Theses and Dissertations from DePaul University

Date of Award

9-29-2026

Degree Type

Dissertation

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

College

College of Science and Health

First Advisor

Julia Feczko

Abstract

Hospital-acquired infections remain a preventable source of patient morbidity, mortality, and increased healthcare costs, with the anesthesia workspace recognized as a significant vector for cross-contamination during airway management.¹,² Although the act of double-gloving with the removal of the outer pair of gloves after intubation has been shown to substantially reduce contamination, adherence among Certified Registered Nurse Anesthetists (CRNAs) and Student Registered Nurse Anesthetists (SRNAs) remains inconsistent.³,⁵ The purpose of this study was to evaluate whether a brief visual educational intervention could improve double-gloving knowledge, behavioral intention, and perception of contamination risk. A quantitative pretest–posttest design was used with 52 CRNAs and SRNAs recruited through the Illinois Association of Nurse Anesthesiology. Participants completed a pretest, viewed a five-minute educational video demonstrating contaminant spread using fluorescent gel, and then completed a posttest. Data were analyzed using paired statistical methods which included McNemar and Wilcoxon signed-rank tests. Post-intervention results demonstrated statistically significant improvements in participant’s knowledge, intention to double-glove during anesthetic induction, and awareness of anesthesia workspace contamination (P < .001). These findings indicate that a brief visual education is an effective yet low-cost strategy to improve infection control behaviors and enhance patient safety in anesthesia practice.

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Available for download on Friday, October 06, 2028

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