Literature Evaluation Table
Summary of Clinical Issue (200-250 words):
Postoperative comfort is important for good surgical outcomes for patients. The control of nausea, vomiting and pain in the postoperative period is important and has a great role in influencing the perception of patients on surgical procedures. Post-operative nausea, vomiting and pain is a significant problem for adult patients receiving general anesthesia. It is influenced by multiple factors related to the patient, surgery, and medications administered preoperative i.e. versed or medications administered intraoperatively. Postoperative pain, nausea and vomiting delays patient recovery, and can lead to unexpected delay in discharges.
The long delays in discharge can also have tremendous psychological burden on the patient that further exacerbates the health issues faced by the patient. Using pre-emptive multimodality medications such as Tylenol, Gabapentin, Celebrex, and Dexamethasone reduces the risk of postoperative pain, nausea and vomiting and increase patient satisfaction. It is for this reason that the PICOT question selected aimed at evaluating the effectiveness of some of the identified interventions in dealing with postoperative symptoms. Therefore, the PICOT question is noted as follows;
PICOT Question: In adult patients undergoing general anesthesia does giving preoperative analgesic and antiemetics decrease pain, nausea and vomiting postoperatively and provide better patient outcomes as compared to not receiving pre-operative meds?
| Criteria | Article 1 |
| APA-Formatted Article Citation with Permalink | Fecher-Jones, I., & Taylor, C. (2015). Lived experience, enhanced recovery and laparoscopic colonic resection. British Journal of Nursing, 24(4), 223–228. https://doi-org.lopes.idm.oclc.org/10.12968/bjon.2015.24.4.223
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| How Does the Article Relate to the PICOT Question? | The study aimed at explaining the lived experience for patients who have undergone laparoscopic surgery on an enhanced program. The links with the PICOT question from the aspect of identifying the outcomes of patients’ post-surgery which the PICOT also aims to also achieve |
| Quantitative, Qualitative (How do you know?) | The study is a qualitative study as it used interviews to collect data, which is common tool for collecting qualitative data. The data analysis approach which was hermeneutical-phenomenological method also indicated the research as qualitative. |
| Purpose Statement | The purpose of this study was to explore patients’ lived experience of undergoing laparoscopic colonic resection on an enhanced recovery (ER) program |
| Research Question | The research question for the study was “what is the lived experience for patients who have undergone laparoscopic procedures on an ER program?” |
| Outcome | The study was able to identify the lived experience of patients who have undergone laparoscopic procedures on an ER program |
| Setting
(Where did the study take place?) |
The study took place in the participants own homes post-surgery |
| Sample | 11 patients were selected to participate in the study |
| Method | Purposive sampling was used to select the study’s participants in a target population of 46 participants. |
| Key Findings of the Study | The study identified that participants of the ER program were keen to
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