Theses and Dissertations from DePaul University

Date of Award

Fall 2026

Degree Type

Dissertation

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

College

College of Science and Health

First Advisor

Anne Sauri

Second Advisor

Amanda Galik

Abstract

Introduction: Certified Registered Nurse Anesthetists (CRNAs) are vital anesthesia providers, yet there is a notable gap in the literature documenting their experiences navigating pregnancy and postpartum. The purpose of this qualitative study is to examine the lived experiences of CRNAs during pregnancy and postpartum periods in hospital settings in order to inform organizational policies, promote maternal well-being, and support workforce sustainability. Methods: A qualitative descriptive design was used, incorporating ten in-depth, semi-structured video interviews with CRNAs who experienced pregnancy and postpartum periods while working in hospital-based anesthesia roles. Interviews were transcribed verbatim and analyzed using thematic analysis. Results: Thirteen themes emerged across four research questions. Participants described physical strain from continuing demanding clinical work during pregnancy, including fatigue, illness, sleep deprivation, and difficulty meeting basic physiological needs. Tension between professional expectations and family priorities contributed to stress, guilt, and emotional isolation. Financial pressures strongly influenced postpartum decision-making, often necessitating early return to work. Organizational barriers, including inflexible staffing models, inappropriate clinical assignments, occupational hazard exposure, limited maternity leave, and inadequate lactation infrastructure, hindered recovery and well-being. Pregnancy disclosure was described as a decision informed by safety and professional considerations. Interpersonal support, advocacy, institutional flexibility, and boundary-setting enhanced well-being. Conclusions: Pregnancy and postpartum periods represent physically, emotionally, and professionally challenging transitions for CRNAs. Findings underscore the need for organizational flexibility, compassionate leadership, and supportive policies to promote maternal well-being and workforce sustainability. Keywords: Certified Registered Nurse Anesthetists; pregnancy; postpartum; wellbeing; workplace experience; qualitative research; maternal health

Available for download on Saturday, October 07, 2028

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Nursing Commons

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