title: A pilot study evaluating the perceptions of Certified Registered Nurse Anesthetists toward human patient simulation.
abstract: An evaluation was conducted of perceptions of practicing Certified Registered Nurse Anesthetists (CRNAs) toward use of simulation for initial certification, continuing education, and recertification. The hypothesis was that a 1-day simulation experience would improve their perceptions toward simulation use. The first phase developed content-valid questions to examine CRNAs' perceptions toward simulation. The second phase used these questions to survey practicing CRNAs in the District of Columbia, Maryland, and Virginia. During the third phase, 9 CRNAs were selected to complete a 1-day simulation experience and complete the perception questionnaire before and after the experience. Through content validity index calculations, 25 of 27 questions were retained for use in this study. A total of 378 CRNAs responded to the questionnaire. There was consensus that human patient simulation (HPS) is an important part of anesthesia provider training, and 85.7% strongly agreed, agreed, or somewhat agreed that HPS should be a required component for initial certification. Additionally, 52.9% of respondents agreed (somewhat agreed or strongly agreed) that continuing education units from HPS should be required for recertification. After the simulation, a significant (P < .05) positive change in level of agreement was noted for 13 of 25 questions, including questions related to initial training and recertification.
authors.forename: Robert
authors.initials: R
authors.lastname: Hawkins
authors.forename: Lee
authors.initials: L
authors.lastname: Bendickson
authors.forename: Pretoria
authors.initials: P
authors.lastname: Benson
authors.forename: Lisa
authors.initials: L
authors.lastname: Osborne
authors.forename: Jennifer
authors.initials: J
authors.lastname: McPherson
authors.forename: Larry
authors.initials: L
authors.lastname: Todd
authors.forename: Jennifer
authors.initials: J
authors.lastname: Snelson
authors.forename: Sandra
authors.initials: S
authors.lastname: Bruner
authors.forename: Kevin
authors.initials: K
authors.lastname: Bohan
mesh_terms: D001291:Attitude of Health Personnel; D002568:Certification; D002983:Clinical Competence; D004219:District of Columbia; D004509:Education, Nursing, Continuing / Q000379:methods*; D006801:Humans; D008396:Maryland; D009719:Nurse Anesthetists / Q000193:education* / Q000706:statistics & numerical data*; D016544:Patient Simulation; D010465:Perception; D010865:Pilot Projects; D015397:Program Evaluation; D011795:Surveys and Questionnaires; D013663:Teaching / Q000379:methods*; D014768:Virginia