USE OF HUMAN PATIENT SIMULATION TO TEACH DIFFICULT AIRWAY MANAGEMENT AND IMPROVE PATIENT SAFETY IN THE NURSE
1 online resource (93 pages) : PDF
University of North Carolina at Charlotte
KAREN ELLIS LUCISANO. Use of human patient simulation to teach difficult airway management and improve patient safety in the nurse anesthesia student. (Under the direction of DR. LAURA A. TALBOT)Introduction: The objective of this study was to determine if scenario-based training (SB) was more effective than task-based (TB) training in teaching a difficult airway algorithm to nurse anesthesia student.Methods: Participants were second year nurse anesthesia students. Simulation was used as both a training and testing modality. Subjects were given a 2 scenario simulation based pre-test and a written test, randomized to receive either 1) lecture and task-based training or 2) lecture and scenario-based training. They were then post-tested with the same 2 simulation scenarios and an objective matched written posttest. Performance was videotaped and evaluated by 2 expert observers based on performance against an idealized algorithm, amount and time of desaturation, and time to secure the airway. Data were analyzed using repeated measures ANOVA and students-t test. Levels of statistical significance were set at á of .05 (one-tail). Results: While performance improved in both groups on all outcome variables the SB group's improvement was statistically significant on the number of deviations from the airway algorithm (Pre-test TB= 23.09, Post-test TB= 16.27, Pre-test SB= 24.25, Post-test, SB = 12.83, interaction F = 2.91, p < 0.05) and written exam (Pre-test TB = 69%, Post-test TB = 73%, Pre-test SB = 70%, Post-test, SB = 81%, interaction F = 3.30, p = 0.05). Conclusion: We found mixed evidence that SB training may offer specific advantages, including improved didactic knowledge and compliance with a complex algorithm, in teaching management of the patient with a difficult airway to novice anesthesia providers. Conversely, the total time of desaturation and lowest desaturation was not statistically significantly different. Subjectively both methods provided a high degree of self confidence in learning and student satisfaction as measured by the Student Satisfaction and Self Confidence in Learning Scale.
DIFFICULT AIRWAYHUMAN PATIENT SIMULATIONNURSE ANESTHESIA EDUCATION
Health Services Research
Travis, LucilleFlowers, ClaudiaCoyle, JosephHarbaugh, Adam
Thesis (Ph.D.)--University of North Carolina at Charlotte, 2012.
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