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Related Experiment Video

Updated: Jul 9, 2025

Simulator Training for Endovascular Neurosurgery
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Using Simulation Training to Reduce Skill Decay Among Certified Registered Nurse Anesthetists.

Joshua Olson, Arthur Ko, Katherine A Nowak

    Journal of Continuing Education in Nursing
    |December 8, 2023
    PubMed
    Summary

    Low-dose, high-frequency simulation training significantly improved central venous catheter insertion proficiency in certified registered nurse anesthetists (CRNAs). Proficiency was maintained six months later, though confidence levels did not change.

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    Area of Science:

    • Medical Education
    • Simulation Training
    • Anesthesiology

    Background:

    • Skill decay is a critical issue for certified registered nurse anesthetists (CRNAs), potentially leading to adverse outcomes.
    • Low-dose, high-frequency (LDHF) simulation is a proposed method to counteract skill decay.
    • A knowledge gap exists regarding the effectiveness of LDHF simulation for CRNAs, particularly concerning skill retention and confidence.

    Purpose of the Study:

    • To evaluate the effectiveness of LDHF simulation in mitigating skill decay for CRNAs.
    • To assess the impact of LDHF simulation on CRNAs' proficiency and confidence in central venous catheter (CVC) insertion.
    • To address the existing gap in the literature on LDHF simulation for CRNAs.

    Main Methods:

    • A quasi-experimental pretest-posttest follow-up design was employed.
    • CRNAs underwent simulated refresher training for central venous catheter (CVC) insertion.
    • Proficiency and confidence were measured using pretest and posttest evaluations, analyzed with the Wilcoxon signed rank test.

    Main Results:

    • CRNAs demonstrated a significant increase in CVC insertion proficiency, rising from 50% pretest to 94% posttest (p < .0001).
    • Proficiency was retained at 91% six months after the training (p = .0109).
    • No significant change was observed in CRNAs' confidence levels post-training (p = .4486).

    Conclusions:

    • LDHF simulation training is effective for improving and maintaining CVC insertion proficiency in CRNAs.
    • This study validates the efficacy of LDHF simulation programs for CRNAs.
    • The findings contribute to bridging the literature gap on LDHF simulation use among CRNAs.