Date of Award

Fall 12-2018

Degree Name

Doctor of Nursing Practice (DNP)


Leadership and Advanced Nursing Practice

Committee Chair

Dr. Mary Jane Collins

Committee Chair Department


Committee Member 2

Dr. Marjorie Geisz-Everson

Committee Member 2 Department



The current practice for the measurement of endotracheal tube (ETT) cuff pressure intraoperatively is subjective, potentially leading to negative consequences for patients. The purpose of this best practice project was to examine and synthesize the current evidence-based literature on measuring ETT cuff pressure and developed a policy recommendation for measuring ETT cuff pressure in the intraoperative setting by anesthesia providers. The ACE star model of knowledge transformation guided this best practice project. An extensive literature review was performed to evaluate and synthesize the current evidence-based research that can be used to develop the policy on measuring endotracheal tube cuff pressure. The developed evidence-based policy was emailed to the panel of experts for review and evaluation per secured USM server. The panel of experts utilized the AGREE-GRS tool to evaluate the evidence-based policy recommendations via Survey Monkey.

The panel members assessed the development, presentation, completeness, and clinical validity of the evidence-based policy recommendations. Policy revisions were made as necessary based on the data collected from the AGREE-GRS tool. The findings revealed a highest to high quality (100%) of agreement in all categories. A greater number of panel members strongly agreed on the components included in the policy recommendations and supporting evidence, and furthermore, all agreed the policy should be implemented in the practice setting. The evidence-based policy and supporting evidence were compiled into an executive summary. The executive summary was distributed to the chief Certified Registered Nurse Anesthetist (CRNA) at a hospital in south Mississippi. This project holds the potential to minimize the variation in measuring ETT cuff pressure while improving patient outcomes and reducing the risk of complications.

Included in

Other Nursing Commons