Shortages of anesthesia medications pose significant risks to patient safety. Despite this, no standardized educational program was located to regularly update practicing anesthesia providers nor was this topic identified by the Council on Accreditation of Nurse Anesthesia Educational Programs as a requirement for nurse anesthesia training programs. The purpose of this project was to develop an evidence-based Teaching Plan for novice certified registered nurse anesthetists. A directed content analysis identified key themes from relevant literature. Themes included counts and patterns of medication shortages, lack of alternatives, impact on patient safety, professional concerns related to changes in practice, quality concerns, characteristics, causative factors of drugs commonly in shortage, implications of shortages on anesthesia delivery, and suggested interventions to mitigate the effects of drug shortages on anesthesia delivery and patient safety outcomes. A draft Teaching Plan was developed from identified themes. Eighteen content areas on the plan were submitted to a panel of 23 experts using an Expert Content Validity Form with a 4-point scale. Twelve Expert Content Validity Forms were returned with a response rate of 52%. The Item Content Validity Index range was 0.80 to 1.00 and the Survey Content Validity Index was 0.88. Comments recorded by experts were reviewed for possible inclusion, exclusion, or editing of content areas. Following review of Item Content Validity Index scores and qualitative comments on the content areas of the draft Teaching Plan, the draft content areas and Teaching Plan were accepted.
Worley, Daniel and Zimmerman, Beata, "An Evidence-Based Teaching Plan for Novice Certified Registered Nurse Anesthetists on Medication Shortage Safety Threats and Management" (2022). DNP Scholarly Projects. 1.
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