Effecticeness of Malignant Hyperthermia Simulation Training and Educational Powerpoint on Confidence, Knowledge, and Communication Skills in Critical Care Nurses

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)

Amanda Chilton (Creator)

Institution

The University of North Carolina at Greensboro (UNCG )

Web Site: http://library.uncg.edu/

Advisor

Vadim Korogoda

Abstract: Background: Malignant hyperthermia (MH) is a high acuity low occurrence event. It is classified as an autosomal dominant inherited skeletal muscle disorder, caused by the improper release of calcium from the sarcoplasmic reticulum. When the acute events of malignant hyperthermia are left untreated, the mortality rate is 80-90%. Outside of the operating room, MH is rarely observed but can occur to a patient for 24 hours after transfer from the operating room. Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to evaluate the effectiveness of an educational presentation and MH simulation on intensive critical care (ICU) registered nurse’s (RN) confidence, knowledge, and role clarity while managing an MH crisis at a large regional hospital. Methods: The Awareness to Adherence model and Johns Hopkins Evidence-Based Practice model provided guidance for implementation. Critical care registered nurses were invited to a PowerPoint presentation accompanied by an interactive MH simulation performed by the PI. A mixed-methods, quality improvement design using a pre-and post-test survey was used to collect data. Results: A mixed-methods quality improvement design was used to measure ICU RNs’ confidence, knowledge, and role clarity before and after MH education and simulation. Sixteen ICU RNs participated in the project. Descriptive statistics were utilized to analyze data from the sixteen paired pre- and post-test surveys. Preintervention 13% agreed or strongly agreed they knew the initial treatment for MH, post-intervention this increased to 100%, and 94% stated that they could calculate and reconstitute Dantrolene following education and simulation. Conclusion: This project showed that the interventions were successful in enhancing individuals' confidence and knowledge of MH management, which in turn can reduce the morbidity and mortality of patients during an MH crisis. The results of the project suggested that simulation training is an effective tool to improve confidence, knowledge, and role clarity in an MH crisis while preparing for life-threatening emergencies in a safe and controlled environment.

Effecticeness of Malignant Hyperthermia Simulation Training and Educational Powerpoint on Confidence, Knowledge, and Communication Skills in Critical Care Nurses
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Created on 6/25/2024
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Additional Information

Publication

Other

Language: English

Date: 2024

Keywords

malignant hyperthermia, education, simulation, nurse confidence, knowledge, role clarity

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