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Implementation of a Spaced Learning Program for Educating CRNAs on a Scalpel-Bougie Cricothyrotomy Procedure for Emergency Front of Neck Access.
- Source :
-
AANA Journal . Apr2024, Vol. 92 Issue 2, p145-152. 8p. - Publication Year :
- 2024
-
Abstract
- 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CONTINUING education units
*SCALE analysis (Psychology)
*REINFORCEMENT (Psychology)
*HUMAN services programs
*T-test (Statistics)
*QUALITATIVE research
*EDUCATIONAL outcomes
*CLINICAL trials
*STATISTICAL sampling
*EMERGENCY medical services
*NURSING
*CONFIDENCE
*DESCRIPTIVE statistics
*MANN Whitney U Test
*INTUBATION
*SURVEYS
*PRE-tests & post-tests
*THEMATIC analysis
*ABILITY
*LEARNING strategies
*CRICOTHYROTOMY
*QUALITY assurance
*AIRWAY (Anatomy)
*DATA analysis software
*VIDEO recording
*TRAINING
*ACCESS to information
Subjects
Details
- Language :
- English
- ISSN :
- 00946354
- Volume :
- 92
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- AANA Journal
- Publication Type :
- Academic Journal
- Accession number :
- 176396472