Date of Award

Fall 2020

Degree Type


Degree Name

Doctor of Nursing Practice (DNP)


Leadership and Advanced Nursing Practice

Committee Chair

Dr. Nina McLain

Committee Chair School

Leadership and Advanced Nursing Practice

Committee Member 2

Dr. Michong Rayborn

Committee Member 2 School

Leadership and Advanced Nursing Practice


Every surgical procedure requiring general anesthesia begins with the induction process. Induction of general anesthesia can be altered by using a number of combinations of pharmacological agents and airway management techniques to place the patient in an anesthetic state while providing adequate oxygenation. Mastering the induction process as well as airway management are integral parts of being a competent anesthesia provider.

Twenty million endotracheal tubes are placed within the United States annually by medical professionals (Grant, 2013). Endotracheal tube placement can be a stressful process for anesthesia students to master. The aim of this doctoral project is to provide anesthesia students and providers current evidence-based information on general anesthesia induction and rapid sequence induction processes. The doctoral project investigators conducted research compiling current up to date literature on the general induction processes. This objective structured clinical exam (OSCE) allows students to simulate the induction processes within a low-stress environment before experiencing the clinical setting. The research helped mold this observed structured clinical exam as well as a post-examination anonymous survey. Feedback collected from the surveys helped modify this doctoral project for future anesthesia providers.

Sixteen participants including four expert panelists and twelve current students within The University of Southern Mississippi Nurse Anesthesia Program provided feedback through the form of a survey. The survey results showed all sixteen participants felt that information provided within the OSCE was evidence based and currently the standard of practice. Current anesthesia providers and students alike, expressed the idea that providing this doctoral project to anesthesia students would aid in readiness for the clinical setting.