Evaluating CRNA Perceptions of a Clinical Reference Guide for Aspiration Pneumonitis: A DNP Project

Abstract

Aspiration pneumonitis is a serious perioperative complication associated with increased morbidity, extended hospital stays, and higher healthcare expenditures. Prompt recognition of risk factors, early prevention strategies, and appropriate treatment regimens are essential to mitigate adverse outcomes. However, variability in provider awareness and practice can contribute to the delay or inadequacy of interventions. This Doctor of Nursing Practice (DNP) project evaluated the perceived effectiveness of a quick reference guide (QRG) developed to streamline the identification of aspiration risk factors and reinforce evidence-based prevention and treatment techniques for perioperative aspiration pneumonitis. The QRG, along with a narrated PowerPoint, was distributed to Certified Registered Nurse Anesthetists (CRNAs) at a large academic hospital in Eastern North Carolina. Data from pre- and post-implementation surveys demonstrated that the QRG was perceived to be effective in improving knowledge and recognition of aspiration risk factors, increasing participant confidence in implementing prevention strategies, and enhancing consistency in clinical practice. The transition of aspiration prevention quality improvement projects, such as this QRG, into clinical practice can standardize care, reduce aspiration-related complications, and improve perioperative patient outcomes.