warner, M., & Erie, J. C. (2011). Model of anesthesia care that combines anesthesiologists and registered nurses during cataract surgery. Journal of Cataract and Refractive Surgery, 37, 481-485. http://dx.doi.org/10.1016/j.jcrs.2010.09.021
  7. Henrichs, B. M., Avidan, M. S., Murray, D. J., Boulet, J. R., Kras, J., Krause, B., et al. (2009). Performance of certified registered nurse anesthetists and anesthesiologists in a simulation-based skills assessment. Anesthesia and Analgesia, 108, 255-262. http://dx.doi.org/10.1213/ane.0b013e31818e3d58
  8. Hogan, P. F., Seifert, R. F., Moore, C. S., & Simonson, B. E. (2010). Cost effectiveness analysis of anesthesia providers. Nursing Economic$, 28, 159-169.
  9. Jones, T. S., & Fitzpatrick, J. J. (2009). CRNA-physician collaboration in anesthesia. AANA Journal, 77, 431-436.
  10. Kim, D. S., Kim, S. H., Kim, K., S., Jun, M. H., Kim, J. H., & Lee, H. J. (2011). The real picture of the care costs paid to Korean oncology advanced practice Nurse. Journal of Korean Oncology Nursing, 11, 155-162. http://dx.doi.org/10.5388/jkon.2011.11.2.155
  11. Kim, K. S., Park, Y. H., & Lim, N. Y. (2008). Task analysis of the job description of gerontological nurse practitioners based on DACUM. Journal of Korean Academy of Nursing, 38, 853-865. http://dx.doi.org/10.4040/jkan.2008.38.6.853
  12. Korean Accreditation Board of Nursing. (2009, December). Job description of nurse practitioners in Korea. Seoul: Author.
  13. Korea Nurses Association. (2012, March 20). Korea Anesthetist Nurse Association. Retrieved December 10, 2012, from http://www.korea-ana.co.kr/k7
  14. Korean Statue Book for Health Care for Advanced Nurse Practitioner. (2012, March 19). Office of legislation. Retrieved July 10, 2012, from http://www.law.go.kr/lsSc.do?menuId=0&p1=&subMenu=1&nwYn=1&query=%EC%A0%84%EB%AC%B8%EA%B0%84%ED%98%B8%EC%82%AC+%EC%9E%90%EA%B2%A9%EC%9D%B8%EC%A0%95+%EB%93%B1%EC%97%90+%EA%B4%80%ED%95%9C+%EA%B7%9C%EC%B9%99&x=43&y=14#liBgcolor0
  15. Korean Statue Book for Health Care for Rural Area. (2011, July 20). Office of legislation. Retrieved March 25, 2012, from http://www.law.go.kr/lsSc.do?menuId=0&p1=&subMenu=1&nwYn=1&query=%EB%86%8D%EC%96%B4%EC%B4%8C+%EB%93%B1+%EB%B3%B4%EA%B1%B4%EC%9D%98%EB%A3%8C%EB%A5%BC+%EC%9C%84%ED%95%9C+%ED%8A%B9%EB%B3%84%EC%A1%B0%EC%B9%98%EB%B2%95&x=40&y=14#liBgcolor0
  16. Korean Statue Book for Medical Law for Medical Institution. (2012, August 2). Office of legislation. Retrieved September 3, 2012, from http://www.law.go.kr/lsSc.do?menuId=0&p1=&subMenu=1&nwYn=1&query=%EC%9D%98%EB%A3%8C%EB%B2%95&x=18&y=20
  17. Korean Statue Book for Treatment for a Prisoner. (2011, October 19). Office of legislation. Retrieved March 25, 2012, from http://www.law.go.kr/lsSc.do?menuId=0&p1=&subMenu=1&nwYn=1&query=%ED%98%95%EC%9D%98+%EC%A7%91%ED%96%89+%EB%B0%8F+%EC%88%98%EC%9A%A9%EC%9E%90%EC%9D%98+%EC%B2%98%EC%9A%B0%EC%97%90+%EA%B4%80%ED%95%9C+%EB%B2%95%EB%A5%A0&x=20&y=12#liBgcolor4
  18. Matsusaki, T., & Sakai, T. (2011). The role of certified registered nurse anesthetists in the United States. Journal of Anesthesia, 25, 734-740. http://dx.doi.org/10.1007/s00540-011-1193-5
  19. Meeusen, V., van Zundert, A., Hoekman, J., Kumar, C., Rawal, N., & Knape, H. (2010). Composition of the anaesthesia team: A European survey. European Journal of Anaesthesiology, 27, 773-779. http://dx.doi.org/10.1097/EJA.0b013e32833d925b
  20. Ryoo, H. J. (2008, April). Specific practice scope of nurse anesthetist. Report presented at the 8th meeting of the Korean Nurse Anesthetists Association, Incheon, Korea: Author.
  21. Ryu, H., Jo, H., Kim, Y., Yoon, Y., Song, J., Lim, J. Y., et al. (2006). Working conditions in home health care nursing: A survey of home care nurses in hospitals in Korea. Journal of Korean Academy of Nursing, 35, 1229-1237.
  22. Shin, S. R., & Oh, P. J. (2004). A study on the demand for Nurse Anesthetists in Korea. Journal of Korean Academy Fundamentals of Nursing, 11, 195-202.
  23. Shumway, S. H., & Del Risco, J. (2000). A comparison of nurse anesthesia practice types. AANA Journal, 68, 452-462. March 25, 2012, from http://www.lawissue.co.kr/news/articleView.html?idxno=8892
  24. Sung, Y. H., Yi, Y. H, Kwon, I. G., & Cho, Y. A. (2006). The roles of critical care advanced practice nurse. Journal of Korean Academy of Nursing, 36, 1340-1351.

Cited by

  1. Comparison of the Level and Side Effects of Spinal Anesthesia with Hyperbaric Bupivacaine in the Supine, Lateral, and Prone Positions vol.17, pp.2, 2015, https://doi.org/10.7586/jkbns.2015.17.2.114
  2. 한국 전문간호사의 분야 체계화 관련 연구 vol.26, pp.2, 2013, https://doi.org/10.22650/jkcnr.2020.26.2.240