Date of Award

Spring 4-28-2024

Document Type


Degree Name

Doctor of Nursing Practice (DNP)




Dr. Kacy Ballard, DNP, CRNA

First Committee Member

Dr. Chai Sribanditmongkol, PhD, RN, IBCLC, CNS

Second Committee Member

Dr. Amy Bishop, DNP, AGCNS


Situation Awareness, Anesthesia, Non-Technical Skills, Cognitive Skills

Subject Categories

Medicine and Health Sciences | Nursing


Medical errors are considered one of the top causes of patient death. Closed claims analysis reveals an estimated 50% of claims are associated with preventable events by the anesthesia provider. Errors in anesthesia leading to critical incidents are associated with errors in situation awareness (SA). Identification of human factor variables, such as SA, provides an analysis of observable behavior and intuition necessary to guide crisis management, maintain clinical performance, and mitigate errors in patient safety. The human factor components of human error and SA play critical roles in patient safety and overall clinical anesthesia practice. The viability of simulation assessment delivers a consistent evaluation of learner progression and identifies areas of improvement to provide safe clinical practice and minimize adverse outcomes during patient interaction. Incorporating high-fidelity simulation into a multimodal admissions process for nurse anesthesia programs may provide a vital assessment of candidate SA in managing stressful scenarios and predict overall program progression and success. The evidence-based project serves to evaluate current literature for evidence-based strategies to provide a direct assessment of SA on prospective applicants during applicant interviews to nurse anesthesia programs.

Acknowledgement 1


Acknowledgement 2


Licensing Permission

Copyright, all rights reserved. Fair Use

Included in

Nursing Commons



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