Residual neuromuscular blockade (rNMB) is a critical patient safety concern resulting from incomplete neuromuscular recovery after anesthesia. Despite evidence supporting quantitative neuromuscular monitoring (QNM) to reduce rNMB, subjective assessments remain prevalent among Certified Registered Nurse Anesthetists (CRNAs), increasing postoperative risks. This Doctor of Nursing Practice project educated CRNAs on QNM, addressing knowledge gaps and improving confidence and attitudes (CA) toward its use.
Conducted at a large academic hospital, the project targeted 43 CRNAs with at least one year of experience. Participants completed an online, self-paced educational module covering rNMB risks, limitations of subjective monitoring, and QNM benefits. Pre- and post- intervention surveys assessed changes in knowledge and CA. Wilcoxon signed-rank test results showed significant improvements in knowledge (z = 4.079, p < .001) and CA (z = 4.792, p < .001), confirming the intervention’s effectiveness.
This project highlights the role of targeted education in promoting evidence-based practice (EBP) among CRNAs. While improvements in knowledge and CA were observed, the immediate impact on clinical practice remains undetermined. Future research and projects should evaluate long-term behavior changes, patient outcomes, and sustainable QNM integration in anesthesia care.
-
Prospective Students
-
Faculty and Staff
-
Current Students
-
Alumni and Friends