Registered Nurse Anesthetists' Perceptions of Providing Care Within a Global Health Framework: A Qualitative Study

J Perianesth Nurs. 2023 Aug;38(4):604-610. doi: 10.1016/j.jopan.2022.11.003. Epub 2023 Jan 28.

Abstract

Purpose: The purpose of this study was to investigate how Registered Nurse Anesthetists (RNAs) who have been working for nongovernmental organizations in low- and middle-income countries perceive their role in global health.

Design: A qualitative design was used in this study.

Methods: Data were collected by means of semistructured interviews with 11 participants who met the inclusion criteria, and qualitative analysis of the interview content was performed.

Findings: The analysis resulted in three categories and six subcategories. Of the categories, "Using skills" includes the respondents' varying levels of responsibility, tasks, and perceptions of how far they are applying their expertise. "Encountering new cultures" is about adapting to new cultural norms in nursing, education, and cooperation in the international team. "Promoting change through volunteerism" comprises personal and professional development, and impact - both local and potentially global.

Conclusions: This study highlights the relevance of RNAs in global health and emphasizes the cultural encounters, exchanges, and challenges associated with volunteer medical missions. RNAs' knowledge of, and humble approach to the host country's culture are essential for their ability to provide nursing care, engage in cooperation and training, and promote global health in a high-quality, sustainable and effective way.

Keywords: anesthesia; global health; qualitative research; registered nurse anesthetists (RNAs); transcultural nursing.

MeSH terms

  • Global Health
  • Humans
  • Nurse Anesthetists*
  • Nursing Care*
  • Qualitative Research