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Dissertation
Rural County Hospital Difficult Airway Management
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2024
Abstract
Background: A difficult airway scenario is a low frequency event with high mortality consequences. Nurse practitioners are tasked with responding to inpatient airway emergencies at critical access hospitals. Rural healthcare providers have a disadvantage for developing technical and nontechnical skills for crisis management, and lack familiarity with airway management crisis situations. Purpose: This project aimed to increase knowledge and skill at difficult airway management for rural advanced practice providers. Methods: Acute Care Nurse Practitioners (ACNPs) at a rural county hospital participated in this quality improvement project. The project combined education, skills training, and simulation to improve airway competencies and knowledge. Findings: In-situ airway simulations uncovered provider unfamiliarity with emergency airway management equipment and workflow, and prompted necessary practice changes and equipment updates. Data analysis showed statistically significant increases in participants’ ability to manage an adult airway and ability to perform RSI. Provider perceptions of confidence, comfort, and teamwork in airway management crisis scenarios also improved significantly. Discussion: In-situ simulation provides assessment and updating of necessary emergency equipment and resources. Rural ACNPs can improve airway management skills, competency, and teamwork through education, in-person skills training, and simulation.
Details
- Title: Subtitle
- Rural County Hospital Difficult Airway Management
- Creators
- Carter Wevik - University of Iowa
- Contributors
- Kathleen Fear (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Nurse Anesthesia
- Date degree season
- Spring 2024
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright © 2024 Carter Wevik
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984627351402771
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