A STUDY TO DEVELOP A MODEL OF ANESTHESIA CARE PROVIDED BY A TEAM OF PHYSICIANS AND NURSES.
Contributors: Pepperdine University.
Published: 1991
Number of pages: 480
Subjects: Health Sciences, Medicine and Surgery.; Health Sciences, Nursing.
Description: Statement of the problem and the purpose. The problem was while authorities in the health care field called for new models of care to reduce costs, there were no anesthesia care team models for third party (patients), insurance companies, hospitals, or the federal government to utilize in the selection of care.

The purpose of this study was to develop a model of anesthesia care provided by a team of physicians (MDAs) and nurses (CRNAs). To attain this goal, the research objectives were: (1) to identify and report characteristics and components of a conceptualized model of anesthesia care provided by a team of physicians and nurses, (2) to determine the feasibility of a conceptualized model, (3) to formulate a model of anesthesia care, and (4) to make recommendations regarding implementation of the model of anesthesia care.

Procedures. Action research was selected for this study because it is recommended when the research is concerned with improving a specific situation. Action research provides an organized structure to develop new approaches and to solve problems with direct application to the work world setting. Reconstructed logic was selected to complement action research, because it permitted the researcher to conduct a feasibility study before going into a full research project.

Survey research was carried out in five practice settings (urban community, university, veterans administration, health maintenance organization, and military). Sites for this research utilized anesthesia care teams of anesthesiologists (MDAs) and certified registered nurse anesthetists (CRNAs).

Interviews with MDAs and CRNAs were also conducted in practice settings using a modified Critical Incident technique. A model of anesthesia care provided by a team of physicians and nurses was then formulated. A national Panel of Experts was asked to review and validate the resultant model.

Findings. A model of anesthesia care resulted from this research. The proposed model was found to be a cost-effective method for the utilization of MDAs and CRNAs in the delivery of anesthesia care.
Notes: Source: Dissertation Abstracts International, Volume: 52-11, Section: B, page: 5752.

Thesis (ED.D.)--PEPPERDINE UNIVERSITY, 1991.

School code: 6009.