Validating international CanMEDS-based standards defining education and safe practice of nurse anesthetists.

Herion, C.; Egger, L.; Greif, R.; Violato, C. (2019). Validating international CanMEDS-based standards defining education and safe practice of nurse anesthetists. International nursing review, 66(3), pp. 404-415. John Wiley & Sons 10.1111/inr.12503

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AIM To investigate whether the CanMEDS-based International Federation of Nurse Anesthetists' Standards could adequately define the scope of practice and reliably be used to train and evaluate Swiss nurse anesthetists (NAs). BACKGROUND Although nurse anesthetists represent a majority of the global workforce in anesthesia, policies that define the scope of practice are frequently non-existent. In low- and middle-income countries, the lack of anesthesia providers with adequate training is a major challenge. INTRODUCTION Despite stringent training requirements, the scope of practice of Swiss nurse anesthetists is actually not defined. Therefore, we surveyed and assessed whether nurse anesthetists felt that the professional competencies outlined in this framework were aligned with their clinical practice. METHODS A cross-sectional survey investigated Swiss nurse anesthetists' relevance ratings of 76 competencies of the International Federation of Nurse Anesthetists according to their professional practice. Cronbach's alpha coefficients were used to determine the internal consistency of the competencies, as well as factor analyses to assess construct validity of these competencies integrated into the CanMEDS roles model. RESULTS Participants rated the Standards overall as very relevant with high reliability. Factor analyses provided evidence of construct validity of these. DISCUSSION The International Federation of Nurse Anesthetists' Standards of Practice provide a highly relevant framework and a valuable set of competencies for the scope of practice of Swiss nurse anesthetists, which enabled translation from global guides to local national standards. CONCLUSION AND IMPLICATION FOR NURSING AND HEALTH POLICY Adopted by low- and middle-income countries or countries where national standards are non-existent, this survey could introduce national and local policies at minimally acceptable standards of care for nurse anesthetists worldwide. The above standards have the potential to align education, outcomes and assessment of nurse anesthetists with the needs of national healthcare systems.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy

UniBE Contributor:

Egger, Lars and Greif, Robert

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1466-7657

Publisher:

John Wiley & Sons

Language:

English

Submitter:

Jeannie Wurz

Date Deposited:

21 Jan 2020 08:37

Last Modified:

21 Jan 2020 08:37

Publisher DOI:

10.1111/inr.12503

PubMed ID:

30768709

Uncontrolled Keywords:

Anesthesia Anesthesia Providers CanMEDS Competency-Based Medical Education International Federation of Nurse Anesthetists Standards Non-Physician Nurse Anesthetists Scope of Practice Switzerland

BORIS DOI:

10.7892/boris.138015

URI:

https://boris.unibe.ch/id/eprint/138015

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