Certified Registered Nurse Anesthetists in America

2007 ◽  
Vol 8 (4) ◽  
pp. 79-82
Author(s):  
Daniel D. Moos
Keyword(s):  
Healthcare Providers ◽  
The United States ◽  
Nurse Anesthetists ◽  
Nurse Anesthesia ◽  
Certified Registered Nurse Anesthetists ◽  
Anesthesia Practice ◽  
The World ◽  
Certified Registered Nurse ◽  
Registered Nurse Anesthetists ◽  
Compare And Contrast

ABSTRACTNurse anesthetists are crucial healthcare providers throughout the world. The duties, regulations, and educational requirements for nurse anesthetists vary from country to country. The purpose of this article is to provide the reader with a brief historical perspective on the development of nurse anesthesia in the United States; describe current nurse anesthesia practice; and allow the reader to compare and contrast it with the practice of nurse anesthesia in their own country.

Understanding Professional Jurisdiction Changes in the Field of Anesthesiology

2017 ◽  
Vol 75 (5) ◽  
pp. 612-632 ◽  
Author(s):  
Scott Feyereisen ◽  
Joseph P. Broschak ◽  
Beth Goodrick
Keyword(s):  
Health Professionals ◽  
The United States ◽  
Nurse Anesthetists ◽  
Medicare Reimbursement ◽  
Certified Registered Nurse Anesthetists ◽  
Professional Groups ◽  
The Past ◽  
Certified Registered Nurse ◽  
Registered Nurse Anesthetists ◽  
Care Costs

We further our understanding of jurisdictional disputes between established professional groups through a 10-year longitudinal analysis of the differential adoption by U.S. states of policies expanding Certified Registered Nurse Anesthetists’ (CRNAs) autonomy. In the United States, CRNAs are trained to deliver anesthetics to patients in the same way as physician anesthesiologists but have more restrictions in practice. Following a 2001 federal decision regarding Medicare reimbursement, states were permitted but not required to allow CRNAs to practice without physician supervision, potentially reducing health care costs. We show that higher levels of incumbent physician power makes it less likely that a state will change jurisdictional boundaries, while increasing relative power among challenging CRNAs and the past successes of other challenging health professionals increase the likelihood. State labor deficiency and proximity to other adopting states also positively influenced the expansion of CRNAs’ autonomy. Implications for the professions and health services literature are discussed.

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