Impact of An Educational In-Service on Multimodal Postoperative Nausea and Vomiting (PONV) Prophylaxis and Treatment Protocol for Adult Gynecological Surgical Patients
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Postoperative nausea and vomiting (PONV) is a common and distressing complication for adult gynecological surgery patients undergoing general anesthesia. Research findings support that anesthesia care providers using multimodal PONV prophylaxis and treatment protocols among high-risk, gynecological surgery patients incur a lower incidence of PONV and reduced length of stay in the post-anesthesia care unit (PACU). The purpose of this Doctor of Nursing Practice (DNP) project was to determine the impact of an educational in-service provided to anesthesia providers at a local community hospital in Western New York on use of a multimodal PONV prophylaxis and treatment protocol to decrease incidence of PONV and length of stay in the PACU for adult gynecological surgery patients receiving general anesthesia. Specific aims for this project were to decrease incidence of PONV and decrease PACU length of stay for adult gynecological surgery patients receiving general anesthesia. Pre-intervention, a retrospective chart review monitoring anesthesia provider incidence of PONV and PACU length of stay was performed and a Likert-style scale survey was administered to determine perceived anesthesia provider barriers to a multimodal PONV prophylaxis and treatment protocol. Following the in-service, a second chart review was performed to evaluate the impact of the in-service. Data analysis included independent paired t-tests and Chi-Square correlation tests to determine relationships among variables measured for the chart reviews and descriptive statistics for survey data. Although project findings were not statistically significant, findings provided insight for PONV evidence-based practice guidelines to be brought to the forefront for future research.