INITIAL ASSIGNMENT Part 1: Patient Safety Problem Describe t
INITIAL ASSIGNMENT Part 1: Patient Safety Problem Describe the… INITIAL ASSIGNMENTPart 1: Patient Safety ProblemDescribe the patient safety problem you identified, its causes, and the impact you think it has on patient outcomes. For this problem, describe a specific change in practice that could help improve patient outcomes.Part 2: Research on Patient Safety ProblemDevelop a researchthat tests the effectiveness of your practice change in the improvement of one or more patient outcomes. What type of research would you use to answer this ? Describe the reasons why you think this is the best approach and why you would not use the other three types of research.MY Student discussion PostPatients are anxious before surgery. When asked to fast after midnight, they also become hungry, thirsty, and uncomfortable. Surgery creates unique nutrition needs for the body. As healthcare workers, we aim to prepare our patients in the best way possible to handle the stress of surgery and recovery. Many patients suffer from postoperative nausea and vomiting that can delay recovery times, discharges, increase patient discomfort and reduce satisfaction. Postoperative nausea and vomiting (PONV) are one of the most frequent side effects after anesthesia (Eberhart et al., 2000), affecting up to 30% of patients (Gan, 2002). The inability to eat or drink can be distressing and contribute to poor patient outcomes after surgery, impacting patient satisfaction scores. PONV can also affect or delay the resumption of normal activities and the ability to return to work (Gan, 2002). Carbohydrate drinks are a common intervention to prevent postoperative nausea and vomiting (PONV). Yet, the evidence for their effectiveness appears inconclusive since there are many factors involved in postoperative nausea and vomiting. Improving postoperative nausea and vomiting in patients would increase patient comfort and satisfaction scores while reducing hospital stays.The researchI would like to pose is : How effective are pre-surgery carbohydrate drinks in reducing postoperative nausea and vomiting. The type of research used to test the effectiveness of the pre-surgery carbohydrate drinks would be quantitative/quasi-experimental as it would be conducted to establish evidence for a cause-and-effect relationship. A randomized control trial would be the best approach to answer thisas it would compare the outcomes of patients who receive the carb drink to those who do not. A randomized control trial is the best way to determine causation (Gray & Grove, 2021). One potential downside of this study is that patients who receive the carbohydrate drink may experience more nausea and vomiting than those who receive the placebo. Another downside is that it may be challenging to determine which patients experience PONV after they are discharged. Correlational research focuses on relationships between ideas, and descriptive research measures the relationships among variables making quasi-experimental research the most appropriate for this study (Gray & Grove, 2021) and providing valuable information on the effectiveness of carbohydrate drinks in preventing PONV. References Eberhart, L. H. J., Högel, J., Seeling, W., Staack, A. M., Geldner, G., & Georgieff, M. (2000). Evaluation of three risk scores to predict postoperative nausea and vomiting. Acta Anaesthesiologica Scandinavica, 44(4), 480-488. https://doi.org/10.1034/j.1399-6576.2000.440422.xGan, T. J. (2002). Postoperative nausea and vomiting: can it be eliminated? JAMA, 287, 1233-1236.Gray, J. R., & Grove, S. K. (2021). Burns and Grove’s The Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence (9th ed.). Elsevier. REPLY QUOTE FROM INSTRUCTORAs you pointed out , post-surgery nausea and vomiting often occurs after surgery in some patients. While the intervention has some evidence from the medical literature, consider if the intervention is under the control of nursing. A randomized control trial is typically used as an experimental design, which determines if the intervention is better than a control and does not include comparison of data on the outcome before or after a practice change for the entire post-surgery population in the agency. To expand your ideas based on the readings , share with us some basic advantages and disadvantages of selecting the quasi-experimental design compared to experimental design? MY :I do not understand the instructors response. Is my researchnot posed correctly? I am so confused. Health Science Science Nursing NURS 3151
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