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. Mary Jane Collins

Committee Chair School

Leadership and Advanced Nursing Practice

Committee Member 2

Dr. Stephanie Parks

Committee Member 2 School

Leadership and Advanced Nursing Practice

Committee Member 3

Dr. Nina McLain

Committee Member 3 School

Leadership and Advanced Nursing Practice

Abstract

Malignant hyperthermia (MH) is a low-frequency, high-impact event that many student registered nurse anesthetists (SRNA) may be unprepared to manage due to limited exposure in clinical practice (Hackl et al., 1990). Lack of preparation for dealing with such low frequency, high impact events can lead to unfortunate adverse events resulting in death (Hackl et al., 1990). Thus, students should be are prepared to handle these situations if an event should occur.

An objective structured clinical examination (OSCE) is a structured method used to assess certain skills and underpinning knowledge required for practice (Harden & Gleeson, 1979). Students are allowed to demonstrate their competence in a given topic under a variety of simulated conditions. The purpose is to evaluate students objectively and independently of the examiner which eliminates bias (Smrekaret al., 2017).

The purpose of this doctoral project is to provide an evidenced-based objective structured clinical examination to The University of Sothern Mississippi (USM) Nurse Anesthesia Program (NAP) using the Malignant Hyperthermia Association of the United States’ (MHAUS) MH protocol. Thus, an OSCE template was created based on the best recommendations supported by MHAUS. The template includes outcomes, objectives, a case scenario, grading rubric, and debriefing form. Further, a demonstration video based on the written protocol was conducted in USM’s simulation lab. The items along with a questionnaire were disseminated through Qualtrics©to a designated panel of experts. Data collected yielded that implementation of the MH OSCE will be beneficial to USM’s NAP program for the usage of faculty and students for the examination tool.

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