Evaluation of the Implementation of ASPAN's Evidence-Based Clinical Practice Guideline for the Prevention and/or Treatment of Postoperative Nausea and Vomiting

2.50
Hdl Handle:
http://hdl.handle.net/10755/601618
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Evaluation of the Implementation of ASPAN's Evidence-Based Clinical Practice Guideline for the Prevention and/or Treatment of Postoperative Nausea and Vomiting
Author(s):
Stephens, Lisa
Lead Author STTI Affiliation:
Non-member
Author Details:
Lisa Stephens, CRNA, lstephens@gru.edu
Abstract:
Session presented on Friday, July 24, 2015: 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, CRNA 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 journaling (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.
Keywords:
Postoperative Nausea and Vomiting; Guideline Implementation
Repository Posting Date:
17-Mar-2016
Date of Publication:
17-Mar-2016 ; 17-Mar-2016
Other Identifiers:
INRC15PST25
Conference Date:
2015
Conference Name:
26th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
San Juan, Puerto Rico
Description:
Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
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.contributor.authorStephens, Lisaen
dc.contributor.departmentNon-memberen
dc.author.detailsLisa Stephens, CRNA, lstephens@gru.eduen
dc.identifier.urihttp://hdl.handle.net/10755/601618-
dc.description.abstractSession presented on Friday, July 24, 2015: 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, CRNA 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 journaling (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.en
dc.subjectPostoperative Nausea and Vomitingen
dc.subjectGuideline Implementationen
dc.date.available2016-03-17T12:50:52Zen
dc.date.issued2016-03-17-
dc.date.issued2016-03-17en
dc.date.accessioned2016-03-17T12:50:52Zen
dc.conference.date2015en
dc.conference.name26th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationSan Juan, Puerto Ricoen
dc.descriptionResearch Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.en
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