Validating international CanMEDS-based standards defining education and safe practice of nurse anesthetists.
Anesthesia
Anesthesia Providers
CanMEDS
Competency-Based Medical Education
International Federation of Nurse Anesthetists Standards
Non-Physician
Nurse Anesthetists
Scope of Practice
Switzerland
Journal
International nursing review
ISSN: 1466-7657
Titre abrégé: Int Nurs Rev
Pays: England
ID NLM: 7808754
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
pubmed:
16
2
2019
medline:
6
2
2020
entrez:
16
2
2019
Statut:
ppublish
Résumé
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). 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. 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. 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. Participants rated the Standards overall as very relevant with high reliability. Factor analyses provided evidence of construct validity of these. 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. 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.
Sections du résumé
AIM
OBJECTIVE
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
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
BACKGROUND
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
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
RESULTS
Participants rated the Standards overall as very relevant with high reliability. Factor analyses provided evidence of construct validity of these.
DISCUSSION
CONCLUSIONS
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
UNASSIGNED
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.
Identifiants
pubmed: 30768709
doi: 10.1111/inr.12503
pmc: PMC6850163
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
404-415Subventions
Organisme : International Federation of Nurse Anesthetists (IFNA)
Informations de copyright
© 2019 The Authors International Nursing Review published by John Wiley & Sons Ltd on behalf of International Council of Nurses.
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