College of Science and Health Theses and Dissertations

Date of Award

Summer 8-25-2019

Degree Type


Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Pamela Schwartz, DNP, CRNA

Second Advisor

Shannon Simonovich


The pre-anesthetic evaluation (PAE) is a critical part of providing anesthesia, and an important component of patient safety. Student registered nurse anesthetists (SRNAs) are often required to independently perform the PAE upon entering their clinical training. Stress, anxiety, doubt, a novel environment and time constraints can lead to a lack of confidence and competence at this time. These barriers can result in an inefficient and inadequate assessment. The purpose of this qualitative study was to conduct a needs assessment to determine the overall readiness of SRNAs to independently perform a thorough PAE upon entering clinical residency. A focus group was conducted and qualitative data software was used for thematic analysis. Four main themes were identified from the focus group data. These were barriers to performing the PAE, emotions experienced, facilitators for performing the PAE, and the SRNA’s experience of their role transition. The ability to practice the PAE prior to entering clinical residency as well as using a reference guide are beneficial to SRNAs as they start their clinical residency. These tools can help decrease stress and anxiety allowing for a more consistent, thorough, and efficient PAE.

SLP Collection


Included in

Nursing Commons