Description of the Management Characteristics of Anesthesia Care Delivery in Small, Medium, Large, Teaching and Non-Teaching Hospitals in the U. S. Navy

摘要

The purpose of this study is to describe the management characteristics of anesthesia care delivery by Certified Registered Nurse Anesthetists (CRNAs) and anesthesiologists in small, medium, large, teaching, and nonteaching hospitals in the United States Navy. The study describes the relationship between the management characteristics and practice patterns of anesthesia providers in U. S. Naval Hospitals in the Continental United States (CONUS) and Outside Continental United States (OCONUS). No data has been found in the literature to describe the management characteristics and practice patterns of Navy CRNAs and anesthesiologists in the delivery of anesthesia. The research instrument was a 45-item questionnaire developed by the author, along with two other Student Registered Nurse Anesthetists researchers, mailed to the Chief CRNAs at 20 CONUS and 9 OCONUS naval hospitals where anesthesia services are currently provided. The questionnaire provided data on demographics, practice patterns, provider responsibilities, and management and personnel characteristics of anesthesia care delivery in U. S. Naval Hospitals. Descriptive data from 23 of 29 Departments of Anesthesia (79%) were analyzed and data reported on management and practice characteristics of anesthesia care by military CRNAs and anesthesiologists Navy wide. The data describes the ratio of Navy anesthesiologists to CRNAs, practice patterns of Navy CRNAs, productivity measurement, daily and monthly work schedules, and anesthesia staffing call assignments of Navy CRNAs and anesthesiologists.