Date of Award

Summer 7-31-2016

Degree Type

Project

Degree Name

Doctor of Nursing Practice (DNP)

Department

School of Nursing

First Advisor

Crystal Odle

Second Advisor

Jennifer Stewart-Glenn

Abstract

Abstract

The purpose of this capstone project is to evaluate the knowledge, perceptions, and attitudes of currently practicing, nationally board certified, registered nurse anesthetists regarding the use of desflurane with laryngeal mask airways. This research was conducted by developing a questionnaire and administering it to current nurse anesthetists. A literature review was completed to establish a theoretical framework, summarize and describe the current state of science, and determine the nature and design of this study. Although there are studies regarding desflurane use during the maintenance of general anesthesia using a laryngeal mask airway, there is no current perception-based research regarding the use of desflurane with a laryngeal mask airway. Gaining knowledge about the motives behind the nurse anesthetist’s practices will provide the information to reveal why desflurane is or is not used. These results will assist in promoting change and will encourage using the most up-to-date practice regimens. Attribution theory wasappliedto this study, as this theory explains how behaviors and practices are formed and altered by previous experiences. The survey revealed that a majority of nurse anesthetists had a positive perception of desflurane use with laryngeal mask airways based on their positive attitude, knowledge, and overall positive experience with the use of desflurane with laryngeal mask airways. It was also concluded that nurse anesthetists are using desflurane with laryngeal mask airways safely and effectively on a routine basis. The evidence provided by this survey may be beneficial in developing future research regarding experienced-based practice to establish evidence-based practice guidelines involving the use of desflurane with laryngeal mask airways in future anesthesia management care plans.

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