2.50
Hdl Handle:
http://hdl.handle.net/10755/157742
Type:
Presentation
Title:
Application of Nausea & Vomiting Scales (0-5) in an Acute Care
Abstract:
Application of Nausea & Vomiting Scales (0-5) in an Acute Care
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:Halpin, Angela, MN, RN, CNS
P.I. Institution Name:Hoag Memorial Hospital Presbyterian, Nursing
Title:Council of Nursing Research and Excellence (CNER) chairperson, CNS
Contact Address:One Hoag Drive, Newport Beach, CA, 92658, USA
Contact Telephone:949-764-1453
Co-Authors:Jennifer Bunting, RN, AND, Manager Perianesthesia, PACU; Alfred Lopez, MD, Anesthesiologist
Purpose(s)/Aim(s): 1)  To assess consistency of application of nausea/vomiting (N/V) scale (0-5) ratings and descriptors in acute care. 2) To determine if consistent use of the NV tool would assist the nurses in communication of the Post Operative Nausea and Vomiting (PONV) status with physicians and other health care professionals. Rationale/Background: Better assessment of symptoms directly influences patient distress, quality of life (QOL) and survival (Kirkova et al. 2006; J. Clin. Oncol. 24:1459).  Current tools in the literature address the rate of nausea and vomiting symptoms to measure the distress and patients? assessment.  N/V scales have been devised and tested in multiple settings.  We adapted few versions of assessment tools and performed content validity on 0-5 N/V scales with descriptors prior to evidence-based practice study.  The present study was approved by an Institutional Review Board (IRB) at our institution. Description of Study: This is an evaluative descriptive survey design to assess the benefits of implementing N/V 0-5 scales on nausea and vomiting symptoms, and to communicate the status with patients, physicians, and other health-care professionals.  The nursing team in collaboration with patients and physicians applied these scales and descriptors and evaluated the tools as part of their peri-anesthesia assessments. Their satisfaction was measured on the tools' merits. Outcomes: The interim findings are as follows: 60 of 64 nurses (93%) who applied the N/V tools on 171 patients responded to the survey.  "Understanding of the Scales" seemed to get the highest proportion of positive answers from nurses (83%). Of the nurses who responded to the survey, 76% of them found the vomiting scale easy to rate the severity.  Further, the use of N/V scales indicated that it was easy to confer with physicians related to the choice of medication or treatment at a positive response rate of 63%. Conclusions: In the pre- and post-operative phases, use of the nausea and vomiting scales aids in consistent evaluation and charting of levels and intensity of nausea and episodes of vomiting.  Thus, the N/V scales provide a tool for communication between the nurses, patient and physicians, and chart out a course of treatment.  Further, the study suggests that the N/V scales can be reliably used to measure the clinical outcome of treatment modalities.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleApplication of Nausea & Vomiting Scales (0-5) in an Acute Careen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157742-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Application of Nausea &amp; Vomiting Scales (0-5) in an Acute Care</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Halpin, Angela, MN, RN, CNS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Hoag Memorial Hospital Presbyterian, Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Council of Nursing Research and Excellence (CNER) chairperson, CNS</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">One Hoag Drive, Newport Beach, CA, 92658, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">949-764-1453</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">angela.halpin@hoaghospital.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Jennifer Bunting, RN, AND, Manager Perianesthesia, PACU; Alfred Lopez, MD, Anesthesiologist</td></tr><tr><td colspan="2" class="item-abstract">Purpose(s)/Aim(s): 1) &nbsp;To assess consistency of application of nausea/vomiting (N/V) scale (0-5) ratings and descriptors in acute care. 2) To determine if consistent use of the NV tool would assist the nurses in communication of the Post Operative Nausea and Vomiting (PONV) status with physicians and other health care professionals. Rationale/Background: Better assessment of symptoms directly influences patient distress, quality of life (QOL) and survival (Kirkova et al. 2006; J. Clin. Oncol. 24:1459).&nbsp; Current tools in the literature address the rate of nausea and vomiting symptoms to measure the distress and patients? assessment.&nbsp; N/V scales have been devised and tested in multiple settings.&nbsp; We adapted few versions of assessment tools and performed content validity on 0-5 N/V scales with descriptors prior to evidence-based practice study. &nbsp;The present study was approved by an Institutional Review Board (IRB) at our institution. Description of Study: This is an evaluative descriptive survey design to assess the benefits of implementing N/V 0-5 scales on nausea and vomiting symptoms, and to communicate the status with patients, physicians, and other health-care professionals. &nbsp;The nursing team in collaboration with patients and physicians applied these scales and descriptors and evaluated the tools as part of their peri-anesthesia assessments. Their satisfaction was measured on the tools' merits. Outcomes: The interim findings are as follows: 60 of 64 nurses (93%) who applied the N/V tools on 171 patients responded to the survey.&nbsp; &quot;Understanding of the Scales&quot; seemed to get the highest proportion of positive answers from nurses (83%). Of the nurses who responded to the survey, 76% of them found the vomiting scale easy to rate the severity.&nbsp; Further, the use of N/V scales indicated that it was easy to confer with physicians related to the choice of medication or treatment at a positive response rate of 63%. Conclusions: In the pre- and post-operative phases, use of the nausea and vomiting scales aids in consistent evaluation and charting of levels and intensity of nausea and episodes of vomiting. &nbsp;Thus, the N/V scales provide a tool for communication between the nurses, patient and physicians, and chart out a course of treatment.&nbsp; Further, the study suggests that the N/V scales can be reliably used to measure the clinical outcome of treatment modalities.</td></tr></table>en_GB
dc.date.available2011-10-26T20:09:39Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:09:39Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.