Identification of Barriers to Student Registered Nurse Anesthetist Participation in Independent Certified Registered Nurse Anesthetist Clinical Rotation Sites

Abstract

The objective of this study was to assess Michigan Student Registered Nurse Anesthetist and Nurse Anesthesia Program Director experience with independent (CRNA only) student clinical practice rotations. The study took place between February 1 and July 31, 2020. A mixed methods approach was used to obtain both qualitative and quantitative data regarding barriers to and perceived value of independent practice rotations. Data was obtained from nurse anesthesia education programs in Michigan during video interviews with program directors or assistant program directors and from student registered nurse anesthetists by an anonymous online survey. One hundred percent of the Michigan nurse anesthesia programs participated. Twenty-nine senior students began the survey and seventeen completed it. The survey results indicated that 60% of Michigan nurse anesthesia programs mandate independent practice rotations. Student respondents expected to complete an average of 5.2 weeks in independent practice before graduation. They reported traveling an average of 138.5 miles to the practice site and an average of $660 for out-of-pocket expenses. Barriers for program directors included communication with site coordinators and finding lodging for students. Program directors are using grants and funds earned by student seminars to help offset these costs. Both groups agreed that these rotations have significant value to students and 48% of student respondents would consider working in independent practice in the future because of their independent practice experience.