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Enhancing Perioperative Care: Elevating Anesthesia Providers' Knowledge and Implementation of Multi-Modal Therapy for Post-operative Nausea and Vomiting Management

MILLER, JESSICA S.
http://orcid.org/0009-0004-5012-2206
http://rave.ohiolink.edu/etdc/view?acc_num=kent1711732942709685

Abstract Details

2024, DNP, Kent State University, College of Nursing.
Post-operative nausea and vomiting (PONV) significantly impacts patients undergoing general anesthesia, leading to dissatisfaction, increased costs, and prolonged recovery. Despite extensive research on prevention and treatment, limited awareness, and inconsistent adherence to guidelines among clinicians persist. This Doctor of Nursing Practice (DNP) project addressed this gap by implementing a student-led educational session for anesthesia providers focused on raising awareness of the Fourth Consensus Guidelines for the Management of PONV. This project evaluated the effectiveness of the session in promoting knowledge acquisition and encouraging providers to adopt recommended Multi-modal Prophylactic Therapy (MPT) protocols. It assessed the perceived usefulness of the session by providers and analyzed changes in alternative antiemetic administration, which indicated a potential guideline adoption. By bridging the knowledge gap and fostering adherence, this project aimed to improve patient outcomes and enhance recovery experiences. Objective: Evaluated the effectiveness of an educational session in promoting guideline adherence, increased the use of MPT, and expanded the utilization of alternative antiemetics for preventing PONV in adult general anesthesia patients. This DNP proposal aimed to enhance anesthesia providers’ awareness of the Fourth Consensus Guidelines for the Management of PONV through education and increase the utilization of MPT involving six antiemetics (Ondansetron, Dexamethasone, Droperidol, Aprepitant, Scopolamine, and Diphenhydramine). The guidelines classified patients as low, moderate, or high-risk, each requiring corresponding management and treatment (Apfel et al., 1999). The educational session was intended to raise awareness of the updated Fourth Consensus PONV Guidelines, MPT, and combination therapies for high-risk PONV patients, providing evidence-based practices for risk factors, prophylactic treatments, intraoperative treatments, and postoperative management, ultimately improving patient outcomes.
Karen Mascolo (Committee Chair)
Sandra Siedlecki (Committee Co-Chair)
Jo Dowell (Committee Member)
Lisa Onesko (Committee Member)
62 p.
Health; Health Care Management; Health Sciences; Medicine; Nursing
Ppost-operative nausea and vomiting; Multi-modal Prophylactic Therapy; Fourth Consensus Guidelines for the Management of Postoperative Nausea and Vomiting; PONV; educational sessions; cost effectiveness

Recommended Citations

Citations

  • MILLER, J. S. (2024). Enhancing Perioperative Care: Elevating Anesthesia Providers' Knowledge and Implementation of Multi-Modal Therapy for Post-operative Nausea and Vomiting Management [Doctoral dissertation, Kent State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=kent1711732942709685

    APA Style (7th edition)

  • MILLER, JESSICA. Enhancing Perioperative Care: Elevating Anesthesia Providers' Knowledge and Implementation of Multi-Modal Therapy for Post-operative Nausea and Vomiting Management. 2024. Kent State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=kent1711732942709685.

    MLA Style (8th edition)

  • MILLER, JESSICA. "Enhancing Perioperative Care: Elevating Anesthesia Providers' Knowledge and Implementation of Multi-Modal Therapy for Post-operative Nausea and Vomiting Management." Doctoral dissertation, Kent State University, 2024. http://rave.ohiolink.edu/etdc/view?acc_num=kent1711732942709685

    Chicago Manual of Style (17th edition)

kent1711732942709685
241
© 2024, all rights reserved.
This open access ETD is published by Kent State University and OhioLINK.
Release 3.2.12