Posted by Josh BSN/RN MSA/LAc on December 18, 2008, 8:55 am, in reply to "Re: Colorado AAs"
Like I said, unfortunately some assumptions have to be made at deriving what model is the gold standard for comparison. There is literature in JAMA and published by the ASA in the this regard, and while one can easily point out the potential bias involved, in general, research done by physicians tends to be better designed and implemented than that done by nurses.
Sad but true.
Pick up JAMA and compare the methodology to any nursing research magazine and the differences are startling. I took a graduate nursing research class and I was actually embarrassed at the difference, although I readily admit some of my initial shock was due to the difference between researching Medicine and Nursing [patient care focus].
But back to your point. If we are to accept that independent CRNAs should be the gold standard, you need to provide rationales for why they should be considered as such (versus independent anesthesiologists doing their own cases or ACT model).