Comparison of Job Tasks and Task Elements of Korean Nurse Anesthetists by Type of Medical Institution: Hospital, General Hospital and Higher General Hospital

Chungsim Bai; Haesang Yoon

doi:10.11111/jkana.2013.19.2.239

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Bai and Yoon: Comparison of Job Tasks and Task Elements of Korean Nurse Anesthetists by Type of Medical Institution: Hospital, General Hospital and Higher General Hospital

Original Article

Journal of Korean Academy of Nursing Administration

Journal of Korean Academy of Nursing Administration 2013; 19(2): 239-253.

Published online: 31 March 2013

DOI: https://doi.org/10.11111/jkana.2013.19.2.239

Comparison of Job Tasks and Task Elements of Korean Nurse Anesthetists by Type of Medical Institution: Hospital, General Hospital and Higher General Hospital

Chungsim Bai¹, Haesang Yoon²

¹Health Care Center, Dong A University, Korea.

²College of Nursing, Gachon University, Korea.

Correspondence: Yoon, Haesang. Department of Nursing, Gachon University Younsoodong 534-2, Younsoogu, Incheon 406-812, Korea. Tel: 82-32-820-4212, Fax: 82-32-820-4201, yoonhs@gachon.ac.kr

Received 13 November 2012 Revised 23 December 2012 Accepted 14 February 2013

Abstract

Purpose

This study was done to identify job tasks and task elements of Korean nurse anesthetists according to type of medical institution.

Methods

A job task scale which consisted of 9 job tasks and 40 task elements was developed. Data were collected from December, 2009 to February, 2010 from 182 nurse anesthetists who were working in medical institutions (response rate: 75.8%).

Results

Forty-eight percent of nurse anesthetists were independent from anesthesiologists in anesthetic practice. Preanesthetic nursing assessment was much more frequent in small hospitals than in general hospitals (p<.05), and anesthetic nursing intervention, administering the anesthetics, monitoring the patient's status during anesthesia, and provision of safety and compliance with anesthetic ethics were much more frequent in general hospitals than medical centers (p<.001). There were no differences among the medical institutions for job tasks in post-anesthetic nursing interventions (p=.229), administering anesthetics (p=.354) and monitoring patients' status during anesthesia (p=.099), providing safe anesthetic environment (p=.896), and management of ancillary personnel/equipment (p=.617).

Conclusion

Results indicate that nurse anesthetists contribute significantly to anesthetic practice in small hospitals and general hospitals. Therefore, it recommended that nursing leaders make efforts to enact legal nurse anesthetist-related policies for safe and high quality anesthetic nursing care.

Keywords: Nurse anesthetist, Nurse practitioner, Job description, Task analysis

Figures and Tables

Table 1

Degree of Frequency, Importance, and Difficulty of Task Elements (N=71)

Table 2

Demographic Characteristics of Nurse Anesthetists (N=182)

Table 3

Characteristics of Type of Medical Institution (N=182)

Table 4

Comparison of Job Task of Nurse Anesthetists by Medical Institution Scale and Residence of Anesthesiologist (N=182)

HG hospital=Higher general hospital; G hospital=General hospital.

^*p<.05; ^†p<.01; ^‡p<.001.

Table 5

Comparison of Task Elements in Nurse Anesthetists According to Medical Institution Scale (N=182)

HG hospital=Higher general hospital; G hospital=General hospital.

Notes

This research was supported by the Korea Nurse Anesthetist Association in 2010.

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