Date of Award
Summer 8-20-2023
Degree Type
Dissertation
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
Abstract
Background: Student registered nurse anesthetists (SRNAs) are required by the Council on Accreditation to complete a minimum of ten spinal and ten epidural procedures. Neuraxial anesthesia, which includes spinal and epidural techniques, are challenging skills to master, requiring deliberate practice and active learning to achieve competency. There may be an extended period between when SRNAs learn the steps and implications of neuraxial procedures, and when they begin performing these skills in the clinical setting. Just-In-Time Training (JITT) is proven to be a successful teaching adjunct to bridge knowledge gaps for healthcare professionals. Purpose: To determine if using JITT, , as a video demonstration of neuraxial anesthesia procedures, improves SRNAs knowledge and confidence of neuraxial anesthesia.The primary objective of this study was to determine the efficacy the educational strategy JITT video demonstrating neuraxial anesthesia by measuring knowledge and confidence in first and second year SRNAs. Method: Thirteen SRNAs participated in the quantitative pre/posttest research study. A survey tool developed by the researchers (CVI =1.00) was used to assess the knowledge and confidence of participants in neuraxial anesthesia before and after viewing 2 neuraxial anesthesia JITT videos. Results: Data were analyzed with R version 4.0.2 and tested for statistical significance (p<0.05) with McNemar’s and Sign test for knowledge and the Wilcoxon Signed rank tests for confidence measures. Discussion: Post-test results demonstrated a statistically significant increase in students’ knowledge and confidence in neuraxial anesthesia procedures. The findings in this study support the use of JITT intervention to refresh clinical knowledge and improve confidence of SRNAs in neuraxial procedures throughout their clinical residency.
Recommended Citation
Arredondo, Amanda and Willis, Victoria, "Just-In-Time Training Improves Knowledge and Confidence in Neuraxial Anesthesia in Student Registered Nurse Anesthetists" (2023). College of Science and Health Theses and Dissertations. 591.
https://via.library.depaul.edu/csh_etd/591
SLP Collection
yes