College of Science and Health Theses and Dissertations

Date of Award

Summer 8-20-2023

Degree Type

Dissertation

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

Abstract

Background: Simulation-based education is a learning modality utilized in healthcare curriculum among nurse anesthesia trainees (NATs) for crisis management training. This learning modality may improve confidence and knowledge in novice NATs responding to a crisis scenario, such as a venous gas embolism (VGE).

Purpose: Evaluate the effectiveness of simulation-based education in effectively managing a crisis scenario, VGE, as measured by novice NATs confidence and knowledge levels.

Methods: An observational, cross-sectional study with a pretest-posttest design on a group of novice second-year NATs (NAT-2s) from NorthShore University HealthSystems (NorthShore) School of Nurse Anesthesia was utilized. A total of 15 NATs participated in a simulation on VGE, confidence survey, and knowledge assessment tool (KAT), which assessed students in the recognition, decision making, and prioritization of a VGE.

Results: Sign Tests and McNemar Tests revealed that simulation was most impactful in improving novice NATs knowledge of surgical procedures that increase the risk of VGE, signs and symptoms of a VGE, and identifying the most sensitive monitor for VGE. As a whole, simulation-based education improved novice NAT knowledge and confidence survey scores.

Discussion: Simulation-based education has the potential to improve patient outcomes by improving crisis management skills in NATs, who will then bring skills into clinical practice.

Conclusion: Novice NATs who participate in simulation-based education gain confidence and knowledge in the identification and management of a crisis scenario, VGE.

SLP Collection

yes

Included in

Nursing Commons

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