Date of Award
Doctor of Nursing Practice (DNP)
Karen Kapanke, DNP
Background: Video simulation is an alternative method of teaching that can play an important role in nurse anesthesia education. Using video simulation for uncommon crisis could prove beneficial.
Objectives: The purpose of this study is to analyze the effects of an educational video simulation regarding malignant hyperthermia (MH) recognition and management on knowledge of nurse anesthesia trainees (NATs).
Methods: A single group pretest-posttest design was used to compare knowledge on recognition and management of malignant hyperthermia. The study included a voluntary convenience sample of junior and senior nurse anesthesia trainees at NorthShore University HealthSystem School of Nurse Anesthesia. Pretest scores were attained and followed by a viewing of pre-recorded video simulation on proper recognition and management of malignant hyperthermia. Posttest scores were obtained immediately after viewing the complete pre-recorded video simulation.
Results: Twenty NATs participated in the single group pretest-posttest design. Ten junior and ten senior NATs participated in total. The comparison of mean scores between the pretest and posttest showed a strong statistical significance (p < 0.05). The video on MH recognition and treatment significantly improved NAT scores on the posttest when compared to the pretest. The average pretest score for all NATs was 10.75 out of 14. The average score on the posttest was 13.9 out of 14. The overall NAT pretest score on average improved 3.15 points (95% confidence interval, 3.799, 2.501) after viewing the video simulation. The paired t-test showed statistically significant (p < 0.05) improvement between pretest and posttest scores.
Conclusions: Viewing a video simulation on the recognition and management of malignant hyperthermia increased knowledge of both junior and senior NATs. This pilot study offers preliminary evidence that there is a role for video simulation education in the curriculum of nurse anesthesia programs. There is a need for larger, more rigorous research in order to provide further evidence on the effectiveness of this video educational strategy.
Christ, Andrew M., "A Malignant Hyperthermia Competency Training for Nurse Anesthesia Trainees: Development, Implementation, and Evaluation" (2018). College of Science and Health Theses and Dissertations. 283.