Date of Award

Fall 2019

Degree Type

Dissertation/Thesis

Degree Name

Doctor of Nursing Practice (DNP)

School

Leadership and Advanced Nursing Practice

Committee Chair

Nina Mclain

Committee Chair School

Leadership and Advanced Nursing Practice

Committee Member 2

Mary Jane Collins

Committee Member 2 School

Leadership and Advanced Nursing Practice

Abstract

The aim of this best practice guideline (BPG) was to be a resource for anesthesia providers practicing with obese patients undergoing total knee arthroplasty (TKA) and to measure the knowledge of these providers. After dissemination of an executive summary to anesthesia providers in two hospitals in rural Mississippi, an anonymous online survey was provided via Qualtrics software for voluntary participation. The survey consisted of 10 questions. The data collection period was five weeks. Respondents are noted at N=2, and the data was reviewed and categorized into one of three domains (i.e., knowledge, practice, and safety). In the domain of knowledge, respondents indicated a need for a BPG with one indicating insufficient knowledge. In the domain of practice, both respondents indicated the use of various neuraxial techniques; however, one indicated their facility had no standardized screening for obstructive sleep apnea, difficult intubation, or antibiotic prophylaxis for the obese patient population. One provider also indicated a lack of standardized practice concerning the obese patient population. In the domain of patient safety, one provider indicated that their facility does not currently meet the needs of patients undergoing TKA and the other indicating “somewhat.” As indicated by respondents, the BPG did improve their knowledge of the evidenced-based practice for obese patients undergoing TKA. Furthermore, this project can be used to identify future areas of research concerning provider knowledge, practice, and patient safety.

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