Date of Completion

Spring 5-17-2022

Document Type

Open Access Capstone

Degree Name

Doctor of Nursing Practice (DNP)

Faculty Advisor

Eileen Stuart-Shor, PhD, ANP-BC, FAHA, FAAN

Site Advisor

Ashley Lowery, MSN, AGNP-BC


Background: Nurse Practitioners (NPs) are broadly educated to the population-based role in which they practice. Further education in subspecialties is essential as more NPs are working autonomously in highly specialized care areas.

Problem: In the Department of Anesthesia at a large urban hospital, perioperative anesthesia NPs lack formal training in the subspecialty of anesthesia, which contributed to a lack of self-efficacy when responding to anesthesia emergencies.

Methods: An asynchronous multimodal brief instructional video accompanied by an in-situ simulation of an anesthesia emergency was developed to increase knowledge and confidence in perioperative anesthesia nurse practitioner response to anesthesia emergencies.

Results: A total of 8 perioperative anesthesia NPs (73% of the staff) participated in the multimodal educational intervention, and 100% of the participants experienced an increase in knowledge to locate emergency anesthesia equipment, along with increased confidence levels in responding to an anesthesia emergency scenario after watching the video and performing the insitu simulation.

Conclusion: Deploying a multimodal educational video along with an in-situ simulation was effective in increasing participant’s self-efficacy when responding to an anesthesia emergency, and was found to be feasible. Inadequate educational resources, poor inclusivity of the NPs in the culture of education, and limited time allotted for education were addressed by providing open access of the video on the internet. In-situ simulation reinforced education through a realistic hands-on scenario and provided repetition with the use of Rapid Cycle Deliberate Practice.