Date of Award

Fall 2021

Degree Type


Degree Name

Doctor of Nursing Practice (DNP)


Leadership and Advanced Nursing Practice

Committee Chair

Dr. Michong Rayborn

Committee Chair School

Leadership and Advanced Nursing Practice

Committee Member 2

Dr. Stephanie Parks

Committee Member 2 School

Leadership and Advanced Nursing Practice


The goal behind this doctoral project was to create a tool that could be utilized by student registered nurse anesthetists (SRNAs) at The University of Southern Mississippi (USM) on how to perform both an ankle and a bier block. An objective structured clinical evaluation (OSCE) for performing ankle and bier blocks was the foundation for this doctoral project. Best practice techniques were researched and implemented into the development of this OSCE. The OSCE was developed and aimed at increasing the competency and confidence of SRNAs as they enter the clinical setting.

Patient safety was the center of the development of this OSCE. This OSCE will allow SRNAs to become more confident in performing ankle and bier blocks by practicing these blocks in a controlled environment before entering clinicals. The OSCE will ultimately lead to increased competency and patient safety in the clinical setting.

The ankle and bier block OSCE was provided to four USM faculty members, 17 2nd year SRNAs, and 20 3rd year SRNAs with an anonymous survey to complete. In total, 38 surveys were received. Of the surveys received, 100% of the participants agreed that the OSCE clearly states the instructions on how to perform ankle and bier blocks and that the OSCE includes all of the necessary information for SRNAs to be successful in the clinical setting. Suggestions were provided through survey feedback and some alterations were made to the OSCE to improve the overall effectiveness. Based on literature review and survey results, the OSCE on ankle and bier blocks could potentially benefit SRNAs as they prepare to enter clinicals.