Date of Award

Fall 2022

Degree Type


Degree Name

Doctor of Nursing Practice (DNP)


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


The University of Southern Mississippi (USM) is lacking a uniform guideline for arterial line placement. This DNP project promotes the addition of an objective clinical structured examination into the nurse anesthesia curriculum for future student registered nurse anesthetists (SRNAs) to gain comprehension and clinical experience in a simulation lab prior to practicing on real patients. Peer-reviewed literature and evidence-based practices have been researched and organized into a learning tool and checklist to be used as a step-by-step guideline. Having a guideline such as an OSCE in place can increase student competency and foster a culture of safety leading to better patient outcomes.

The outcome objective of this OSCE is for future SRNAs to gain confidence in their performance, increase patient safety and satisfaction, and be able to identify risks and potential complications of this procedure. The OSCE was evaluated by a group of anonymous SRNAs, nurse anesthesia faculty, and CRNAs in a short survey to make necessary changes or improvements. Results indicated the OSCE would be beneficial and relevant to future SRNAs and was representative of doctoral work and evidence-based literature. An open-ended question at the end of the survey provided positive commentary. Overall, the results were supportive of the OSCE and no changes were made after the results were reviewed.