The Redesign of a Regional Anesthesia Course Incorporating a Simulation Module: It's Impact on Preparedness for SRNA Clinical Application
Blau, Alissa
2016-08-31
Abstract
Purpose: The University of Kansas Medical Center (KUMC) Nurse Anesthesia Program has recognized the desire from students to implement simulation modules for regional anesthesia. Student surveys from the regional anesthesia course over the past five years have indicated a strong need for change in the delivery of content. This is in line with the national drive to incorporate more simulation into healthcare education. The purpose of this capstone is to redesign the regional anesthesia course with incorporation of a simulation module to improve the student registered nurse anesthetists' preparedness for clinical rotations and practice as a clinician. The metric of success will be evidenced by increased preparedness for clinical application based on course surveys following the implementation of a new course and the addition of a peripheral nerve block simulation exam. Methods: Satisfaction surveys from the previous five years in the regional anesthesia course from KUMC Nurse Anesthesia Program will be obtained. An extensive review of literature will be conducted on current regional anesthesia practices, simulation techniques, effective learning strategies, and course development to redesign the existing course. A new course design with a low-fidelity simulation module and peripheral nerve block simulation exam was implemented. At the conclusion of the newly formatted course, another course survey was distributed to students and faculty. Feedback from the survey was compared to previous years surveys and analyzed. Any areas of decreased satisfaction will be addressed, and changes to the course will be completed for subsequent semesters. Results: Twenty-four KUMC nurse anesthesia students enrolled in the Regional Anesthesia course completed the redesigned course and peripheral nerve block simulation exam. In this exam there was no pre-test administered; however, a practice session was held in which students were allowed to practice the interscalene nerve block and become familiar with the expectations. The simulation exam yielded twenty-two students with scores of 90% or greater while two students received scores of 80%; indicating students exhibited competence in the skill. The course evaluation survey had a 75% return rate with eighteen out of twenty-four students completing the survey. Course survey results demonstrated positive feedback from the new course redesign and simulation module. Conclusion: Overall, the course redesign for regional anesthesia at KUMC was a success. Based on the course survey results, students were satisfied with the comprehensive education received in regional anesthesia. The simulation exam, at the conclusion of simulation module, demonstrated increased student retention of information and improved psychomotor skills in peripheral nerve stimulator regional anesthesia techniques. It is important educators continue to adapt to the changing landscape of healthcare education to yield providers capable of delivering safe and effective care for our patients.Subjects
regional anesthesia simulation education active teaching strategies online teaching adult learning
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