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Anesthesia Simulation in Cardiac Surgery (ASICS).

Jeanna Staun1, Jennifer Lanzillotta2, Matthew Rota3

  • 1is a faculty member at the University of Cincinnati Nurse Anesthesia Program, Cincinnati, Ohio.

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Summary

Nurse anesthesia students gained confidence in cardiac procedures through a new open-heart surgery simulation. This simulation improved self-efficacy before clinical rotations, enhancing preparedness for student registered nurse anesthetists (SRNAs).

Keywords:
Cardiacclinical competenceself-efficacysimulationstudent registered nurse anesthetist

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Area of Science:

  • Anesthesiology
  • Medical Simulation
  • Nursing Education

Background:

  • Nurse anesthesia programs present significant stressors, including information overload and financial burdens.
  • Simulation offers a safe environment for practicing clinical skills, crucial for comprehensive training.
  • A gap exists in simulation literature specifically addressing the transition to cardiac anesthesia rotations for SRNAs.

Purpose of the Study:

  • To develop and implement an open-heart surgery simulation for second-year SRNAs.
  • To enhance SRNAs' self-efficacy before their cardiac clinical rotation.
  • To supplement the existing cardiac curriculum within a Doctor of Nursing Practice program.

Main Methods:

  • An evidence-based practice improvement project was conducted.
  • Twenty-three SRNAs participated in a novel anesthesia simulation focused on cardiac surgery.
  • Post-simulation surveys evaluated SRNAs' confidence and perceived skill transferability.

Main Results:

  • SRNAs reported high confidence in developing skills and knowledge for clinical practice (mean score 4.61/5).
  • The simulation experience was positively evaluated by participants.
  • A strong agreement was found among SRNAs regarding the transferability of simulation-learned skills to clinical cardiac rotations.

Conclusions:

  • The developed open-heart surgery simulation effectively improved SRNAs' self-efficacy.
  • Simulation serves as a valuable tool to prepare SRNAs for challenging cardiac anesthesia rotations.
  • This intervention supports the integration of simulation into nurse anesthesia curricula.