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Nursing interventions to prevent or relieve postoperative nausea and vomiting
Journal of Post Anesthesia Nursing
|February 1, 1992
Summary
This study found poor documentation of postoperative nausea and vomiting (PONV) interventions after cholecystectomy. Enhanced nurse education and documentation practices are crucial for effective PONV management.
Area of Science:
- Nursing
- Surgical Care
- Patient Recovery
Background:
- Postoperative nausea and vomiting (PONV) is a common complication following surgical procedures.
- Effective nursing interventions are essential for managing and preventing PONV.
- Accurate documentation of nursing interventions is vital for quality patient care and research.
Purpose of the Study:
- To identify documented independent and interdependent nursing interventions for PONV prevention or relief.
- To assess the documentation of nursing interventions within the first 24 hours post-cholecystectomy.
Main Methods:
- Systematic sampling of 40 hospital records from 1986-1988.
- Review of records for documented instances and interventions related to PONV.
Main Results:
- Nausea and vomiting documentation was minimal (2 PACU records, 9 postoperative unit records).
- Documentation was often brief or absent, hindering assessment of intervention effectiveness.
- Documented interventions included patient repositioning (independent) and medication administration (interdependent).
Conclusions:
- Significant gaps exist in the documentation of nursing interventions for PONV.
- There is a need for improved nurse education on PONV management and the importance of documentation.
- Standardized documentation practices are required to ensure comprehensive patient care and data collection.