Date

4-26-2024

Department

School of Education

Degree

Doctor of Philosophy

Chair

Treg Hopkins

Keywords

Simulation, Self-Efficacy, Neuraxial Anesthetic, Peripheral Nerve Block

Disciplines

Education | Medical Specialties

Abstract

The purpose of this quantitative, causal-comparative study was to determine if simulation training causes a significant increase in clinical self-efficacy in Student Registered Nurse Anesthetists. Simulation training in healthcare has been found to improve patient safety and has become a major tenet of nurse anesthetist education. Self-efficacy has been shown to correlate with improved clinical performance. This study builds on the research involving simulation training and clinical self-efficacy in the SRNA population. A convenience sample of SRNAs was taken from 49 different graduate nurse anesthesia programs across 13 different states. The Schwarzer and Jerusalem General Self-efficacy scale was used to measure perceived self-efficacy following simulation training of neuraxial anesthesia and peripheral nerve block administration. Data was collected through a survey from students with one or more sessions of the above simulated experiences prior to performing the technique in clinical, and from students with no simulated experience prior to performing the technique in clinical. Two independent t tests conducted showed no significant difference between SRNAs with no neuraxial or peripheral nerve block simulation versus SRNAs with one or more neuraxial or peripheral nerve block simulation sessions. However, the results of this study did indicate lower self-efficacy scores in SRNAs who had no simulation experience prior to completing either a neuraxial anesthetic or peripheral nerve block for the first time in clinical. Future research should focus on ways to implement simulation training of different anesthetic techniques and their impact on clinical self-efficacy in SRNAs.

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