Implementation of a Spaced Learning Program for Educating CRNAs on a Scalpel-Bougie Cricothyrotomy Procedure for Emergency Front of Neck Access.

Autor: Padula AT; is an Assistant Professor of Nurse Anesthesia at Columbia University School of Nursing, New York, New York; and a CRNA Managing Partner at Modern Anesthesia Care Solutions, PLLC, Oxford, Connecticut. Email: ap2168@cumc.columbia.edu., Elwell J; is Clinical Professor and Director of the DNP Program, University of Connecticut, Storrs, Connecticut. Email: Joy.Elwell@uconn.edu., Madonick M; is a CRNA Managing Partner at Modern Anesthesia Care Solutions, PLLC, Oxford, Connecticut. Email: Maria.Federico.Madonick@gmail.com., Wilhelm M; is a CRNA for the Connecticut Air National Guard, Bradley AFB and Chief Obstetric CRNA for the University of Connecticut Health Center, Farmington, Connecticut. Email: Wilhelmmi@gmail.com., Boyd D; is an Assistant Professor and Associate Director of the Nurse Anesthesia Program at Columbia University School of Nursing and a CRNA at New York Columbia Presbyterian-Weill Cornell Hospital, New York, New York. Email: drb2102@cumc.columbia.edu.
Jazyk: angličtina
Zdroj: AANA journal [AANA J] 2024 Apr; Vol. 92 (2), pp. 145-152.
Abstrakt: Certified registered nurse anesthetists (CRNAs) who are responsible for airway management, may lack adequate continuing education for emergency front of neck access (EFONA), an advanced skill necessary in situations when a patient cannot be intubated and cannot be oxygenated (CICO). The purpose of this study was to improve CRNA knowledge and confidence when performing a scalpel-bougie cricothyrotomy for EFONA in a CICO event through the implementation of a spaced learning intervention. Thirteen CRNAs at a 160-bed community hospital participated in a 3-week educational intervention. Week 1: online preintervention survey followed by an educational video. Week 2: video review and skills component practiced on a cricothyrotomy trainer. Week 3: skills component practiced on a cricothyrotomy trainer followed by postintervention survey. This was a single-arm study and Wilcoxon sign ranked tests and a paired t-test were utilized to monitor for change in CRNA knowledge, confidence, and skill in performing EFONA. Implementation of a 3-week spaced learning program for educating CRNAs to perform a scalpel-bougie cricothyrotomy significantly increased CRNA knowledge, confidence, and skill when performing EFONA. Utilizing a spaced learning program may therefore improve provider skills, resulting in optimized patient care during a CICO event, leading to improved patient safety and outcomes.
Competing Interests: Name: Antoinette T. Padula, DNP, MS, CRNA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None Name: Joy Elwell, DNP, FNP-BC, APRN, CNE, FAAN, FAANP Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None Name: Maria Madonick, DNAP, MS, CRNA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None Name: Michael Wilhelm, DNP, MS, CRNA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None Name: Don Boyd, PhD, MS, CRNA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None
(Copyright © by the American Association of Nurse Anesthetists.)
Databáze: MEDLINE
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