College of Science and Health Theses and Dissertations

Date of Award

Fall 11-23-2021

Degree Type


Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Karen Kapanke, DNP, CRNA

Second Advisor

Kathryn Coletto, DNP, CRNA


Direct laryngoscopy remains the primary method for achieving intubation of the airway in general anesthesia. Novice laryngoscopists may encounter high stress and cognitive load when unexpectedly faced with a Cormack-Lehane Grade III or IV view in an unfamiliar and time-pressured environment. An Emergency Reflex Action Drill (ERAD) is a specifically designed action sequence intended to execute clinical interventions with minimal cognitive load in the setting of marked time pressure. The purpose of this study was to examine the implementation of the ERAD “Head-Neck-Reset” to improve perceived knowledge and confidence in intubation skills of nurse anesthesia trainees. A convenience sample of 23 second year Nurse Anesthesia Trainees who had minimal training in direct laryngoscopy was utilized. Subjects completed a pre-survey, a short video-based educational intervention on the ERAD “Head-Neck-Reset”, and a post-survey. Statistically significant improvement in perceived knowledge (1.72 points increase on a Likert scale) and confidence (1.68 points increase) was shown in the results of the postsurvey. Results of this pilot study suggest that additional research into this ERAD is merited to examine future applications in education of novice learners.

SLP Collection


Included in

Nursing Commons