Lee Wiggins Laura, Morrison Suzanne, Lutz Calvin, O'Donnell John
has been the program director for the Nurse Anesthesia Regional Anesthesia Training Course at the Peter M. Winter Institute for Simulation, Education, and Research in Pittsburgh, Pennsylvania, since 2013. She also is the chief nurse in charge of education and training at the 911th Aeromedical Staging Squadron at the Pittsburgh International Airport Air Force Reserve Station, Pittsburgh.
has been an associate professor since 2013 at the University of Pittsburgh and received the Pennsylvania Association of Nurse Anesthetists Didactic Instructor of the Year Award in 2016. Her area of scholarly interest focuses on perioperative glucose control, human patient simulation, and translational nursing research.
AANA J. 2018 Apr;86(2):119-126.
The 2011 Institute of Medicine report on the future of nursing recommended that nurses practice to the full extent of their education and training. Nurse anesthetists in certain regions of the country have been unable to maintain regional anesthesia skills because of anesthesia practice models. Factors including increased patient loads, economic motivators, and desire to maintain skill sets are driving evolution of the anesthesia practice model. In many practices, Certified Registered Nurse Anesthetists (CRNAs) now have the opportunity to expand their practice scope to include regional anesthesia. This has created the need for a pathway to rapidly develop or augment skills for CRNAs who have not been performing regional anesthesia. Well-designed and facilitated simulation methods can be effective for teaching and evaluating clinical skills with incorporation of rigorous assessment instruments to ensure consistency in training outcomes. The purpose of this quality improvement project was to determine the effectiveness of a blended-learning regional anesthesia training curriculum on improving CRNA knowledge, skill, and attitude in regional anesthesia administration as part of a clinical credentialing pathway. Forty-nine CRNAs completed all course components, including meeting all skill training thresholds through deliberate practice and use of validated checklists. Knowledge and confidence levels demonstrated significant gains.
2011年医学研究所关于护理未来的报告建议护士应充分发挥其教育和培训水平进行执业。由于麻醉执业模式，该国某些地区的麻醉护士无法维持区域麻醉技能。包括患者负担增加、经济动机以及维持技能组合的愿望等因素正在推动麻醉执业模式的演变。在许多执业环境中，注册麻醉护士（CRNAs）现在有机会扩大其执业范围，包括区域麻醉。这就产生了一条途径的需求，以便为未进行区域麻醉的CRNAs快速培养或提升技能。精心设计并加以推动的模拟方法，结合严格的评估工具，可有效地用于教学和评估临床技能，以确保培训结果的一致性。作为临床认证途径的一部分，这个质量改进项目的目的是确定混合式学习区域麻醉培训课程在提高CRNAs在区域麻醉管理方面的知识、技能和态度方面的有效性。49名CRNAs完成了所有课程内容，包括通过刻意练习和使用经过验证的检查表达到所有技能培训门槛。知识和信心水平有显著提高。
