Elvisa Miratovic, RN, DNP, CRNA

DNP Nurse Anesthesia

The Impact of Negligence Claims Among Certified Registered Nurse Anesthetists

Project Category:  Original Research 

Project Team: Elvisa Muratovic, DNP, CRNA, Meagan LaCour, DNP, CRNA, Pamela Chambers, DNP, EJD, MSN, CRNA, CPPS, FAANA (Advisor) 

Abstract

Background: Adverse events often trigger the second victim phenomenon, causing emotional distress among healthcare providers. Negligence claims compound this stress, leading to litigation stress syndrome akin to post-traumatic stress disorder. The repercussions of being named in a claim extend beyond the individual, affecting familial dynamics and professional relationships. There is a notable gap in research concerning the lived experiences of Certified Registered Nurse Anesthetists (CRNAs) named in negligence claims.

Methods: 11 participants were recruited via a social media platform and completed an online demographic survey. Interviews were conducted via Zoom between February 3, 2024, to April 6, 2024, ranging from 30 to 60 minutes. Transcripts and video recordings were securely stored on the university server. Utilizing thematic analysis, data was coded through in vivo coding.

Results: Among the participants, 46% reported experiencing a patient death, 18% encountered a major event, and 36% faced a minor event. Participants described a range of emotions including "stressful, angry, suicidal, confident, and fearful." Notably, all participants (100%) were instructed not to discuss the claim, leading to feelings of isolation and loneliness. Additionally, none of the participants were aware of the resources provided by the »ÆÉ«ÊÓƵ Association of Nurse Anesthesiology, indicating a lack of awareness regarding available support for addressing the litigation stress syndrome.

Conclusion: CRNAs involved in a negligence claim expressed significant feelings of isolation during their experience. The emotional toll of a negligence claim can affect individuals' mental health, leading to anxiety, depression, or anger that can affect their relationships with others.