Date of Award

Fall 12-2016

Degree Name

Doctor of Nursing Practice (DNP)

Committee Chair

Dr. Marjorie Giesz-Everson

Committee Chair Department


Committee Member 2

Dr. Bonnie L. Harbaugh

Committee Member 2 Department


Committee Member 3

Dr. Sat Ananda Hayden

Committee Member 3 Department



Metastasis following the surgical resection of primary site breast cancer is a medical issue, which plagues mastectomy patients. The intention of this project was to synthesize current literature in order to make a presentation and disseminate it to Certified Registered Nurse Anesthetists (CRNAs) in southern Mississippi and assess the providers' willingness to change practice. CRNAs took part in a Qualtrics survey after viewing a PowerPoint presentation of evidence regarding anesthesia and metastasis. The presentation illustrated the anesthetic techniques and pharmacological agents utilized, which either mitigate or potentiate a patient's risk for metastasis. The survey assessed for a willingness to change practice. Results from the survey indicate a willingness to change current practice by 18 of the 32 participants based on the evidence presented.