A Phenomenographical Study on the Perceived Factors Affecting Certified Registered Nurse Anesthetist Role Transition

Abstract

The role transition from student registered nurse anesthetist (SRNA) to certified registered nurse anesthetist (CRNA) can be challenging and stressful. A qualitative phenomenographical research approach was utilized to identify the factors affecting CRNA role transition. Online recruitment and interviewing techniques were utilized to sample recently graduated CRNAs in order to identify these factors. Five factors were found promoting CRNA role transition: mastery of self-efficacy and confidence, expert coaching and guidance, supportive work environment, peer support, and previous experience. Four factors were also found impeding CRNA role transition: practice limitations, lack of orientation and preceptor, hostile work environment, and decreased work or case load. This study has implications for employers of newly graduated CRNAs in implementing interventions which may promote successful role transition and guide future research.