Date of Award

Fall 12-2022

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. Stephanie Parks

Committee Member 2 School

Leadership and Advanced Nursing Practice


Fiberoptic bronchoscopy (FB) is an essential skill that has been used for years by healthcare providers for diagnostic and therapeutic interventions. The basic components of a fiberoptic bronchoscope include a light source, fiber optics (thin, flexible fibers with a glass core that light can pass through), and a camera (Qanash et al., 2020). The light source and camera work together to enhance the ability of the healthcare provider to visualize the anatomic and physiologic structures and mechanisms while the fiber optics provide a passageway through which the light source can shine. To enhance the effective use of a fiberoptic bronchoscope by anesthesia providers, an Objective Structured Clinical Examination (OSCE) was developed. This doctoral project analyzes the effectiveness of learning through traditional simulation to enhance knowledge of indications and skill of using the fiberoptic bronchoscope by Student Registered Nurse Anesthetists (SRNAs). Additionally, the simulation was performed with a portable fiberoptic bronchoscope simulator called ORSIM. ORSIM technology is a computerized simulation that guides anesthesia providers with the use of a bronchoscope and was designed to enhance the learning and simplicity of the involved airway management procedures.

This doctoral project comprised of five simulation sessions lasting one hour to 90 minutes. Each simulation was performed with two SRNAs with a sample size of 10. A structured outline was provided to participants with information and videos regarding FB use, indications, materials, and simulation setup. Each participant was provided with a post-simulation questionnaire that allowed for data collection to measure knowledge obtained with the simulation. The results of the simulation s highly beneficial based on the final mean results of the participants which showed a 100% increase in confidence in FB aid during airway management.

Available for download on Monday, December 05, 2022