SNHP | Nurse Anesthesia DNP Project Presentations

Enhancing Student Registered Nurse Anesthetists (SRNA) Confidence in Awake Tracheal Intubation: A Simulation-Based Educational Project

Presenter Information

Pnemonie RobinsonFollow

Academic Level at Time of Presentation

Graduate

Major

Nurse Anesthesia

List all Project Mentors & Advisor(s)

Dina Byers, PhD, APRN, ACNS-BC; Tiffany Eye, DNP, MA-B, APRN, CRNA

Presentation Format

Poster Presentation

Abstract/Description

Abstract

Purpose: The purpose of this project was to evaluate the effectiveness of deliberate practice, simulation technology, and educational sessions in increasing student registered nurse anesthetist (SRNA) confidence in performing awake tracheal intubation (ATI) for securing difficult airways compared to post-induction video-assisted laryngoscopy.

Methodology: Data collection included pre-test questionnaires assessing participants’ knowledge of the difficult airway algorithm and competence in ATI. Eligible second-year SRNAs attended an ATI simulation and educational session at the Murray State University simulation center, followed by a post-test to measure the impact on knowledge and confidence.

Results: Data analysis revealed competency gaps among SRNAs performing awake tracheal intubation, particularly in patients with difficult airways. These competencies included improved skills in managing difficult airways, enhanced decision-making and clinical judgment, better teamwork and communication, increased patient safety, and heightened patient comfort and trust.

Conclusion: Simulation training enhanced SRNAs’ understanding and competence in ATI while increasing awareness of factors influencing ATI selection over post-induction video-assisted laryngoscopy. Increasing the frequency and duration of ATI simulations may further boost SRNA confidence and proficiency in securing difficult airways.

Keywords:

Awake tracheal intubation, post-induction video-assisted laryngoscopy, difficult airway, student registered nurse anesthetist, simulation training

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Enhancing Student Registered Nurse Anesthetists (SRNA) Confidence in Awake Tracheal Intubation: A Simulation-Based Educational Project

Abstract

Purpose: The purpose of this project was to evaluate the effectiveness of deliberate practice, simulation technology, and educational sessions in increasing student registered nurse anesthetist (SRNA) confidence in performing awake tracheal intubation (ATI) for securing difficult airways compared to post-induction video-assisted laryngoscopy.

Methodology: Data collection included pre-test questionnaires assessing participants’ knowledge of the difficult airway algorithm and competence in ATI. Eligible second-year SRNAs attended an ATI simulation and educational session at the Murray State University simulation center, followed by a post-test to measure the impact on knowledge and confidence.

Results: Data analysis revealed competency gaps among SRNAs performing awake tracheal intubation, particularly in patients with difficult airways. These competencies included improved skills in managing difficult airways, enhanced decision-making and clinical judgment, better teamwork and communication, increased patient safety, and heightened patient comfort and trust.

Conclusion: Simulation training enhanced SRNAs’ understanding and competence in ATI while increasing awareness of factors influencing ATI selection over post-induction video-assisted laryngoscopy. Increasing the frequency and duration of ATI simulations may further boost SRNA confidence and proficiency in securing difficult airways.

Keywords:

Awake tracheal intubation, post-induction video-assisted laryngoscopy, difficult airway, student registered nurse anesthetist, simulation training