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Brett Thomas Morgan

Consulting Associate in the School of Nursing
School of Nursing
307 Trent Drive, 3033, Durham, NC 27710

Selected Publications


Supporting CRNA Clinical Practice: A Review of New and Updated Professional Practice Documents.

Journal Article AANA journal · June 2024 The American Association of Nurse Anesthesiology (AANA) Practice Committee, in collaboration with AANA Professional Practice staff, advisory panels, and subject matter experts, annually applies a standardized evidence-based process to review, evaluate, and ... Cite

The Utility of BIS™ Monitoring in Anesthesia for Elderly Patients.

Journal Article AANA journal · June 2024 Aging leads to anatomic and physiologic changes in the brain, making it more sensitive to the depressant effects of anesthetic medications and increasing the risk of postoperative neurocognitive complications such as postoperative delirium and postoperativ ... Cite

Analysis of a Needs Assessment Survey to Develop an Online Resource Repository Supporting Nurse Anesthesia Educators.

Journal Article Nurse educator · May 2024 BackgroundWithout highly qualified nurse anesthesia educators and administrators, the health care system will be threatened by the inadequate supply of certified registered nurse anesthetists (CRNAs).PurposeAmerican Association of Nurse A ... Full text Cite

Integrating the ASRA Pain Medicine Cannabis Consensus Guidelines into Certified Registered Nurse Anesthetist Clinical Practice.

Journal Article AANA journal · August 2023 The American Association of Nurse Anesthesiology Practice Committee and subject matter experts recently evaluated newly published cannabis guidelines titled "ASRA Pain Medicine Consensus Guidelines on the Management of the Perioperative Patient on Cannabis ... Cite

Release of the Workplace Civility White Paper.

Journal Article AANA journal · April 2023 Cite

A Review of New and Updated Professional Practice Documents.

Journal Article AANA journal · June 2022 The American Association of Nurse Anesthesiology (AANA) Practice Committee, in collaboration with AANA Professional Practice staff, advisory panels, and subject matter experts, applies a standardized evidence-based process to review, evaluate, and revise c ... Cite

Supporting the Foundation of Nurse Anesthesia Education: A Report of the Faculty Stabilization Taskforce.

Journal Article AANA journal · June 2022 Without highly qualified educators and educational program administrators, the ability to provide anesthesia and pain management services throughout the healthcare system will be threatened by the inadequate supply of Certified Registered Nurse Anesthetist ... Cite

Faculty development workshop on gender-associated incivility in nursing education.

Journal Article Nursing forum · October 2021 BackgroundMen comprise the minority of entry-level baccalaureate nursing students and are at increased risk of experiencing gender-associated incivility.ProblemUncivil peer-to-peer behavior can negatively affect students' mental and physi ... Full text Cite

Creating a Cognitive Aid for Use During Intraoperative Power Failures.

Journal Article AORN journal · October 2021 An intraoperative power failure (IOPF) is a complete or partial absence of the electrical power supply with or without the availability of a backup generator system during an operative or other invasive procedure. An IOPF can be stressful for the OR team a ... Full text Cite

Basic Airway Management for the Professional Nurse.

Journal Article The Nursing clinics of North America · September 2021 The registered nurse (RN) on a medical-surgical nursing unit may be the first health care professional to encounter a patient with the signs of impending respiratory failure. Importantly, the RN must recognize the signs of respiratory compromise and posses ... Full text Cite

Using a Retrospective Secondary Data Analysis to Identify Risk Factors for Pulmonary Complications in Trauma Patients in Pietermaritzburg, South Africa.

Journal Article The Journal of surgical research · June 2021 BackgroundThe trauma burden in South Africa is significant. The objective of this project was to investigate the incidence of posttrauma pulmonary complications (PPCs) and to identify patient, health risks, and hospital factors, which predispose t ... Full text Cite

Improving Emergency Cricothyroidotomies: Simulation-Based Training for Critical Care Providers.

Journal Article Critical care nursing quarterly · April 2021 This article discusses skill proficiency of providers related to emergency cricothyroidotomies. Various techniques to improve procedural skills were studied. Accurate identification of the cricothyroid membrane via palpation remained consistently inadequat ... Full text Cite

Optimizing Nursing Response to Crisis Events through In-Situ Simulation

Journal Article MEDSURG Nursing · March 1, 2021 To optimize patient outcomes in crisis events, nursing staff should identify a decompen-sating patient quickly and begin competently perform-ing resuscitation tasks. This in-situ simulation project helped improve nursing response to crises in varied medica ... Cite

Point-of-Care Ultrasound in Anesthesia Care: New AANA Practice Document Adopted by AANA Board of Directors.

Journal Article AANA journal · February 2021 The American Association of Nurse Anesthetists recently released a practice considerations document titled, "Point-of-Care Ultrasound in Anesthesia Care," that clinicians, administrators, and other stakeholders are encouraged to download and read in their ... Cite

Maximizing Use of Social Media to Improve Member Engagement in a Professional Organization.

Journal Article AANA journal · December 2020 The North Carolina Association of Nurse Anesthetists recognized concerns surrounding decreased member engagement and communication. Member engagement and communication is the lifeblood of an organization and is directly related to the success of an organiz ... Cite

Considerations for an aging nurse anesthetists workforce.

Journal Article Geriatric nursing (New York, N.Y.) · November 2020 The Certified Registered Nurse Anesthetists (CRNA) workforce is aging. It is estimated that nearly half (49.7%) of the CRNA workforce is age 50 or greater, with those practicing in management positions and as educators having the oldest mean ages. Older CR ... Full text Cite

Increasing Medication Access by Promoting Appropriate Use of Multi-dose Vials.

Journal Article Plastic surgical nursing : official journal of the American Society of Plastic and Reconstructive Surgical Nurses · October 2020 Medication shortage is a problem that affects patients, providers, and institutions of all sizes and scope across the United States. The objective of this quality improvement project was to promote the appropriate use of multi-dose vials (MDVs) by anesthes ... Full text Cite

A historical look at men's involvement in nursing and leadership in GAPNA.

Journal Article Geriatric nursing (New York, N.Y.) · January 2020 The role of men in nursing is not always evident. Men have been care takers in early societies, military health care, and the religious sector. The perception of men in nursing, however, took a shift from one of honor to one of deviance and failure from me ... Full text Cite

Use of Near-Infrared Spectroscopy to Measure Tissue Oxygen Saturation During Total Knee Arthroplasty With Use of a Tourniquet.

Journal Article AANA J · June 2019 The primary purpose of this proof-of-concept quality improvement effort was to evaluate the practicality of using near-infrared spectroscopy (NIRS) to measure tissue oxygen saturation (Sto2) during total knee arthroplasty (TKA) with use of a tourniquet. NI ... Link to item Cite

Sleep safe in clean hands: Improving hand hygiene compliance in the operating room through education and increased access to hand hygiene products.

Journal Article American journal of infection control · May 2019 BackgroundHand hygiene compliance is low among anesthesia providers in the operating room, which places patients at risk of preventable infections. The goal of this project was to improve hand hygiene compliance by educating anesthesia providers o ... Full text Cite

Supporting CRNA Clinical Practice: A Review of New and Updated Professional Practice Documents.

Journal Article AANA journal · June 2024 The American Association of Nurse Anesthesiology (AANA) Practice Committee, in collaboration with AANA Professional Practice staff, advisory panels, and subject matter experts, annually applies a standardized evidence-based process to review, evaluate, and ... Cite

The Utility of BIS™ Monitoring in Anesthesia for Elderly Patients.

Journal Article AANA journal · June 2024 Aging leads to anatomic and physiologic changes in the brain, making it more sensitive to the depressant effects of anesthetic medications and increasing the risk of postoperative neurocognitive complications such as postoperative delirium and postoperativ ... Cite

Analysis of a Needs Assessment Survey to Develop an Online Resource Repository Supporting Nurse Anesthesia Educators.

Journal Article Nurse educator · May 2024 BackgroundWithout highly qualified nurse anesthesia educators and administrators, the health care system will be threatened by the inadequate supply of certified registered nurse anesthetists (CRNAs).PurposeAmerican Association of Nurse A ... Full text Cite

Integrating the ASRA Pain Medicine Cannabis Consensus Guidelines into Certified Registered Nurse Anesthetist Clinical Practice.

Journal Article AANA journal · August 2023 The American Association of Nurse Anesthesiology Practice Committee and subject matter experts recently evaluated newly published cannabis guidelines titled "ASRA Pain Medicine Consensus Guidelines on the Management of the Perioperative Patient on Cannabis ... Cite

Release of the Workplace Civility White Paper.

Journal Article AANA journal · April 2023 Cite

A Review of New and Updated Professional Practice Documents.

Journal Article AANA journal · June 2022 The American Association of Nurse Anesthesiology (AANA) Practice Committee, in collaboration with AANA Professional Practice staff, advisory panels, and subject matter experts, applies a standardized evidence-based process to review, evaluate, and revise c ... Cite

Supporting the Foundation of Nurse Anesthesia Education: A Report of the Faculty Stabilization Taskforce.

Journal Article AANA journal · June 2022 Without highly qualified educators and educational program administrators, the ability to provide anesthesia and pain management services throughout the healthcare system will be threatened by the inadequate supply of Certified Registered Nurse Anesthetist ... Cite

Faculty development workshop on gender-associated incivility in nursing education.

Journal Article Nursing forum · October 2021 BackgroundMen comprise the minority of entry-level baccalaureate nursing students and are at increased risk of experiencing gender-associated incivility.ProblemUncivil peer-to-peer behavior can negatively affect students' mental and physi ... Full text Cite

Creating a Cognitive Aid for Use During Intraoperative Power Failures.

Journal Article AORN journal · October 2021 An intraoperative power failure (IOPF) is a complete or partial absence of the electrical power supply with or without the availability of a backup generator system during an operative or other invasive procedure. An IOPF can be stressful for the OR team a ... Full text Cite

Basic Airway Management for the Professional Nurse.

Journal Article The Nursing clinics of North America · September 2021 The registered nurse (RN) on a medical-surgical nursing unit may be the first health care professional to encounter a patient with the signs of impending respiratory failure. Importantly, the RN must recognize the signs of respiratory compromise and posses ... Full text Cite

Using a Retrospective Secondary Data Analysis to Identify Risk Factors for Pulmonary Complications in Trauma Patients in Pietermaritzburg, South Africa.

Journal Article The Journal of surgical research · June 2021 BackgroundThe trauma burden in South Africa is significant. The objective of this project was to investigate the incidence of posttrauma pulmonary complications (PPCs) and to identify patient, health risks, and hospital factors, which predispose t ... Full text Cite

Improving Emergency Cricothyroidotomies: Simulation-Based Training for Critical Care Providers.

Journal Article Critical care nursing quarterly · April 2021 This article discusses skill proficiency of providers related to emergency cricothyroidotomies. Various techniques to improve procedural skills were studied. Accurate identification of the cricothyroid membrane via palpation remained consistently inadequat ... Full text Cite

Optimizing Nursing Response to Crisis Events through In-Situ Simulation

Journal Article MEDSURG Nursing · March 1, 2021 To optimize patient outcomes in crisis events, nursing staff should identify a decompen-sating patient quickly and begin competently perform-ing resuscitation tasks. This in-situ simulation project helped improve nursing response to crises in varied medica ... Cite

Point-of-Care Ultrasound in Anesthesia Care: New AANA Practice Document Adopted by AANA Board of Directors.

Journal Article AANA journal · February 2021 The American Association of Nurse Anesthetists recently released a practice considerations document titled, "Point-of-Care Ultrasound in Anesthesia Care," that clinicians, administrators, and other stakeholders are encouraged to download and read in their ... Cite

Maximizing Use of Social Media to Improve Member Engagement in a Professional Organization.

Journal Article AANA journal · December 2020 The North Carolina Association of Nurse Anesthetists recognized concerns surrounding decreased member engagement and communication. Member engagement and communication is the lifeblood of an organization and is directly related to the success of an organiz ... Cite

Considerations for an aging nurse anesthetists workforce.

Journal Article Geriatric nursing (New York, N.Y.) · November 2020 The Certified Registered Nurse Anesthetists (CRNA) workforce is aging. It is estimated that nearly half (49.7%) of the CRNA workforce is age 50 or greater, with those practicing in management positions and as educators having the oldest mean ages. Older CR ... Full text Cite

Increasing Medication Access by Promoting Appropriate Use of Multi-dose Vials.

Journal Article Plastic surgical nursing : official journal of the American Society of Plastic and Reconstructive Surgical Nurses · October 2020 Medication shortage is a problem that affects patients, providers, and institutions of all sizes and scope across the United States. The objective of this quality improvement project was to promote the appropriate use of multi-dose vials (MDVs) by anesthes ... Full text Cite

A historical look at men's involvement in nursing and leadership in GAPNA.

Journal Article Geriatric nursing (New York, N.Y.) · January 2020 The role of men in nursing is not always evident. Men have been care takers in early societies, military health care, and the religious sector. The perception of men in nursing, however, took a shift from one of honor to one of deviance and failure from me ... Full text Cite

Use of Near-Infrared Spectroscopy to Measure Tissue Oxygen Saturation During Total Knee Arthroplasty With Use of a Tourniquet.

Journal Article AANA J · June 2019 The primary purpose of this proof-of-concept quality improvement effort was to evaluate the practicality of using near-infrared spectroscopy (NIRS) to measure tissue oxygen saturation (Sto2) during total knee arthroplasty (TKA) with use of a tourniquet. NI ... Link to item Cite

Sleep safe in clean hands: Improving hand hygiene compliance in the operating room through education and increased access to hand hygiene products.

Journal Article American journal of infection control · May 2019 BackgroundHand hygiene compliance is low among anesthesia providers in the operating room, which places patients at risk of preventable infections. The goal of this project was to improve hand hygiene compliance by educating anesthesia providers o ... Full text Cite

A Quality Improvement Project to Increase Adherence to a Pain, Agitation, and Delirium Protocol in the Intensive Care Unit.

Journal Article Dimensions of critical care nursing : DCCN · May 2019 BackgroundIn recent years, the incidence of delirium has grown to epidemic proportions in the intensive care setting with up to 80% of mechanically ventilated patients being affected. This can lead to adverse patient outcomes such as increased len ... Full text Cite

Improving Emergency Airway Knowledge and Self-Efficacy Levels of Outpatient Gastroenterology Staff via Implementation of Online Education and In Situ Simulation.

Journal Article Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates · May 2019 Twenty percent of all ambulatory surgery cases utilizing monitored anesthesia care and sedation report at least one perioperative respiratory complication such as bronchospasm, hypoxia, laryngospasm, or aspiration (). However, the national Standards of Pra ... Full text Cite

Multimodal Pain Management for Major Joint Replacement Surgery.

Journal Article Orthopedic nursing · March 2019 Effective pain management for orthopaedic major joint replacement is key to achieving earlier recovery, better functioning, and high rates of patient satisfaction. In an effort to decrease opioid dependency, practitioners are turning to multimodal pain man ... Full text Cite

Administration of Oral Acetaminophen to Reduce Costs for the Hysterectomy Patient at a Community Hospital.

Journal Article Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · February 2019 PurposeThis quality improvement project aimed to change the practice of administration route of acetaminophen from intravenous (IV) to oral to patients having a hysterectomy at a community hospital, reduce costs, and maintain postanesthesia care u ... Full text Cite

Utilization of the STOP-Bang Questionnaire as a Standardized Screening Tool for Obstructive Sleep Apnea in Veteran Administration Surgical Patients.

Journal Article Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · February 2019 PurposeObstructive sleep apnea (OSA) affects an estimated 20% of the adult surgical population. Veteran patients have many characteristics consistent with OSA, but lack of standardized screening results in decreased detection of patients at risk f ... Full text Cite

Using the Electronic Medical Record to Improve Preoperative Identification of Patients at Risk for Obstructive Sleep Apnea.

Journal Article J Perianesth Nurs · February 2019 PURPOSE: Obstructive sleep apnea (OSA) is a breathing disorder found in surgical patients and associated with complications in the postoperative period. The implementation of a preoperative universal screening process using the STOP-BANG questionnaire to i ... Full text Open Access Link to item Cite

Virtual Orientation of Volunteer Short-Term International Health Teams to Increase Self-Confidence and Cultural and Global Health Competence.

Journal Article Journal of continuing education in nursing · January 2019 International health team volunteers frequently arrive at service sites with considerable lack of confidence and knowledge gaps because of poor preparation. Preservice orientation has been shown to improve knowledge, confidence, and competence, but current ... Full text Cite

The importance of the STOP- BANG questionnaire as a preoperative assessment tool for the elderly population.

Journal Article Geriatr Nurs · 2019 Undiagnosed obstructive sleep apnea (OSA) may adversely impact surgical patients and can lead to increased morbidity and mortality during the perioperative period, especially among the geriatric patient population (Chung et al. 2008, 2012, 2014; McDonald e ... Full text Link to item Cite

Assessing Clinical Utility of Cerebral Oximetry Monitoring During Pediatric Scoliosis Surgery

Journal Article Journal of Pediatric Surgical Nursing · October 2018 IntroductionHigh-quality evidence indicates that active cerebral oximetry monitoring during surgery improves patient outcomes in populations at risk for hemodynamic instability. This proj ... Full text Cite

Diagnosis and Treatment of Common Pain Syndromes and Disorders.

Journal Article The Nursing clinics of North America · September 2018 Management of chronic pain has become a significant challenge for primary care providers, and the population of patients with chronic pain is expected to increase. Common syndromes seen in the primary care setting include myofascial pain syndrome, fibromya ... Full text Cite

Evaluating the Implementation of a Preemptive, Multimodal Analgesia Protocol in a Plastic Surgery Office.

Journal Article Plastic surgical nursing : official journal of the American Society of Plastic and Reconstructive Surgical Nurses · October 2017 Many patients undergoing plastic surgery experience significant pain postoperatively. The use of preemptive, multimodal analgesia techniques to reduce postoperative pain has been widely described in the literature. This quality improvement project evaluate ... Full text Cite

Creation of a Low-Cost Simulated Trachea for Deliberate Practice of Cricothyrotomy and Retrograde Wire Use.

Journal Article AANA journal · August 2017 Simulation is an accepted teaching tool that focuses on active learning and is used to solidify cognitive, motor, critical thinking, and communication skills. This method of experiential learning was introduced and integrated into the distance-based degree ... Cite

Framework for Teaching Psychomotor and Procedural Skills in Nursing.

Journal Article Journal of continuing education in nursing · June 2016 The development of psychomotor and procedural skills requires opportunities for repetitive practice combined with specific, informational feedback from the teacher, another expert, or simulator to correct performance errors. Practice enables learners to re ... Full text Cite

Structured Handover in the Pediatric Postanesthesia Care Unit.

Journal Article Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · February 2016 PurposeTo establish a structured handover in the pediatric postanesthesia care unit.DesignAn observational prequality and postquality improvement design was used.MethodsConvenience samples of 52 preimplementation and 51 postimple ... Full text Cite

Utilization of a Preemptive, Multimodal Analgesic Regimen in Adult Ambulatory Septoplasty Patients: A Quality Improvement Project.

Journal Article ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses · January 2015 This paper describes a quality improvement project designed to decrease postoperative pain, decrease post-operative nausea and vomiting (PONV), decrease time in the recovery room, and increase patient satisfaction in adult ambulatory septoplasty patients u ... Cite