2.50
Hdl Handle:
http://hdl.handle.net/10755/153851
Type:
Presentation
Title:
Challenges in Implementation of an Interdisciplinary EB Guideline
Abstract:
Challenges in Implementation of an Interdisciplinary EB Guideline
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Keane, Kathleen M., RN, BSN
P.I. Institution Name:Maine Medical Center
Title:Staff Nurse
Nausea and vomiting are frequent side effects impacting comfort and recovery for cardiac surgery patients. Internal evidence from a chart review of cardiac surgery patients determined that 39% of patients received a post-operative antiemetic. Changing the treatment for post-operative nausea and vomiting (PONV) required changes in the physician order set and nurse administration of medications. An interdisciplinary team of nurses, pharmacists, cardiothoracic surgeons, and anesthesiologists searched and critiqued the available empirical evidence, in particular, nationally published consensus guidelines developed in 2003. The guidelines were synthesized in a table outlining strengths, weaknesses, applicability, and feasibility of adoption. Information not covered in the guidelines was addressed separately. Based on this synthesis, an interdisciplinary Evidence Based Protocol for the prevention and treatment of PONV in cardiac surgery patients was developed. At this point, challenges to the project began. Although not new research, this evidence-based quality improvement project did involve collecting demographic data on patients and necessitated meeting all IRB and HIPPA requirements regarding the manner in which patient information is collected. Learning what patient information could and could not be collected without individual informed consent was the first challenge. The logistical challenges of data collection, garnering support of all cardiothoracic surgeons, physician assistants, and anesthesiologists, and review by all appropriate committees and stakeholders were followed by inconsistent interdisciplinary adherence to the protocol. The Clinical Scholar who coordinated this project will speak to the multiple unforeseen issues that arose and how she used available resources to address each challenge of this interdisciplinary evidence-based project, the small steps taken to change the culture.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleChallenges in Implementation of an Interdisciplinary EB Guidelineen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153851-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Challenges in Implementation of an Interdisciplinary EB Guideline</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Keane, Kathleen M., RN, BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Maine Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Staff Nurse</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kkandss@msn.com</td></tr><tr><td colspan="2" class="item-abstract">Nausea and vomiting are frequent side effects impacting comfort and recovery for cardiac surgery patients. Internal evidence from a chart review of cardiac surgery patients determined that 39% of patients received a post-operative antiemetic. Changing the treatment for post-operative nausea and vomiting (PONV) required changes in the physician order set and nurse administration of medications. An interdisciplinary team of nurses, pharmacists, cardiothoracic surgeons, and anesthesiologists searched and critiqued the available empirical evidence, in particular, nationally published consensus guidelines developed in 2003. The guidelines were synthesized in a table outlining strengths, weaknesses, applicability, and feasibility of adoption. Information not covered in the guidelines was addressed separately. Based on this synthesis, an interdisciplinary Evidence Based Protocol for the prevention and treatment of PONV in cardiac surgery patients was developed. At this point, challenges to the project began. Although not new research, this evidence-based quality improvement project did involve collecting demographic data on patients and necessitated meeting all IRB and HIPPA requirements regarding the manner in which patient information is collected. Learning what patient information could and could not be collected without individual informed consent was the first challenge. The logistical challenges of data collection, garnering support of all cardiothoracic surgeons, physician assistants, and anesthesiologists, and review by all appropriate committees and stakeholders were followed by inconsistent interdisciplinary adherence to the protocol. The Clinical Scholar who coordinated this project will speak to the multiple unforeseen issues that arose and how she used available resources to address each challenge of this interdisciplinary evidence-based project, the small steps taken to change the culture.</td></tr></table>en_GB
dc.date.available2011-10-26T12:33:45Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:33:45Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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