College of Science and Health Theses and Dissertations

Date of Award

Summer 8-20-2017

Degree Type


Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Bernadette Roche

Second Advisor

Karen Kapanke


Background: Anesthesia practitioners are familiar with awareness with recall (AWR) as a phenomenon, however, research has shown it is inadequately assessed, evaluated, and treated in patients receiving general anesthesia leading to significant undesired sequela.

Objectives: The purpose of this quality improvement project (QIP) was to attempt to improve the perceived knowledge and comfort of anesthesia practitioners relative to the assessment, evaluation, and treatment of patients with AWR, thus, closing the gap between knowledge and practice.

Method: The sample consisted of 150 anesthesia practitioners from the Northshore University HealthSystem. Pre-and post-test Likert-type surveys were used and uploaded into Qualtrics to maintain anonymity and SPSS for analysis.

Results: At pre-test, the overall perceived knowledge, comfort and attitudes on AWR (M = 2.59; SD = 0.45) was suboptimal for current practice. At post-test, the overall perceived knowledge, comfort and attitudes on AWR (M = 3.41; SD = .29) was optimal. A perceived knowledge subset analysis resulted (M = 13.71; SD = 2.61, respectively) and Cohen d statistics (d = 1.466), Cronbach’s alpha coefficient was 0.72. A perceived comfort subset analysis resulted (M = 3.71; SD = 1.86, respectively) and Cohen d statistics (d = 1.17), Cronbach’s alpha coefficient for this subscale was 0.85. Attitudes towards AWR had an inadequate Cronbach's alpha coefficient value of less than 0.7. No subset analysis was performed.

Conclusion: The results showed improved perceived knowledge and comfort of assessment, evaluation and treatment of AWR. This is a useful indicator for communication and training needs in the initiation of our educational program as a standard protocol in a local practice setting.

SLP Collection


Included in

Nursing Commons