Research
Dr. Chuck Biddle, Dr. Michael Fallacaro, and Dr. William Hartland continue to spearhead an
aggressive patient safety research and education program that involves the use of highly realistic reenactments of negative
patient events that occur in the hospital at large and in the critical care areas in particular. Funding has come from a
number of sources to assist this work, most recently involving a collaborative effort with the American Association of Nurse
Anesthetists that will involve the production of a video series that will educate anesthesia providers nationwide about the
Scope and Standards for Nurse Anesthesia Practice. Follow-up, objective outcomes research is also planned for this ambitious
project.
| The Research Department's goal is to allow students to: |
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understand the importance of research to the professional socialization of the nurse anesthetist; |
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acknowledge the ways in which we come to know things in the context strengths/weaknesses; |
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appreciate the components/stages of the research process; |
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describe the importance of selecting/understanding the research design given the study objectives; |
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anticipate and evaluate the appropriateness of the statistical procedures employed; |
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evaluate the research article based on reasonable and established criteria; |
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explain the major mistakes which attend each stage of the research process; |
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identify the importance of Institutional Review Board approval in the conduct of inquiry; |
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rationally approach a situation dealing with academic misconduct; |
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become a critical consumer of the literature; |
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suggest alternatives and new initiatives to prevailing paradigms. |
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| Research Teaching Strategies |
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Role Modeling |
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Lecture |
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Practice Activities (critiquing published articles, proposal writing, preparing
annotated bibliographies, oral presentations, etc.) |
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Engaging in a Socratic dialogue |
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Assigned readings |
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Pre-released videos (On Being A Scientist, Why Scientists Cheat, etc) |
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Invited guest lecturers |
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| Dr. G. Wallen of the National Institutes of Health, Ms. Corbett, Senior Nurse
Anesthesia Student, and Dr. C. Biddle, Professor, VCU |
Recent Nurse Anesthesia Departmental Scholarship
| Peer Reviewed Journal Publications |
| Hartland W, Fallacaro M, Biddle C. Accessing the living laboratory, Trigger films as an
aid to developing, enabling and accessing anesthesia clinical instructors. AANA JO. 71:287-291:2003. |
| Crosby F, Dunn J, Fallacaro M. Preadmission characteristics of advanced practice
nursing students. Nurse Prac Ed. 15:429-431, 2003. |
| Lahaye L, Biddle C. Errors in healthcare. Part I. Definitions, epidemiology and
enlightened considerations. Current Rev Nurse Anesth. 26,6:2003. |
| Lahaye L, Biddle C. Errors in healthcare. Part II. What are we doing about errors in
medicine and nursing? Current Rev Nurse Anesth. 26,7:2003. |
| Fritzlen T, Kremer M, Biddle C. Peripheral nerve injury during anesthesia management:
A national investigation of anesthesia closed claims. AANA JO. 71:347-351, 2003. |
| Monti Seibert E. Rural nurse anesthesia practice: a pilot study. AANA JO. 72:181-190,
2004. |
| Biddle C, Biddle R. Blood transfusion is a tissue donation with immunological
consequences. Current Rev Perianesthesia Nurse. 26:75-79, 2004. |
| Campbell R, Biddle C, Hotchkiss M. Fiberoptic determination of LMA placement:
Epiglottoscopy versus traditional direct approaches. Journal of Oral and Maxillofacial Surgery. 62:1108-1113, 2004. |
| Biddle C, Hartland W, Fallacaro MD. Patient safety vignettes: Preliminary observations
on a novel use of an old methodology. Internet Journal of Allied Health Sciences and Practice. January 2005, Volume 3,
number 1. http://ijahsp.nova.edu. ISSN 1540-580X. |
| Biddle C. The long term use of opiates for chronic pain: Laputa revisited? AANA JO. 73:
2005. |
| Mattingly E, (recent graduate of program) Arrhythmia management devices and
electromagnetic interference. AANA JO. 73:129-135, 2005. |
| George-Gay, B., Parker, K. Understanding the Complete Blood Count (CBC) with
differential. Journal of Perianesthesia Nursing. April 2003. |
| Baker K (current student in program), Biddle C. In search of the Holy Grail: A tour of
reflexes of particular relevance to the anesthetists. Current Reviews for Nurse Anesthetists. 28:135-140, 2005. |
| Davis C. "Uptake & Distribution of Inhaled Anesthetics." Current Reviews in Clinical
Anesthesia.. 2002. |
| Davis C. A Practical Approach to Cardiac Anesthesia. AANA JO. 71:196, June 2003. |
| Freeman, R.C., Seibert, E. (2005). Keyed vaporizer refilling not infallible (letter to
editor). AANA Journal, 73:337-8. |
| Seibert, E. (2005). Area Health Education Centers and Health Education Training Centers:
A well-kept secret. AANA Journal, 73:345-349. |
| Monti, E.J., Hill D., & Dorman L. (2004). Positioning in anesthesia and surgery. In:
Zaglaniczny KL, Naglehout JJ, Eds. Nurse Anesthesia (3rd ed.). Philadelphia: WB Saunders. |
| Monti, E.J. (2004). Cardiac Rhythm Management Devices. In: M. Karlet, Ed., Nursing
Anesthesia Secrets. Philadelphia: WB Saunders. |
| Monti, EJ, Alexander, JA, Lupien, AE. (2004) Rural nurse anesthesia practice: A pilot
study. AANA JO. 72, 181-190. |
| Zimmel, M. (recent graduate of program) (2006) A review of the COX-2 inhibitors and
their relevance to anesthesia practice. AANA JO. 74: 49-60. |
| Pickard, K. (2006). Converting from an endotracheal tube to tracheostomy: description
of a proposed alternative approach. AANA JO. 74: 35-38. |
| Biddle C. (2006). The neurobiology of the human febrile response. AANA JO. 74:145-150. |
| Biddle C. Albert Ryder, the inchworm, and the ongoing evolution of the AANA Journal.
August 2006. |
| Toomey M, Biddle C. Itching, the "Little" Big Problem as an Orphan Symptom. AANA JO.
October, 2006. |
| Goldberg J. (2005 graduate of program) A brief laboratory report of
electrocautery-ignited surgical draping. AANA JO. In press, 2006. |
| Toomey M. (current student in program) Prolonged apnea following succinylcholine. A
case report with followup. Student Journal of Anesthesia. In press, Fall, 2006. |
| Biddle C. The history and contemporary applications of noninvasive ventilation. Current
Reviews in Nurse Anesthesia. In press, 2006. |
| Publications: Book Chapters |
| George-Gay, B. Acute Pancreatitis, Peritonitis, Acute Gastrointestinal Bleeding,
Enterocutaneous Fistula in the Gastrointestinal Dysfunctions Chapter. In J. Keen (Ed.), Manual of Critical Care Nursing:
Nursing Interventions and Collaborative Management. 5th Edition, St. Louis, MO: C. V. Mosby, 2005. |
| Biddle C. Acupuncture: An evidence based practice examination. In: Norred C, Wren K
(Eds). Complementary & Alternative Therapies. WB Saunders, Co. Philadelphia. 2003. |
| Fallacaro M. Anesthetic Agents. In: The Chemistry and Physics of Anesthesia. Kier M,
Dowd CS (Eds). AANA Press. Chicago. 2005. |
| Hotchkiss M, Dowd CS, Kier LB. Antibiotic and antiviral agents. In: The Chemistry and
Physics of Anesthesia. Kier M, Dowd CS (Eds). AANA Press. Chicago. 2005. |
| Biddle C. Understanding the gas laws. In: The Chemistry and Physics of Anesthesia. Kier
M, Dowd CS (Eds). AANA Press. Chicago. 2005. |
| Biddle C. Effective communication techniques in the healthcare setting. Chapter 15, In:
Thompson K, Manasse H, (Eds), Improving Medication Safety. American Society of Healthsystem Pharmacists. Chicago, 2005. |
| George-Gay, B., & Chernecky, C. Editors. Clinical Medical Surgical Nursing. W.B.
Saunders, 2002. |
| Chernecky, C., Alichie, C.M., Garrett, K., George-Gay, B., Hodges, B., & Terry, C.,
Author Editors. ECG's & the Heart. W.B. Saunders, 2002. |
| Johnson, D. L. Perianesthesia Nursing. A Critical Care Approach. Care of the Pediatric
Patient. Ed. Cecil B. Drain, Saunders, Elsevier Science, St. Louis, MO, 2003, Chapter 46, Ps. 661-681. |
| Johnson, D. L. Nurse Anesthesia Secrets. Subarachnoid Block. Ed. Mary Karlet, Elsevier
Mosby, St. Louis, MO, 2005, Chapter 49, Ps. 451-461. |
| Davis C. "Advanced Hemodynamic Monitoring." In Kartlet, M. & Scheetz, L. (Eds.),
Nurse Anesthesia Secrets. pp. 55-63. St. Louis, MO, Elsevier Mosby. 2004. |
| Book Reviews |
| Biddle C. Essentials of airway management. Respiratory Care. 50:390-1, 2005. |
| Davis, T. C. A Practical Approach to Cardiac Anesthesia. AANA JO. 71:196, June 2003. |
| Major Invited Oral Presentations |
| Biddle C. Patient safety vignettes as a tool to decrease morbidity and mortality in the
healthcare setting. National Patient Safety Congress. Washington, DC. 2003. |
| Hartland W, Biddle C. Patient safety vignettes. Virginia Patient Safety Congress.
Richmond. 2004. |
| Biddle C. Writing for publication. AANA Annual National Meeting. Seattle, WA. 2004. |
| Glymph D. (student in program). Capillary electrophoresis in fingerprinting low
molecular weight heparins. VCU Graduate Student Research Symposium. 2004. |
| Biddle C. Patient safety vignettes: their role in enhancing safety in the VA Hospital
System. McGuire VA Hospital. Richmond, VA. 2004. |
| Hartland W, Biddle C. Patient safety vignettes as a tool to decrease morbidity and
mortality in the healthcare setting. University of Virginia Health Sciences Center. Charlottesville, VA. 2005. |
| Smith S. (student in program) Effects of morphine and codeine congeners on opioid
receptors in rat thalamus. VCU Graduate Student Research Symposium. 2005. |
| Hartland W. Patient safety education: improving patient safety through patient safety
vignettes. VANA Conference, District 2. McLean, VA. |
| Biddle C. Writing for scholarly publications. AANA Annual National Meeting. Washington,
DC. 2005. |
| Hartland W. Patient safety education: improving patient safety through patient safety
vignettes. VANA Conference, District 5. Richmond, VA. |
| Baker K. A tour of reflexes of particular relevance to the nurse anesthetist. AANA
Annual National Meeting. Washington, DC. 2005. |
| Hartland W. Effective clinical teaching. U.S. Army Nurse Corps. Washington, DC. 2005. |
| Gay B. 2005 Oxygen Delivery vs Consumption: Understanding the Balance, American
Association of Critical care Nurses, National Teaching Institute, New Orleans, LO. May 2005. |
| Gay B. 2004 O2 Transport: Its all About the Cell, American Association of Critical
care Nurses, National Teaching Institute,I, Orlando Florida. May 17th, 2004. |
| Davis C. 31st Annual Refresher Course for Nurse Anesthetists "Clinical Aspects of
Cardiovascular Agents", "Anesthetic Considerations for Coronary Artery Bypass Graft Surgery", "Anesthetic Considerations
for Valvular Heart Disease". Orlando FL, 2003. |
| Davis C. Dannemiller Clinical Refresher Course for Nurse Anesthetists. "Clinical Aspects
of Cardiovascular Agents", "Anesthetic Considerations for Valvular Heart Disease. Orlando, FL, October, 2003. |
| Davis C, Nurse Anesthesia Faculty Associates. 27th Annual Anesthesia Conference.
"Anesthetic Considerations for Throracotomy/Pneumonectomy and the Double Lumen Endotracheal Tube" Williamsburg, VA.
November 2003. |
| Davis C. Winter Workshop 2004. "Anesthetic Considerations for the Patient with Cardiac
Disease for Non-cardiac Surgery". Richmond, VA. |
| Davis C. Nurse Anesthesia Faculty Associates. 28th Annual Anesthesia Conference
"Anesthetic Considerations for Valvular Heart Disease". Williamsburg, VA. November 2004. |
| Monte-Seibert L. February, 2004: "Rural Nurse Anesthesia Practice," Virginia Association
of Nurse Anesthetists Spring Meeting, Richmond, VA. |
| Biddle C. Simulation based patient safety vignettes. 6th Annual VIPC&S Conference.
Richmond, VA. May 2006. Awarded "Best Safety Research Presentation." |
Recent Student Mentoring Successes
| 2003 |
| Mr. Alex Rubo - Winner, National Student Research Award Recognition, AANA "Is there a
ceiling effect to delta-9 THC with regards to opioid treatment of chronic pain in rats?" |
| Ms. Catherine Stafford - Winner, National Student Writing Contest, AANA "The
Starling Resistor: A theoretical model of understanding, treating and avoiding complications of sleep apnea" |
| 2004 |
| Mr. Derrick Glymph - Winner, National Student Research Award Recognition, AANA
"Capillary electrophoresis in fingerprinting low molecular weight heparins" |
| Ms. Emily Mattingly - Winner, National Student Writing Contest, AANA
"Considerations in the managing the patient with a pacemaker" |
| 2005 |
| Mr. Samuel Smith - Winner, National Student Research Award Recognition, AANA
"Effects of morphine and codeine congeners on opioid receptors in rat thalamus" |
| 2006 |
| Ms. Gina Corbett - Winner, Program Directors Outstanding Research Award. Abstract
presentation at American Association of Nurse Anesthetists Annual Meeting, Cleveland, August 2006. "The reliability and
validity of the Corbett Pain Scale in Obtunded Critical Ill Patients: Psychometric Testing." |
| Ms. Jennifer Cross - Honorable Mention, National Student Writing Contest.
"Liposomal encapsulated morphine for intrathecal injection. |
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