Nursing is unarguably the
most conspicuous profes...
Nursing is unarguably the
most conspicuous professions within the medical environment and in the greater
health care sector. Although nursing is a popular profession in the medical
arena, its definition is not effectively understood across the board. The
nursing profession is commonly understood as a helping or assisting role to the
doctors. Although the bulk of nursing work requires nurses to work in close
contact with doctors, nursing in its entirety exceeds the boundaries created by
the doctor-nurse relations. Nursing may be defined as a professional role
within the greater health care arena which is not only focused on providing
care to communities, individuals, and families but also in ensuring the quality
of life is improved while recovering optimal health in both the short and the
long terms. The three major fields of employment in nursing are laboratory,
hospital, and clinic. Nursing stands out as the most diverse profession within
the medical and greater health care arenas. Classified in light of the
populations attended to by nurses, the nursing profession is divided into
pediatrics, mental health, women’s health, communities, neonatal, and family. A
nurse anesthesiologist is a classification of the nursing practice birthed from
the different activity sectors in nursing. A nurse anesthesiologist stands out
not only because of their attachment to the basic nursing training, but also
their added knowledge in light of unique additional training and knowledge in
the science, administration, and practice of anesthesia (Smith-Salzberg, et al.
Within the United States
health care arena, nurse anesthesiologists are expected to not only hold
certification in registered nurse anesthetist but also in advanced practice
nursing. A doctorate or masters level of nursing education coupled with board
certification to practice medical anesthesia. Some of the fields of employment
presented to nurse anesthesiologists range from rural and office settings to
hospitals, ambulatory surgery centers, and outpatient surgery centers. The
nurse anesthesiologists practice and profession date back to as far back as the
onset of the American Civil War. Since then, there have been numerous
developments that have taken place in the nurse anesthesiology practice. Today,
certified registered nurse anesthetists (CRNA) are provided with nurse
anesthesia doctoral or master’s degrees. The provisions for masters, doctoral,
and degree programs are usually developed by the nursing council on
accreditation. Since 1981, nurses who apply for any school of anesthesia
required, at the minimum, to not only be baccalaureate prepared but also
complete an extensive anesthesia program at the master’s level. At the onset of
1990, all the programs shaping up nurse anesthesiology were transitioned into
master’s degree programs. Currently, there are initiatives in place seeking to
have the entry level of nurse anesthesiology have a mandatory Doctor of Nursing
Practice qualification. This means that a Doctor of Nurse Anesthesia Practice
(DNAP) is the minimum requirement for the nurse anesthesiology practice. The
move to have the entry point shifted will cut across the board and affect the
various nursing practices that shape up advance practice nursing (Zhou, et al.
The scope of practice for
nurse anesthesiologists is important to analyze. This section of nurses enjoys
varying degrees of supervision and independence. Podiatrists, physicians, and
dentists are some of the common supervisors who oversee the day to day work
activities of nurse anesthesiologists. The interaction between nurse
anesthesiologists and other medical practitioners is different from one state
to the other depending on the state laws. One of the common definitions provided
by state laws is collaboration. This term not only defines but also creates
grounds through which the relationship between the CRNA and their supervising
physician is developed over the course of time. In some states, order or
consent from a qualified license provider or physician is required in the
administration of anesthesia. The scope of CRNA practice or the nurse
anesthesiology is usually expanded on the grounds of the credentialing process
and clinical privilege, practitioner agreements, or department policies. The
clinical privileges presented to nurse anesthesiologists are based on and
developed through the complexity and scope of the anticipated clinical
practice, CRNA experience, CRNA qualifications, and medical environment. This
is important as it ensures nurse anesthesiologists can provide core activities
and services while functioning under minimal or no supervision. Today, there
are over 105 countries across the globe where nurse anesthesiologists are part
of the medical practice. Nurse anesthesiologists assist light of the
administration of anesthesia in nine countries across the globe. International
governing bodies such as the International Federation of Nurse Anesthetics
function to ensure standards undergirding practice, codes of ethics, and
standards of education are maintained at high standards and constantly
developed (Ligata, et al. 58).
Conclusively, it is
important to reiterate that although the bulk of nursing work requires nurses
to work in close contact with doctors, nursing in its entirety exceeds the
boundaries created by the doctor-nurse relations. Nursing should be approached
as a professional role within the greater health care arena which is not only
focused on providing care to communities, individuals, and families but also in
ensuring the quality of life is improved while recovering optimal health in
both the short and the long terms. The nurse anesthesiology practice not
only stands because of its attachment to the basic nursing training, but also
the great link to added knowledge in light of unique additional training and
knowledge in the science, administration, and practice of anesthesia.
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