Accession Number : ADA319686

Title :   A Study of the Scope of Practice of Military Nurse Anesthetists.

Descriptive Note : Master's thesis,

Corporate Author : AIR FORCE INST OF TECH WRIGHT-PATTERSON AFB OH

Personal Author(s) : Eby, Steven P.

PDF Url : ADA319686

Report Date : DEC 1996

Pagination or Media Count : 102

Abstract : Anecdotal statements by military nurse anesthetists have claimed a greater scope of practice than their civilian counterparts. There is no systematically obtained data in the literature to refute or support this claim. This study sought through a descriptive correlational design to describe the scope of practice of active duty military nurse anesthetists within the United States Army, Navy, Air Force and Public Health Service and determine if there were any differences in practice among these services. A survey was sent to 30% of active duty nurse anesthetists living within the United States. The demographic subjects surveyed included branch of service, age, gender, anesthesia care team make-up, size of facility, years of anesthesia practice and years of active duty anesthesia practice. Areas of practice surveyed included the age, ASA classification and urgency of cases, independence in pre-operative evaluation, induction, maintenance, emergence and post-operative evaluation, and independence in the performance of airway management procedures, regional anesthetics and central line procedures. The data indicated no significant demographic differences among the services. Analysis indicated significant differences among the branches in the areas of independence of practice and regional techniques. A greater number of significant differences appeared when the data was reanalyzed according to facility size. Though this study did not attempt to systematically contrast military with civilian practice, comparisons with data from earlier studies indicated that military anesthetists performed fewer cases on a younger, healthier patient population than civilians. A greater percentage of military anesthetists were performing regional anesthesia and line placement than civilian anesthetists.

Descriptors :   *NURSES, *ANESTHETICS, MILITARY FORCES(UNITED STATES), THESES, POPULATION, SURVEYS, MILITARY MEDICINE, PUBLIC HEALTH, ANESTHESIA.

Subject Categories : Personnel Management and Labor Relations
      Medicine and Medical Research

Distribution Statement : APPROVED FOR PUBLIC RELEASE