Date of Award
Fall 2020
Degree Type
Dissertation/Thesis
Degree Name
Doctor of Nursing Practice (DNP)
School
Leadership and Advanced Nursing Practice
Committee Chair
Dr. Michong Rayborn
Committee Chair School
Leadership and Advanced Nursing Practice
Committee Member 2
Dr. Nina McLain
Committee Member 2 School
Leadership and Advanced Nursing Practice
Abstract
Developing interdisciplinary teamwork and patient communication skills are essential for the student registered nurse anesthetist (SRNA) to provide quality patient care when administering epidural anesthesia. The synthesis of the evidence revealed limited available information on simulation use for SRNA epidural administration and collaboration. This doctoral project examined the effectiveness of learning through traditional simulation to enhance communication and collaboration between the Bachelor of Science in Nursing (BSN) and the Nurse Anesthesia Program (NAP) students. The BSN and NAP students were provided with a simulation environment to care for a laboring patient while improving patient safety and quality outcomes. The project comprised 5 collaborative simulation sessions lasting 15 to 20 minutes, each with 5 NAP and 5 BSN students.
A Scenario Planning Worksheet with objectives and checklist were provided to BSN participants. An Epidural Objective list and Checklist was provided to NAP participants. Each participant was given a Likert Scale Survey, Debriefing Survey, and Focus Group Questionnaire for evaluation of the effectiveness of the simulation. During the simulation experience, each participant performed well in skills such as verifying pertinent patient information, history, and physical assessment. Each participant had communication deficiencies within the groups such as the process of initiating a timeout before the procedure, communicating signs and symptoms of local anesthetic intravascular injection to the patient, and continued collaboration with the team member throughout the simulation. The project was beneficial overall based on the finalized mean results of the participants, BSN 83% and NAP 93%, suggesting the simulation improved clinical performance, teamwork, communication, and was a valuable learning experience.
Copyright
Jackson, Pierre, 2020
Recommended Citation
Jackson, Chaka K. and Pierre, Aisha, "Using Collaborative Objective Simulation Clinical Evaluation with Undergraduate Nursing Students and Nurse Anesthesia Students Labor Epidural Placement in an Active Labor Patient" (2020). Doctoral Projects. 133.
https://aquila.usm.edu/dnp_capstone/133
Included in
Anesthesia and Analgesia Commons, Anesthesiology Commons, Maternal, Child Health and Neonatal Nursing Commons