Occupational Turnover Factors for Certified Registered Nurse Anesthetists: A Scoping Review

Lambert, Michael C.; Ward, Robyn C.; Riddle, Dru

Item

Occupational Turnover Factors for Certified Registered Nurse Anesthetists: A Scoping Review

Lambert, Michael C.; Ward, Robyn C.; Riddle, Dru

Publisher

Texas Christian University

Date

2024

Abstract

The objective of this scoping review is to understand the extent and type of evidence related to occupational turnover factors for certified registered nurse anesthetists (CRNA) in the United States. Demand for anesthesia services is increasing dramatically. CRNAs provide a significant number of anesthetics each year and are crucial to accessible anesthesia in the U.S. Understanding occupational turnover factors for CRNAs is vital to providing cost effective, reliable anesthesia services for Americans. Studies relevant to CRNA turnover in the U.S. were included for this review. Due to differences in education, scope of practice, and practice environment, studies involving nurse anesthetists outside the U.S. were excluded. Studies with mixed provider populations including physicians, registered nurses, other advanced practice providers, and students were also excluded. Five studies were included for data extraction. All the studies employed electronic or mailed questionnaires. Common factors associated with occupational turnover were compensation, retirement, job satisfaction, and burnout. Findings suggest that occupational turnover factors are multifactorial and include broad concepts such as job satisfaction, burnout, and organizational climate.