Date of Award

12-2023

Degree Type

Dissertation/Thesis

Degree Name

Doctor of Nursing Practice (DNP)

School

Leadership and Advanced Nursing Practice

Committee Chair

Mary Jane Collins

Committee Chair School

Leadership and Advanced Nursing Practice

Committee Member 2

Nina Mclain

Committee Member 2 School

Leadership and Advanced Nursing Practice

Abstract

Currently, a knowledge gap exists among anesthesia providers regarding perioperative chest x-ray (CXR) appropriateness and interpretation (Collins, 2022). The Council on Accreditation (COA) requires that students graduating from a nurse anesthesia program (NAP) interpret a minimum of five CXRs before program completion (Council on Accreditation [COA], 2020). This DNP project aimed to address the knowledge gap by offering an easily accessible online forum that guides anesthesia providers on CXR indications in surgical patients, and in identifying pathologies and invasive line and tube placement using CXR.

The authors created four learning modules regarding perioperative CXRs using Microsoft PowerPoint presentations with animation and voiceover. Modules one, two, three, and four covered CXR indications and basic anatomy, endotracheal tube placement (ETT) on CXR, central venous catheters (CVC) and pulmonary artery catheters (PAC) on CXR, and identifying common pathologies respectively. The authors uploaded the presentations to YouTube® and created a post-module assessment using Qualtrics®. An electronic mail invitation which included links to the YouTube® modules and the survey was sent to certified registered nurse anesthetists (CRNA) and student registered nurse anesthetists (SRNA).

The authors evaluated participants’ answers to knowledge-based questions on the post-module survey as quantitative data. The qualitative data included participants’ feedback regarding the overall experience with the online learning module and participants’ preferences regarding educational forums. The quantitative data supported the assertion that an online medium regarding CXR indications and interpretation in anesthesia is an effective learning tool. Both CRNAs and SRNAs provided positive feedback regarding the educational experience.

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