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Inpatient surgical bowel preps: making them work
1Nurse Practitioner Surgical Programs, Children's Hospital Boston, Boston, MA 02115, USA.
Insights
This hospital developed an evidence-based, interdisciplinary approach to prepare pediatric patients for abdominal surgery. This strategy ensures optimal outcomes for children undergoing procedures for various diagnoses.
Area of Science:
- Pediatric Surgery
- Evidence-Based Practice
- Interdisciplinary Care
Background:
- Children undergoing abdominal surgery require specialized preparation.
- A leading children's hospital manages diverse diagnoses from newborns to young adults.
- Bowel preparation is a critical component of surgical readiness.
Purpose of the Study:
- To describe an evidence-based, interdisciplinary approach for pediatric abdominal surgery preparation.
- To outline a standardized protocol for optimizing patient outcomes.
Main Methods:
- Literature review and synthesis of existing evidence on interdisciplinary and evidence-based practice.
- Development and implementation of a hospital-wide protocol for pediatric bowel preparation.
- Application of principles from key nursing and healthcare management literature.
Main Results:
- Established a comprehensive, evidence-based protocol for pediatric abdominal surgery preparation.
- Integrated interdisciplinary team collaboration into the surgical preparation process.
- Improved standardization of care for children undergoing abdominal surgery.
Conclusions:
- An evidence-based, interdisciplinary approach is effective for preparing children for abdominal surgery.
- Standardized bowel preparation protocols enhance surgical readiness and patient care.
- This model provides a framework for other institutions to improve pediatric surgical preparation.
Abstract:
This article will describe the evidence-based approach our hospital developed to best prepare children for abdominal surgery. Our evidence-based interdisciplinary approach was based on the work of [McCallin, A. (2001). Interdisciplinary practice--A matter of teamwork: An integrated literature review. Journal of Clinical Nursing, 10, 419-428], [Melnyk, B. M. (2002). Evidence-based practice. Strategies for overcoming barriers in implementing evidence-based practice. Pediatric Nursing, 28, 159-161], [Melnyk, B. M., & Fineout-Overholt, E. (2002). Evidence-based practice. Key steps in implementing evidence-based practice: Asking compelling, searchable questions and searching for the best evidence. Pediatric Nursing, 28, 262-266], [Sierchio, G. P. (2003). A multidisciplinary approach for improving outcomes. Journal of Infusion Nursing, 26, 34-43], and [Wojner, A. W. (1996). Outcomes management: An interdisciplinary search for best practice. AACN Clinical Issues, 7, 133-145]. At our hospital, a leading children's hospital in an eastern urban setting, we surgically manage children, from newborns to young adults, with a variety of diagnoses. These diagnoses include the following: inflammatory bowel diseases, such as Crohn's disease and UC, imperforate anus, necrotizing enterocolitis, and abdominal tumors. The bowel prep is an integral part of these children's surgical preparation.
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