Assessing CRNA Perceptions of a Cognitive Aid Focused on Aspiration Pneumonitis: A DNP Project

Abstract

Perioperative aspiration pneumonitis is an uncommon yet potentially devastating complication of anesthesia associated with significant morbidity and mortality. This Doctor of Nursing Practice (DNP) quality improvement project evaluated Certified Registered Nurse Anesthetists’ (CRNAs) perceptions of a newly developed quick reference guide (QRG) designed to support the identification of at-risk patients and provide evidence-based prevention and management strategies. Guided by the plan-do-study-act (PDSA) framework, the project was implemented in a Level 1 trauma center and assessed through pre- and post-implementation surveys. Findings indicated improved alignment with current practice recommendations, increased confidence in recognizing aspiration risk factors, and positive perceptions of the QRG’s accessibility and utility. Despite limited participation, results suggest that integrating a QRG into anesthesia practice at this facility may enhance provider preparedness, improve patient outcomes, and reduce perioperative complications. Future research with larger samples and extended timelines is recommended to strengthen these findings.