Does an Online Educational Workshop for Certified Registered Nurse Anesthetists Reduce the Perceived Clinical Barriers and Promote Willingness to Change Practice to the Use of Spinal Anesthesia for Patients Undergoing Total Hip Arthroplasty?

Total Hip Arthroplasty (THA) is a commonly performed procedure in the operating room and often the patient population undergoing this procedure are elderly with multiple comorbidities. Despite new research on spinal anesthesia (SA) many hospital facilities continue to utilize general anesthesia (GA). One of the most important adverse outcomes noted with GA is the activation of the neuroendocrine stress response. The neuroendocrine stress response is responsible for increased mortality and morbidity and is activated through pain under general anesthesia. The utilization of spinal anesthesia prevents the activation of the neuroendocrine stress response as pain signals are blocked along the ascending nerve fibers. The purpose of this DNP project was to educate certified registered nurse anesthetist (CRNAs) at an acute care hospital in an urban city in the Midwest via an online educational workshop and identify the perceived barriers that prevent CRNAs from utilizing SA technique in practice for THA patients. This was measured through an online power point presentation module along with a pre-and post-survey. The surveys were designed by using Likert-based questions focusing on the impact of SA and GA on patients presenting for THA, barriers to the use of SA, and their confidence in use of SA in this patient population after participating in the power-point presentation. The results of the survey showed a statistical significance in their confidence in the use of SA of p < .05, demonstrating the impact of the educational module in the post-survey results. Some limitations notable in this study were small study sample, lack of compliance and incentive for participating in this project, technical issues, and lack of in-person training.

Creator

• Sensi, Harjyot

Language

• English

关键词

• general anesthesia
• spinal anesthesia
• barriers
• facilitators
• neuraxial anesthesia
• regional anesthesia
• total hip arthroplasty
• total hip replacements
• post anesthesia recovery unit
• hemodynamic complications
• comorbidities
• CRNAs

Date created

• 2023

Resource type

• Research Paper

Rights statement

• http://rightsstatements.org/vocab/InC/1.0/