College of Science and Health Theses and Dissertations

Date of Award

Summer 8-23-2019

Degree Type

Dissertation

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Karen Kapanke, DNP, CRNA

Second Advisor

Ola Wojtowicz

Abstract

Background/Significance: Video-based learning is a growing method being utilized to train nurse anesthesia trainees (NATs) in crisis management, such as a venous gas embolism (VGE). Use of this educational modality may improve crisis management skills, competence, and confidence in the NAT. Purpose: The purpose of this project was to evaluate the effectiveness of an educational video in enhancing the appropriate crisis management of VGE among NATs as measured by their knowledge and confidence levels. Methods: A quasi-experimental pretest-posttest design on a single group of participants was utilized for this project. A total of 14 first year NATs were recruited from NorthShore University HealthSystems School of Nurse Anesthesia (NSUHS) and participated in this study. An instructional video that simulates the proper management of VGE, a knowledge assessment tool (KAT) to assess non-technical skills knowledge pertaining to VGE, and a student confidence survey were developed for implementation of this study. Results: A Wilcoxon Signed Matched-Pairs 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= -3.301; p=0.001 (2- tailed)]. The knowledge questionnaire had an adequate post-test Kuder-Richardson-20 (KR-20) coefficient value =0.678. Conclusion: NATs that participated in the study gained knowledge and confidence from pre and post video implementation. The mean scores improved in every knowledge category (prevention, recognition, decision-making, and prioritization) and confidence category (identification, management, and learning crisis management). Key Words: video-education, venous gas embolism, teaching-methods, crisis management, confidence levels, nurse anesthesia trainees, non-technical skills

SLP Collection

yes

Download

Included in

Nursing Commons

Share

COinS