Certified Registered Nurse Anesthetist Nonsurgical Pain Management Infection Prevention Competencies

2.50
Hdl Handle:
http://hdl.handle.net/10755/304535
Category:
Full-text
Type:
Presentation
Title:
Certified Registered Nurse Anesthetist Nonsurgical Pain Management Infection Prevention Competencies
Author(s):
Thiemann, Lisa J.
Lead Author STTI Affiliation:
Beta Iota
Author Details:
Lisa J. Thiemann, PhD, CRNA, lisajcrna@yahoo.com
Abstract:

Session presented on: Monday, July 22, 2013

Purpose:

To define infection prevention competencies associated with certified registered nurse anesthetist (CRNA) delivered nonsurgical pain management (NSPM). '

Methods:

The Dreyfus Model of Skill Acquisition as utilized by Benner served as the theoretical basis for this study. A descriptive study using a classical Lockean Delphi technique was conducted to achieve consensus regarding the requisite CRNA infection prevention competencies for the three most commonly performed NSPM procedures. Expert panelist interviews using a structured questionnaire were conducted, and thematic analysis of the content was completed. Electronic validation of the proposed infection prevention and control competency domains, statements and terminal objectives by the expert panelists followed. Self-identified NSPM CRNAs contributed data during later Delphi iterations using the validated survey.

Results:

Expert Panelists validated a Delphi survey consisting of four competency domains, 13 competency statements, and 43 terminal objectives with a 100% response rate. All four competency domains, 13 competency statements, and 39 of the terminal objectives achieved consensus with the self-identified CRNA NSPM practitioners with a 14.2% response rate. The terminal objectives failing to achieve consensus were: when performing lumbar epidural steroid or sacroiliac joint injections, wears a sterile gown; when performing trigger point injections (TPIs), wears a hat; when performing TPIs, uses a sterile drape; and, completes a minimum of one continuing education unit specific to infection prevention annually.

Conclusion:

The outcomes of this work will assist in developing standards to enhance quality and safety in patient care. With extensive background and understanding of pain management, CRNAs are positioned to serve society's need for pain management professionals. Similarly, nurse anesthetists around the globe who directly or indirectly care for patients experiencing pain may benefit from this study's findings. With continual reports regarding infection transmission associated with pain-related procedures, this research study has identified targeted areas for pain practitioner continuing education.

Keywords:
Nurse Anesthetist; Infection Prevention Competencies; Nonsurgical Pain Management
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleCertified Registered Nurse Anesthetist Nonsurgical Pain Management Infection Prevention Competenciesen
dc.contributor.authorThiemann, Lisa J.en
dc.contributor.departmentBeta Iotaen
dc.author.detailsLisa J. Thiemann, PhD, CRNA, lisajcrna@yahoo.comen
dc.identifier.urihttp://hdl.handle.net/10755/304535-
dc.description.abstract<p>Session presented on: Monday, July 22, 2013</p><b>Purpose: </b> <p class="NormalindentedParagraph">To define infection prevention competencies associated with certified registered nurse anesthetist (CRNA) delivered nonsurgical pain management (NSPM). ' <p><b>Methods: </b> <p>The Dreyfus Model of Skill Acquisition as utilized by Benner served as the theoretical basis for this study. A descriptive study using a classical Lockean Delphi technique was conducted to achieve consensus regarding the requisite CRNA infection prevention competencies for the three most commonly performed NSPM procedures. Expert panelist interviews using a structured questionnaire were conducted, and thematic analysis of the content was completed. Electronic validation of the proposed infection prevention and control competency domains, statements and terminal objectives by the expert panelists followed. Self-identified NSPM CRNAs contributed data during later Delphi iterations using the validated survey. <p><b>Results: </b> <p>Expert Panelists validated a Delphi survey consisting of four competency domains, 13 competency statements, and 43 terminal objectives with a 100% response rate. All four competency domains, 13 competency statements, and 39 of the terminal objectives achieved consensus with the self-identified CRNA NSPM practitioners with a 14.2% response rate. The terminal objectives failing to achieve consensus were: when performing lumbar epidural steroid or sacroiliac joint injections, wears a sterile gown; when performing trigger point injections (TPIs), wears a hat; when performing TPIs, uses a sterile drape; and, completes a minimum of one continuing education unit specific to infection prevention annually. <p><b>Conclusion: </b> <p>The outcomes of this work will assist in developing standards to enhance quality and safety in patient care. With extensive background and understanding of pain management, CRNAs are positioned to serve society's need for pain management professionals. Similarly, nurse anesthetists around the globe who directly or indirectly care for patients experiencing pain may benefit from this study's findings. With continual reports regarding infection transmission associated with pain-related procedures, this research study has identified targeted areas for pain practitioner continuing education.en
dc.subjectNurse Anesthetisten
dc.subjectInfection Prevention Competenciesen
dc.subjectNonsurgical Pain Managementen
dc.date.available2013-10-22T20:38:12Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:38:12Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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