Assembly of Didactic and Clinical Educators: Barriers and Facilitators to Certified Registered Nurse Anesthetists' Use of Crisis Resource Management Principles in Clinical Practice (1 Class A CE)

The practice of anesthesia is characterized as complex and dynamic, often involving unpredictable adverse events, interconnected components, and uncertainties. Decision-making based on heuristics, or mental shortcuts, versus best evidence, can lead to poor patient outcomes. ACRM plays an important role in delivering safe and effective patient care. ACRM is a set of cognitive and interpersonal behaviors needed to effectively manage all available resources at hand to execute the care as planned and respond to problems that arise. Numerous educational interventions on developing CRM competencies have been developed and tested in anesthesiology or other health care settings. These educational interventions include didactic and interactive training, problem- or case-based learning, and simulation training. However, recent systematic reviews found that most studies focused on how learners perceived the educational interventions regarding CRM (e.g., satisfaction) or how learners performed CRM skills or principles in simulation labs (e.g., observational scales). In addition, these effective behaviors have not been consistently used in clinical anesthesia practice. Thus, our presentation will introduce our research findings on this knowledge-to-practice gap.