Nurse Anesthesia Department

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    Online Continuing Education Module Transthoracic Echocardiogram
    (2024-02-18) Gallagher, Angelina; Joseph, Arun; Davis, Michael
    A Transthoracic Echocardiogram (TTE) is the utilization of an ultrasound probe to obtain five different views of the heart (Aurora Health Care, 2022). A TTE allows the anesthesia provider to assess a patient’s cardiac ventricles and valves in real-time to elicit information about fluid status, ejection fraction, and rhythm abnormalities. Several observational, pilot, and case studies have shown both hands-on and computer-based training for TTE have been implemented in healthcare education (Anderson et al., 2021; Bhatia et al., 2017; Elison et al., 2020; Goldstein et al., 2020; Goldstein et al., 2021; Haskins et al., 2017; Hempel et al., 2020; Kline et al., 2021; Sanders et al., 2019; Shields & Gentry, 2020). The studies demonstrate how effectively these methods improve TTE skills and knowledge in nurse anesthesia and physician residency programs. Applying this information allows the provider to determine fluid requirements and hemodynamic condition and assess changing cardiac rhythm during the perioperative care period. Certified registered nurse anesthetists (CRNAs) are required to complete continuing education (CE) modules to maintain their licensure through the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA). CE is critical to developing skills and gaining knowledge for all anesthesia providers. This project developed a CE module to teach student registered nurse anesthetists (SRNAs) and CRNAs how to perform a basic TTE to obtain the five views of the heart. AdventHealth University (AHU) SRNAs developed an evidence-based educational module regarding TTE assessment for publication in AHU Echelon and received CE credit approval from the American Association of Nurse Anesthetists (AANA) in September 2023.
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    The Transgender Patient and Perioperative Complications
    (2024-03-15) Cima, Abilio; Dobes, Kelsey; Ta, Bao
    There are an estimated 1.4 million adults in the United States that currently identify as transgender. As the social acceptance of the transgender population continues to increase, it is expected that this number will continue to rise. There are a reported 61% of transgender individuals who have pharmaceutically transitioned with Hormone Replacement Therapy and 25% having undergone Gender Affirming Surgery. As health insurance coverage encompasses treatment options and surgical services for this population, anesthesia providers must be aware of potential perioperative complications. Potential risks include cardiovascular complications, altered respiratory physiology, and distorted airway anatomy. Currently, there is a gap in knowledge in the care of transgender patients among anesthesia providers as well as a lack of a standardized curriculum in anesthesia education addressing transgender patients during the perioperative period and related anesthetic considerations. Therefore, a continuing education (CE) module via the Echelon platform was created to reduce the gap in knowledge among anesthesia providers related to the care of the transgender population in the perioperative setting.
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    Correlation of Variables for Program Success and First Time SEE Scores of the Doctor of Nurse Anesthesia Practice Program Student Registered Nurse Anesthetists at AdventHealth University
    (2023-03-23) Anderson, Brian; Gotay, Derik
    Nurse anesthesia is considered one of the most rigorous fields in advanced practice nursing, and many graduate nurse anesthesia programs have limited availability. Due to the academic rigor of graduate nurse anesthesia programs, selection and admission requirements are established to assist program directors and faculty in selecting candidates with the highest probability of completing the program and passing the National Certification Examination (NCE). The Self-Evaluation Examination (SEE) is taken by student registered nurse anesthetists (SRNAs) to prepare for the NCE, and SEE scores strongly correlate to NCE scores. Evaluation of specific pre-admission variables may assist in identifying applicants most likely to succeed. Methods for this project included the Spearman’s Rho Correlation test of de-identified retrospective data collected by the nurse anesthesia department at AdventHealth University (AHU) to identify statistically significant correlations between the independent and dependent variables, followed by a linear regression analysis of any statistically significant correlations. This study determined the correlations of pre-admission cumulative grade point average (cGPA), science grade point average (sGPA), total Graduate Record Examination (GRE) score, and Health Sciences Reasoning Test (HSRT) overall score with nurse anesthesia program grade point average (NAPGPA) at the end of the fourth trimester and with the SEE total score during the fifth trimester for students who matriculated to AHU’s DNAP Program from 2018 to 2020. This study found the following four statistically significant correlations: cGPA with NAPGPA, cGPA with SEE total score, sGPA with SEE total score, and NAPGPA with SEE total score. This study made four recommendations to the program’s leadership for pre-admission requirements and three recommendations regarding program progression.
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    A Review of the Existing Evidence-based Protocols/guidelines on Oxytocin Dosing during Elective Cesarean Section to Prevent Post-partum Hemorrhage--A Creation of a Class A Pharmacology Continuing Educational Module for Certified Registered Nurse Anesthetist
    (2023-01-15) Lyons, Khadijah; Martinez, Eunice
    Oxytocin is an endogenous hormone, and Pitocin is its synthetic analog often administered in the parturient patient to induce labor and further dilate the cervix. Per the American College of Obstetricians and Gynecologists (ACOG) and American Society of Anesthesiologists (ASA), there are standard dosage and administration guidelines to ensure safe delivery and decrease postpartum hemorrhage (PPH) (2020). Anesthesia providers must understand these administration guidelines to ensure more favorable health outcomes in the laboring woman. Globally, PPH is the leading cause of maternal mortality. A literature review suggests Pitocin via intravenous administration during active labor can significantly reduce postpartum hemorrhage, thus leading to more favorable health outcomes in the parturient patient (Salati et al., 2019). Education is a method of affecting change. A 60-minute evidenced-based Class A pharmacology continuing education (CE) module on the appropriate use of Pitocin to prevent PPH during elective cesarean section was developed for Certified Registered Nurse Anesthetists (CRNAs) and Student Registered Nurse Anesthetists (SRNAs). The goal of the module is to discuss the role of oxytocin in the parturient patient, to provide evidence-based recommendations for intravenous Pitocin dosing during elective cesarean section to prevent PPH, and to understand the physiological changes associated with increased levels of oxytocin.
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    Anesthesia Provider’s Preception on Preserving Asepsis at the Epidural Catheter Hub
    (2023-04-06) Barcelow, Travis; Dominique, Kindra
    Epidural catheter infections occur despite best practice guidance. The incidence of positive infectious cultures obtained from epidural catheters is approximately 23%. While most infections are superficial, the incidence of infection within the deeper epidural space can result in permanent and irriversable neurologic damage. The epidural catheter hub is a potential route of contamination that can occur with repeated injections. There is very little literature focusing on the epidural catheter hub and the contamination with repeated injections. The objectives of this scholarly project is to examine the current practice of anesthesia providers and to evaluate whether the current evidence-based best-practice standards, regarding epidural hub mainenance are being applied consistently. Further investigation is needed and will be conducted by surveying providers to determine if there are inconsistencies among practice. The survey findings may suggest the need for further education regarding need for consistent evidence-based best-practice standards to help reduce the risks for epidural catheter infections.
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    Effect of Airway Management Education on Knowledge, Skill, and Confidence Levels
    (2023-02-19) Reyes, Jessenia; Cadet, Sabine
    Airway assessment and management are crucial skills for nurses managing patients during critical situations; nurses are usually the first healthcare providers to identify a deterioration in patients’ health status. Proper airway management skills increase the chance of survival for a critical patient. Nursing students, however, may have limited exposure to clinical situations in which it is necessary to identify and manage a deteriorating patient leading to a lack of confidence in airway management. The purpose of this scholarly project was to evaluate the effect of an airway management educational module and low fidelity simulation experience on the knowledge, skill, and confidence level of senior student nurses attending AdventHealth (AHU) University Orlando. The design of this evidence-based practice initiative was quasi-experimental with convenience sampling. All 21 AdventHealth University senior nursing students in the Summer 2022 cohort were allowed access if they chose to view the educational content in Canvas prior to attending a simulation lab. This project used convenience sampling and all students were required to participate in a 20-minute pre-simulation educational module and a 30- minute low fidelity airway management simulation lab. However, assessments, such as a pre-test/ post-test, a skills checklist and a satisfaction and confidence questionnaire used to evaluate knowledge, skills, and confidence levels were voluntary and did not impact student grades.
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    The Effect of Smartphone Applications on Graduate Student Stress Levels
    (2023-04-24) McDuffie, Jacob; Spence, Amanda
    Nurse anesthesia students encounter stress in academics, clinical, and personal life. Excessive stress can be a product of poor emotional intelligence (EI) and decreased self-efficacy (Chipas et al. 2012; Molero Jurado et al., 2019). Appropriate use of smartphone applications (app/apps), such as medical resource apps, decreases the stress of decision-making in the clinical setting and increases positive patient outcomes, as well as increases self-efficacy (Molero Jurado, 2019; Green et al., 2017; Ross & Myers, 2017). The aim of this scholarly project is to evaluate the appropriate utilization of the smartphone app UpToDate and its effect on stress among graduate students currently enrolled at AdventHealth University (AHU). This scholarly project will consist of a pretest assessing participants' baseline knowledge of the UpToDate app, how often per week they use the app, and their perceived stress. Following the pretest, a 60-minute educational presentation on the appropriate uses of smartphones and the UpToDate app will be presented. Following the intervention, a post-test will be administered to assess the participant's retained knowledge of the topic. Four weeks following the intervention, a post-test will be administered to assess the participant's perceived stress levels and how often UpToDate was utilized. The objectives of this scholarly project will be for graduate healthcare students who are in clinical trimesters to identify the appropriate utilization of the app UpToDate, increase knowledge of navigation within the app UpToDate, increase the use of the app UpToDate and reduce stress during the student’s clinical rotation at the end of the 4-week period. The anticipated outcome of this project is to have a positive impact on student health, productivity, and clinical and academic performance by reducing the stress of graduate students through the utilization of UpToDate.
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    Anesthesia Workstations as Intensive Care Ventilators During a COVID-19 Surge
    (2023-02-07) Jordan, Jasmin; Estima, Belly
    SARS-CoV-2 is an extremely transmittable virus that causes coronavirus disease 2019 (COVID-19). In the last 20 years, COVID-19 is the third coronavirus pandemic to occur. The SARS virus of 2002, while highly virulent, was not rapidly transmitted and thus did not create a significant strain on healthcare infrastructure. In early 2009, Influenza A (H1N1) like COVID-19 transmitted rapidly throughout the world and increased hospitalizations at an exponential rate but was still treatable with available medical resources. The surge created by COVID-19, however, resulted in an increase in hospitalizations that created such a strain on hospital infrastructure, it became necessary to implement alternative patient care solutions to treat the surge of critically ill patients. As COVID-19 spread, patients showed rapid decline with many requiring respiratory support via mechanical ventilation. This rise in intensive care ventilator use, outstripped available resources and generated an imminent need for unconventional solutions. Anesthesia workstations were rapidly identified as a viable alternative to address the demand for mechanical ventilation devices created by COVID-19. The use of anesthesia workstations within the intensive care environment however, resulted in a knowledge gap for critical care nurses who had no prior exposure to the equipment. Thus, creation of an evidence based online continuing education module in collaboration with Echelon, AdventHealth University's (AHU) professional education division will help decrease critical care nurse knowledge gap regarding the use of anesthesia machines as intensive care ventilators. With a secondary aim of constructing an SRNA guidance protocol that clarifies and improves the CE module development at AHU.
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    Anesthesia Preceptorship and Standardized Methods
    (2023-03-27) Walton, Caval; Bennett, Zachary
    Clinical learning is critical for developing students and graduate advanced practice nurses. Clinical education affects self-awareness, critical thinking, and hands-on skills. Graduate students develop their practice by being precepted by advanced practice preceptors. Clinical learning, however, is negatively impacted by preceptors who may lack appropriate, evidenced based training. Thus, preceptors and their knowledge base play a significant role in this development and could potentially influence future patient outcomes. This scholarly project aimed to address knowledge gaps of advanced practice preceptors by creating an online continuing education module regarding evidence-based precepting approaches for certified registered nurse anesthetists and attempted to submit to the American Association of Nurse Anesthesiology (AANA) for approval which was denied. While developing this module, the current process for creating Continuing Education (CE) modules at AdventHealth University (AHU) was optimized through the application of a Find Organize Clarify Understand Select (FOCUS) Plan-Do-Check-Act (PDCA) cycle to create a protocol that outlines requirements, optimize facilitators and minimize barriers. The FOCUS PDCA cycle is a quality improvement model that will provide a structure for problem-solving. The FOCUS portion of this cycle was addressed in this project and future improvements could be made by future cohorts through implementing the PDCA portion. This project aimed to create a CE module but was denied for lack of evidence to support its creation. A protocol was developed for improving the process of CE module creation with the AdventHealth University’s continuing education division, Echelon.
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    Type Two Diabetes Management in the Latino Community
    (2023-03-31) Cherry, Valerie; Cooper, Brenda
    The Latino community makes up 31.1% of the population in the Central Florida region, and is disproportionately affected by diabetes mellitus (DM) (U. S. Census Bureau, 2019). Proper glycemic control is pivotal to the surgical management of this patient population. Poorly controlled glycemic levels impact the perioperative state and are associated with an increased risk of surgical site infection, embolic events, poor wound healing, postoperative nausea and vomiting, sepsis, and death. There is also an increased risk of further organ damage, such as end-stage renal disease, affecting medication metabolism and excretion (Dreisbach et al., 2009). Type 2 diabetes mellitus (T2DM) patients have shown to have similar surgical outcomes as their non-diabetic counterparts with proper glycemic management (Dagogo-Jack & Alberti, 2002; Tidy & Cox, 2016; Wukich, 2015). Previous quantitative improvement initiatives show a direct correlation between culturally tailored diabetes self-management education (DSME) and a reduction in hemoglobin A1C (HbA1C) (Brown et al., 2011; Chrvala et al., 2016; Fortmann et al., 2017; Garcia et al., 2015; Hildebrand et al., 2020; Hu et al., 2016; Palmas et al., 2014; Pérez-Escamilla et al., 2014; Rosal et al., 2011; Rotberg et al., 2016; Spencer et al., 2018; Weinstock et al., 2011). While this correlation has been proven, no improvement projects found utilized education primarily through an online format nor include an educational focus on disease management's long-term impact. Due to stated deficits, a quantitative improvement project was formulated to address the shortcomings and assess the correlation between DSME and HbA1C.
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    The Effects of Music on Anxiety Levels in Surgical Waiting Rooms for Family and Friends
    (2023-03-19) Bowen, Brittney
    Preoperative anxiety has been proven to cause complications both during and after the procedure. These complications range from aggressive behavior to hemodynamic instability. One factor that may impact preoperative patient anxiety is the anxiety of the family members and friends who accompany the patient. Current literature shows a strong correlation between music and decreased anxiety in family members and friends. Therefore, this project is a quality improvement project to provide potential benefits of using music in waiting rooms and by measuring the different anxiety levels between the two groups. Advanced Aesthetics was chosen as the site for the scholarly project data collection. Working with the key players to identify possible limitations helped the researchers understand the background of the business and the environment involved in observation. Data was collected on 8 days, 4 days with music playing and 4 days without music playing. Each participant was asked to fill out a State Trait Anxiety Inventory (STAI). An independent two sample t-test was used for data analysis to compare the difference between the music group and the non-music group. Statistical analysis was completed on both the state anxiety scores and the trait anxiety scores between the music group and the non-music group. Low participation yielded results that were not statistically significant in the state anxiety scores when music was played versus when music was not played. Overall, the project was well received by both the facility where the study occurred as well as those that did participate. This study can be used for an evaluation of evidence-based recommendations on the use of music in waiting room and its effect on anxiety.
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    Effects of Cleaning an Epidural Catheter Hub with Alcohol and Determination of Neurotoxicity on Rat Astrocyte Cells
    (2023-01-15) Minton, Brandon; Yamber, Courtney
    Patient safety must always be the first concern for anesthesia providers and aligning with evidence-based research provides best practice standards. The standard for cleansing the epidural catheter hub is rudimentary and poorly established as shown by the variations in current practice. Difference in opinions exists between cleansing the epidural catheter hubs with alcohol for bolusing administrations and the risk of causing adhesive arachnoiditis and/or neurolysis/apoptosis in the epidural space. A literature review revealed research concerning skin cleansing prior to placement of neuraxial anesthesia; however, the evidence was absent regarding best practice for epidural catheter hub access. Commentary and guidelines were made based on poor outcomes of two case studies, but no research has focused on epidural catheter hub aseptic techniques and risks to date. The intention of this scholarly project was to conduct an experimental study design with five epidural catheters and pumps infusing onto commercially available rat astrocyte cells after cleansing the epidural hubs with 70% isopropyl alcohol to test the potential presence of alcohol introduced into the epidural space and the risk of adhesive arachnoiditis and neurolysis/apoptosis. Each epidural pump would run an infusion into a sample size of five commercially available rat astrocyte cells. At completion of infusion, the commercially available rat astrocyte cells would be analyzed to determine the presence of alcohol in the cells. Data would be gathered by student co-investigators and sent for analysis using a statistical analysis software package. These results are intended to provide evidence-based recommendations for cleansing epidural catheter hubs with alcohol in anesthesia practice. Due to the nature of this scholarly project and unforeseen limitations the completion of proposed methods was not possible.
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    Mentoring Undergraduate Nursing Students into Graduate Level Nurse Anesthesia Education
    (2023-03-16) Derringer, Melissa; McIntyre, Gabriella
    There is minimal evidence to support or discourage the use of a mentorship program to increase the number of baccalaureate nursing students with the intent to apply to graduate level nurse anesthesia education at the time of graduation. The scholarly project aimed to evaluate the effect of a mentorship program on senior baccalaureate nursing students’ intent to pursue graduate level nurse anesthesia education. The causal relationship between the mentorship program and baccalaureate nursing student intent to apply was evaluated by analyzing results from a survey at the end of the mentorship period. An 8-week mentorship program with an integrated skills lab was completed by the senior baccalaureate nursing students before the survey was completed. This scholarly project sought to provide AHU baccalaureate nursing students and faculty with a one-to-one SRNA led mentorship program. Survey results from this scholarly project are minimally significant due to a small sample size. However, due a small level of increased intent to pursue graduate level nurse anesthesia education, the project results support the need for additional implementation with an increased sample size. Positive results from future studies may prove that implementing mentorship programs can assist in growing the profession of nurse anesthesia.
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    Video Versus Direct Laryngoscopy on Intubation Success Rates in the SRNA
    (2023-03-16) Carter, Daniel; Geyrozaga, Rhonnie; Mahant, Rachel
    General anesthesia can be supported by placing an endotracheal tube through the trachea to provide oxygenation, ventilatory support, and deliver inhaled anesthetics. Two common modes of endotracheal intubation consist of Direct Laryngoscopy (DL) or Video Laryngoscopy (VL). Studies have shown that intubation has been associated with patient complications such as airway trauma and repeated or prolonged attempts at intubation may increase the risks of more severe complications such as hypoxia, hemodynamic instability, cardiac arrest, and death. As novice anesthesia providers, student registered nurse anesthetists (SRNAs) are in the beginning processes of mastering this skill while still maintaining patient safety. Over a 3-month period, first-year SRNAs at AdventHealth University were voluntarily asked to report which tool was used for each intubation and whether the intubation was successful. The Wilcoxon signed-rank test was used to analyze this data. The project’s aim was achieved, which demonstrated a significant difference in median success rate between the two methods. Over the 3-month study period, intubation success with VL was greater than that of DL. In the first month of the study, participants utilized the VL far more than the DL and were more successful with intubating with the VL. By the third month of the study, participants began utilizing the DL more frequently and had greater success when compared to the first month. This demonstrates that VL improves SRNAs intubation success, aids in recognizing pertinent airway anatomy, knowledge, and supports a culture change to one where the use of VL in the SRNA is encouraged.
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    The Impact of Capnography Based Education on Knowledge Modification Amongst Dental Staff: A Process Improvement Project
    (2023-03-31) Akpaka, Pearl; Rolle, Tamesha
    Mild to moderate sedation during dental procedures provide many benefits to the patient and the dentist. However, the depth of sedation occurs along a continuum, and it is impossible to predict how an individual receiving treatment will respond. Many routine monitoring advances have become universally adopted by the dental field including the use of capnography for procedural sedation. The literature and supporting data currently recognize the use of capnography as a valid and reliable monitoring tool for the early detection of oxygen desaturation to prevent adverse outcomes when patients are receiving moderate to deep levels of sedation. Dental providers as well as the assisting staff must be able to diagnose and manage the physiologic consequences that can occur in patients whose level of sedation becomes deeper than intended. This scholarly project aims to examine whether a 30-minute educational session on capnography influences the knowledge retention of the clinical staff employed at a local dental office and to highlight the areas of process improvement. The participants will partake in a quantitative pretest questionnaire designed to establish a baseline level of knowledge regarding the topic, followed by a posttest questionnaire immediately after the presentation, and again after a period of 30 days to assess knowledge retention. Dental practices are utilizing methods to increase patient convenience and satisfaction, and it is the duty of the facility as a whole to ensure that staff have a basic understanding of monitoring equipment, such as capnography, in order to ensure patient safety.
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    Electronic Delivery Systems: An Adolescent Educational Initiative
    (2022) Aguilar, Sergio; Novak, Daniel; Rubio, Christian
    Adolescent consumption of Electronic Delivery Systems (EDS) is considered an epidemic by the Surgeon General for being the most commonly used method of consuming nicotine, chemically enhanced flavorings, THC, or other additives. The increase in prevalence can be correlated to delayed regulations and sanctions, increased advertisements, and disinformation throughout various platforms in the US. The current adolescent perception is that these devices are less harmful than conventional cigarettes, even though harmful carcinogenic agents and irritants are present. As a result, the current perception has increased the number of hospitalizations from pathophysiological disturbances in the brain and lungs, e-cigarette or vaping associated lung injury (EVALI), and addiction rates. Furthermore, to date, analysis of EDS in the local community of Seminole County, Florida, has been minimally addressed, although local school officials have declared concern. Due to the lack of data from the most rapidly growing EDS consumers, this project aimed to address knowledge, susceptibility, perceived risks, and intent for these devices' future consumption. An EDS assessment of adolescent quantitative knowledge from Forest Lake Academy (FLA) students in Orlando, Florida, was performed. Unfortunately, the scholarly project yielded a poor response rate (n=0) of the possible 428 students. Since no statistical analysis was performed, a literature review on incentives and the most appropriate methods to attract adolescents into participating into the scholarly project was evaluated.
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    Community-Based Education of COVID-19 on Hispanic Church Members at Better Life Worship Center in Clermont, FL.
    (2022) Figueroa, Aixa; Yook, Kaitlyn
    The coronavirus disease of 2019 (COVID-19) pandemic has exacerbated the social and economic injustices leading to accentuated health inequities. Health inequities originate from disparate treatment of certain populations based on socioeconomic or sociodemographic characteristics, and leads to inferior access to treatment, life expectancies, quality of life, and heightened severity of disease. A review of the literature highlighted Hispanics as a population that has been significantly affected by health inequities. Hispanics are dying from COVID-19 an average of 10 years younger than their African Americans and 20 years younger than their Caucasians. Furthermore, political, and media-driven controversies have caused the spread of inconsistent and false information regarding COVID-19. Community health education increases awareness, decreases further spread of disease, and improves the overall health of the community. Therefore, in order to bridge the health inequity gap and promote accurate evidence-based information, a 60-minute educational session regarding the health effects, transmission, and prevention of COVID-19 was conducted at Better Life Worship Center (BLWC) in Clermont, FL. A pretest/posttest design was utilized to measure change in knowledge and retention of knowledge in this qualitative, quasi-experimental scholarly project. Statistical analysis of the results showed a significant increase of mean scores between the pretest (mean score = 8.80) and the posttest (mean score = 9.80), with a slight decrease between the posttest and the one-month posttest (mean score = 9.51). These findings further support the foundation of future research into the influence of knowledge on behavior adaptations and safety promotion.
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    Community-Based Health Education and its Effects on African Americans
    (2022) Gibson, Samantha S.; Malivert, Katelynn L.
    The African American (AA) community has a high prevalence of uncontrolled chronic hypertension (HTN). In this community, a lack of health knowledge contributes to inadequate health maintenance of chronic conditions. Unmanaged HTN strongly correlates with life threatening complications in patients receiving anesthesia. A review of the literature suggests that African Americans (AAs) have increased receptibility and improved knowledge with community-based education models. Additionally, throughout the literature, preoperative anesthetic education has been shown to improve patient knowledge before undergoing surgery. Implementation of health education within areas of familiarity has shown to increase the responsiveness to health modification. Our scholarly project utilized community-based preoperative anesthetic education on HTN. This educational project evaluated the knowledge base and retention of blood pressure maintenance and the risks of perioperative HTN complications within our selected population.
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    Obstructive Sleep Apnea and Community-Based Education
    (2022) Keely, Erin; Leonard, Arika
    Obstructive sleep apnea (OSA) is a common sleep disorder that is relatively unknown to the general population. Undiagnosed OSA can have detrimental problems overtime, along with a lack of education on OSA within communities, requires a multidisciplinary approach to implement community-based education. A literature review was performed on various educational approaches and the effects on OSA knowledge base, diagnosis, screening, and adherence rates. A quality improvement scholarly project was performed at a pulmonary and sleep medicine clinic in Orlando, Florida, with a primary purpose to improve participant knowledge base on OSA in patients at risk of OSA, quantified by pretest and posttest scores before and after an OSA PowerPoint presentation video. The secondary purposes of this scholarly project were to improve OSA diagnosis rates after watching the video, quantified by the number of sleep studies obtained by participants within two months and to make evidence-based recommendations to implement the use of the OSA video into routine patient care at the pulmonary and sleep medicine clinic to increase participant knowledge of OSA in participants who are at risk and sleep studies obtained by these participants. Of the 6 patients at the pulmonary and sleep medicine clinic who volunteered to participate in the scholarly project, 5 patients were high risk for OSA. All 6 participants completed the first pretest and posttest. However, only 2 participants completed the second posttest and obtained a sleep study, while the remaining 4 participants refused to answer, limiting the statistical significance of our project. In addition, there was an 11% increase in posttest scores, indicating that our educational video improved the OSA knowledgebase of patients at risk of OSA.
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    The Impact of Cognitive Aids in Simulation Learning on Perception of Clinical Preparedness
    (2022) Cinquemani, Alyssa; Jones, Emily
    Cognitive aids are used in multiple professions to enhance crisis management skills of individuals. Simulation learning is used in all Doctor of Nurse Anesthesia Practice Programs. The simulated clinical experiences may include high fidelity simulation with or without the use of a cognitive aid and has been shown to be of value to medical professions to bridge didactic learning with the delivery of safe patient care. However, the relationship between the use of cognitive aids in simulation learning of Student Registered Nurse Anesthetist and their perception of clinical preparedness has not been assessed. The purpose of the scholarly project is to determine “The Impact of Cognitive Aids in Simulation Learning on Perception of Clinical Preparedness”