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Last Updated: 2021-10-04
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91. Using of Simulation Best Practices for Building Knowledge and Confidence for General Anesthesia Induction
- Title Tesim:
- Using of Simulation Best Practices for Building Knowledge and Confidence for General Anesthesia Induction
- Créateur:
- Mojica, Aaron Michael
- La description:
- Creating a focused simulation design promotes an essential structure needed to support SRNA confidence and performance success on GA inductions. Additionally, the successful completion of simulation designs is consistent with graduate nurse anesthesia institutional outcomes and program goals (International Nursing Association for Clinical Simulation Learning (INACSL) Standards Committee, 2016). At Marian University, the current state in which SRNAs are expected to complete GA induction competency does not fully meet or follow the necessary standards set forth by the INACSL board. Identifying this weakness on how GA induction competencies are conducted, the purpose of this project is to examine if providing SRNAs a standardized simulation training video with detailed instructions affects their knowledge and confidence of anesthesia induction technique, compared to current simulation practice.
- Declaração de direitos:
- http://rightsstatements.org/vocab/InC/1.0/
- La langue:
- English
- Type:
- Research Paper
- Mot-clé:
- Student Registered Nurse Anesthetists (SRNAs), Simulation Best Practices, simulation-based learning, and General Anesthesia Induction
- date créée:
- 2022
92. Utilization of ERAS Protocols to Reduce Postoperative Opioid Consumption
- Title Tesim:
- Utilization of ERAS Protocols to Reduce Postoperative Opioid Consumption
- Créateur:
- Sparks, Nicholas
- La description:
- The use of perioperative opioids for pain management can come with great consequences as the opioid crisis is more prevalent than ever. In the US, nearly 70% of all opioid tablets prescribed after surgery become problematic as they are diverted and not used for medical benefit (Soffin et al., 2019). Enhanced Recovery After Surgery (ERAS) guidelines were developed over two decades ago with over 17 tools to improve postoperative recovery as well as reduce the economic burdens of healthcare; including the burden of the opioid crisis (Beloeil et al., 2019). By retrospective chart review, analysis of potential benefits in reducing postoperative opioid consumption as well as pain scores led to developing suggestions for implementation of ERAS items into practice at the project site. With no current practice guidelines in effect, the study found that implementation of multimodal anesthesia through combinations of ERAS items can reduce overall fentanyl consumption (p<.001) as well as reduce pain for up to 4 hours after surgery (p=.022). By evaluating current practice at the project site, recommendations should be made to explore the benefits of implementing combinations of ERAS items to promote better postoperative recovery as well as reduce the burden of the prescription opioid crisis.
- Declaração de direitos:
- http://rightsstatements.org/vocab/InC/1.0/
- La langue:
- English
- Type:
- Research Paper
- Mot-clé:
- pain management, perioperative opioids, postoperative recovery, opioid crisis, and Enhanced Recovery After Surgery (ERAS) guidelines
- date créée:
- 2022
93. Virtual Simulation to Improve Self-Confidence in Clinical Decision-Making
- Title Tesim:
- Virtual Simulation to Improve Self-Confidence in Clinical Decision-Making
- Créateur:
- Richey, Kristen
- La description:
- Introduction: The didactic year in Marian University's Nurse Anesthesia program equips students with a comprehensive understanding of anesthesia's core concepts, including pathophysiology, pharmacology, and physics. The first year imparts essential knowledge and hones clinical skills through simulation-based training, covering fundamental procedures such as intubation, anesthesia machine checks, and bag-mask ventilation. The proficiency gained during this phase lays a robust foundation for the transition to clinical practice. However, the second year challenges student nurse anesthetists face in the operating room, requiring autonomous decision-making and a swift shift from bedside nursing to anesthesia practice, highlight the need for continued enhancement of their preparedness. Background: In anesthesia training, screen-based simulation stands out for its suitability in addressing knowledge-based learning objectives. While high-fidelity scenarios are generally preferred, the literature supports the idea that all levels of fidelity contribute to student learning when applied appropriately. Purpose: This project aims to deliberately integrate screen-based simulation into the didactic year of the nurse anesthesia program and assess its impact on perceived self-confidence among first-year students. Methods: This project used a quality improvement design. The modified Student Satisfaction and Self-Confidence in Learning tool was used as a pre and post-test survey to assess the implementation of screen-based simulation. Thirty first-year SRNAs participated in the survey during the spring semester of 2023. Project Evaluation: The National League for Nursing Student Satisfaction and Self-Confidence in Learning tool was modified and used as both a pre-test and post-test. Utilizing Likert scale questions, the tool encompasses thirteen items, with five gauging student satisfaction and eight assessing confidence in learning. Participants completed identical surveys before and after the virtual simulation activity, and each question was analyzed independently. Student satisfaction and self-confidence scores were averaged to discern an overall trend. Conclusion: This project successfully integrated screen-based simulation into the didactic year of the nurse anesthesia program, demonstrating its potential to enhance student learning and confidence. The positive outcomes, as evidenced by high agreement in both pre-test and post-test surveys, contribute to the evolving discourse on innovative approaches in anesthesia education. Despite limitations such as small sample size and time constraints, the project underscores the efficacy of screen-based simulation as a supplementary educational strategy. Future research endeavors with larger and more diverse samples can provide deeper insights into the effectiveness of screen-based simulation.
- Declaração de direitos:
- http://rightsstatements.org/vocab/InC/1.0/
- La langue:
- English
- Type:
- Research Paper
- Mot-clé:
- virtual simulation, clinical decision-making, knowledge-based learning objectives, levels of fidelity, perceived self-confidence, Student Satisfaction and Self-Confidence in Learning tool, and confidence in learning assessment
- date créée:
- 2024
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