Date of Conferral

10-3-2024

Degree

Ph.D.

School

Psychology

Advisor

Patti Barrows

Abstract

Anesthesia provision combines dynamic medical decision-making with specialized clinical skill performance. The purpose of this study was to explore lived experiences of Certified Registered Nurse Anesthetists (CRNAs) regarding anesthesia provision. The lived experience of anesthesia provision (LEAP) involves what CRNAs experience while providing anesthesia as well as what they believe is most important in that phenomenon. Attitudes, understandings, and opinions (AUOs) held by CRNAs about anesthesia provision guide their intentional clinical behaviors. The Integrated Behavior Model (IBM) was the conceptual framework for this study. This behavioral model involves theoretical constructs that serve as determinants of behavioral intentions. The AUOs and beliefs CRNAs hold regarding themselves, and their anesthesia provision abilities, influence their intentional behaviors. Attitudes, normative beliefs, and personal agency of individuals are influential in terms of clinical behavioral intentions. Using components of IBM as a guide for development of interview questions, one-on-one interviews with 17 experienced CRNAs were used to explore AUOs they hold regarding anesthesia provision. Using the Colaizzi strategy for analysis, interview transcripts were used to explore thematic data related by CRNAs through the lens of behavioral intentions. A better understanding of clinical intentional behaviors of CRNAs can guide development of initiatives that designed to enhance anesthesia delivery efforts.

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