College of Science and Health Theses and Dissertations

Date of Award

Fall 11-20-2018

Degree Type


Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Karen Kapanke, CRNA, DNP

Second Advisor

Julia Feczko, CRNA, DNP


Background: The transition from didactic component to clinical practice is challenging for nurse anesthesia trainees. When faced with an airway crisis, successful management involves non-technical skills, which include recognition, decision-making, and prioritization. Limited data is available on the efficacy of instructional video on enhancing non-technical skills during airway crisis management among nurse anesthesia trainees.

Purpose: The purpose of this study was to examine the efficacy of instructional video simulation on enhancing the nurse anesthesia trainee’s knowledge of recognition, decisionmaking, and prioritization during bronchospasm and laryngospasm airway crises. Methods: A quasi-experimental pre-test and post-test design was used to investigate the effect of an instructional video simulating the proper non-technical skills of recognition, decision-making, and prioritization.

Results: A convenience sample of 27 second and third year nurse anesthesia trainees were recruited. A Wilcoxon Signed Ranks Test demonstrated that the median post-test scores were statistically higher that the median pre-test scores between pre and post-instructional video [Z= 4.473; p=0.000 (2-tailed)] with adequate pre and post-test Kuder-Richardson-20 (KR-20) scores (0.533, 0.686). Specifically, post-test median prioritization scores for bronchospasm and laryngospasm were statistically higher than median pre-test scores [t=-5.366; p=0.000 (2-tailed)]; [t=-8.588; p=0.000 (2-tailed)].

Conclusion: The findings demonstrate the effectiveness of instructional video simulation on non-technical skills, specifically prioritization, during airway crises such as bronchospasm and laryngospasm for nurse anesthesia trainees. According to the results, utilizing a pre-test/post-test NON-­‐TECHNICAL SKILLS VIDEO SIMULATION 4 design and instructional video simulation improved non-technical skills knowledge among nurse anesthesia trainees.

SLP Collection


Included in

Nursing Commons