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dc.contributor.authorStephens, Lisaen
dc.date.accessioned2016-03-17T12:50:52Zen
dc.date.available2016-03-17T12:50:52Zen
dc.date.issued2016-03-17
dc.identifierINRC15PST25
dc.identifier.urihttp://hdl.handle.net/10755/601618
dc.description<p>Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.</p>en
dc.description.abstract<p>Session presented on Friday, July 24, 2015:</p> <p>Evaluation of the Implementation of the ASPAN's Evidence-Based Clinical Practice Guideline for the Prevention and/or Treatment of Postoperative Nausea and Vomiting Lisa Stephens DNP, CRN Assistant Professor Georgia Regents University Augusta, GAAims: Postoperative nausea and vomiting (PONV) impacts up to 60% of surgical patients annually. Evidence based guidelines have been developed to guide the prevention/management of PONV; however the impact of guideline implementation on patient outcome has not been evaluated. The purpose of this study was to evaluate the relationship of implementation of anesthesia specific guideline recommendations to the incidence of PONV. A cost/benefit analysis was also conducted. Methods: A secondary data analysis was conducted of local data (N=94) obtained during a prospective multi-center trial involving medical record abstraction and patient jouRNing (N = 2170). The purpose of the original study was to develop a simplified risk model for the prediction of PDNV. Results: Data analysis included descriptive statistics and correlation. 38% of patients were treated according to guideline recommendations; 37% were undertreated and 19% over-treated. Overall incidence of PONV was 22.3%. Number of PONV risk factors and number of anti-emetic medications administered were weakly correlated (r = 0.21, p = 0.004). Incidence of PONV was 18.4% for patients treated according to guideline recommendations, and 35.1% in undertreated patients. Incidence of PONV was 5.2 % in patients that were over-treated. Conclusion: Risk assessment through the use of evidence-based guidelines such as the ASPAN Guideline helps identify patients who would benefit from prophylactic antiemetics and assist providers in identifying strategies to greatly reduce or even eliminate its occurrence. Future research determining the efficacy of the ASPAN guideline is necessary to suggest changes, if any, to the guideline and guide future advancements in algorithm development to eliminate PONV.</p>en
dc.formatText-based Documenten
dc.language.isoenen
dc.subjectPostoperative Nausea and Vomitingen
dc.subjectGuideline Implementationen
dc.titleEvaluation of the implementation of ASPAN's evidence-based clinical practice guideline for the prevention and/or treatment of postoperative nausea and vomitingen
dc.typePosteren
dc.rights.holder<p> All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. </p><p> All permission requests should be directed accordingly and not to the Sigma Repository. </p><p> All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary. </p>
dc.description.note<p>Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.</p>
dc.type.categoryFull-texten
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.contributor.departmentNon-memberen
dc.author.detailsLisa Stephens, CRNen
dc.conference.name26th international Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationSan Juan, Puerto Ricoen
dc.date.conferenceyear2015
dc.contributor.affiliationGeorgia Regents University, Augusta, Georgia, USAen
dc.description.reviewtypeAbstract Review Only: Reviewed by Event Hosten
dc.description.acquisitionProxy-submissionen


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