Dissertation
The impact of a push-dose epinephrine reconstitution cognitive aid on performance and anxiety in nurse anesthesia residents during simulation
Doctor of Nursing Practice (D.N.P.), Drexel University
11 Mar 2025
DOI:
https://doi.org/10.17918/etd-7223
Abstract
Medication reconstitution errors among nurse anesthesia residents pose significant risks, particularly with high-risk medications like epinephrine. This project aimed to enhance the accuracy of push-dose epinephrine reconstitution and reduce anxiety levels by incorporating a cognitive aid during simulation-based training. Performance accuracy and anxiety levels were evaluated pre- and post-intervention using the Statistical Package for the Social Sciences (n = 16). A paired sample t-test was performed to assess changes in reconstitution accuracy, while the Wilcoxon Signed-Rank Test measured differences in self-reported anxiety levels. The results demonstrated a significant improvement in accuracy (p < 0.001) and a notable reduction in anxiety (p < 0.002) following the intervention. Additionally, qualitative analysis using schematic analysis of post-survey responses identified helpfulness as the main theme, indicating that participants found the cognitive aid beneficial in reducing anxiety and improving confidence during medication reconstitution. These findings suggest that cognitive aids may improve medication safety and support anesthesia training programs. Keywords: epinephrine reconstitution, cognitive aid, simulation, nurse anesthesia, performance, anxiety
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Details
- Title
- The impact of a push-dose epinephrine reconstitution cognitive aid on performance and anxiety in nurse anesthesia residents during simulation
- Creators
- Sonanika K. ChouhanKelly N. Morales
- Contributors
- Dawn M. Specht (DNP Chair) - Drexel University, Nurse Practitioner Master of Science in Nursing (MSN)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- 71 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Nurse Anesthesia; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 991014632252904721