Date of Award

Fall 12-8-2022

Degree Type

Dissertation/Thesis

Degree Name

Doctor of Nursing Practice (DNP)

School

Leadership and Advanced Nursing Practice

Committee Chair

Dr. Stephanie Parks

Committee Chair School

Leadership and Advanced Nursing Practice

Committee Member 2

Dr. Michong Rayborn

Committee Member 2 School

Leadership and Advanced Nursing Practice

Abstract

Managing intraoperative hypotension and hypertension is a non-technical skill anesthesia providers need to maintain patient safety. Upon transitioning from didactic training to clinical training, SRNAs may find it difficult to manage a patient’s blood pressure intraoperatively. The ultimate consequence of the delayed or improper treatment of intraoperative blood pressure perturbations is end-organ damage at the patient’s expense. Unintentionally causing a patient harm will lead to an SRNA losing confidence in their abilities. This OSCE is intended to increase SRNA confidence and competence regarding intraoperative hypotension and hypertension management before entering the clinical arena.

The hypotension and hypertension management tools and OSCE template were provided to second-year SRNAs, third-year SRNAs, and licensed CRNAs. After reviewing the information, fifty-six SRNAs and CRNAs participated in a survey regarding the effectiveness of the OSCE. At least 90% of survey participants strongly agreed on the instructions were clear and concise. Additionally, at least 90% of respondents are able to identify the causes of intraoperative blood pressure perturbations and can create a plan of care to treat hypotension and hypertension. After reviewing the survey results, the OSCE for Intraoperative Hypotension and Hypertension Management could improve first-year SRNA’s competence and help prevent poor patient outcomes.

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