In the article Return of Bowel Sounds Indicating an End of Postoperative Ileus: Is it time...

In the article Return of Bowel Sounds Indicating an End of Postoperative Ileus: Is it time time to cease this long standing Nursing Tradition? Robert L Massey My question is: are the independent and dependent variables identified? If so, what are they? Thank you!

Solutions

Expert Solution

Evidence and rationale supporting return of bowel sounds as an unreliable indicator of the end of postoperative ileus after abdominal surgery are provided. A loss of gastrointestinal motility, commonly known as postoperative ileus (POI), occurs after abdominal surgery. Since the 1900s, nurses and other clinicians have been taught to listen for return of bowel sounds to indicate the end of POI. Evidence-based nursing literature has challenged this long-standing traditional nursing practice. The purpose of this study was to provide evidence from a randomized clinical trial and rationale supporting evidence-based inquiry concerning return of bowel sounds as an unreliable indicator of the end of POI after abdominal surgery. Time (days) of return of bowel sounds after abdominal surgery was compared to the time (days) of first postoperative flatus, an indicator of the end of POI, in 66 patients recovering from abdominal surgery randomized to receive standard care compared to those who received standard care plus a rocking chair intervention. Pearson's correlation between time to first flatus and return of bowel sounds for combined groups was not significant (r = 0.231, p = 0.062, p < 0.05) indicating that time to return of bowel sounds and time to first flatus were not associated. The results of this study provide support to evidence-based inquiry that questions the relevance of traditional nursing practice activities such as listening to bowel sounds as an indicator of the end of POI.

Analysis revealed only rank of intraoperative bowel manipulation and amount of postoperative narcotics were correlated with the dependent variable time to first flatus

The posttest-only control group design is composed of two groups randomly (R) assigned to a control (O1) and experimental group (O2) involving a single independent variable (X) manipulated by the researcher

Nightingale answered 2 years ago

Next > < Previous

Related Solutions

You are performing an abdominal assessment on a postoperative patient. You are auscultating the bowel sounds...

You are performing an abdominal assessment on a postoperative patient. You are auscultating the bowel sounds in 4 quadrants and are having difficulty hearing them. The patient becomes restless and wants to know what is taking so long. What is your best response to this patient? "I'm sorry but this may take me up to 30 minutes to hear all of the bowel sounds." "I'm having difficulty hearing your bowel sounds, but it won’t take longer than 5 minutes." "I'm...

What is the expected ausculatation outcome of bowel sounds when the appendix has ruptured? I'm assuming...

What is the expected ausculatation outcome of bowel sounds when the appendix has ruptured? I'm assuming my professor is asking what bowel sounds should you expect to hear if the appendix has ruptured. Thank you!

Abdominal and Neurological Assessment 1. How long do you listen for bowel sounds in each quadrant?...

Abdominal and Neurological Assessment 1. How long do you listen for bowel sounds in each quadrant? If there are no sounds, what might this indicate? If the sounds are hyperactive, what might this indicate? 2. Why do you assess for bruits and what may be causing this? 3. Which sounds are normally heard during percussion of the abdomen? When would these findings be abnormal? 4. When assessing pupillary response, what nerves are you assessing and what do these nerves control?...

Summary of the article "Abolish the Police? Organizers Say It's Less Crazy Than it Sounds" by...

Summary of the article "Abolish the Police? Organizers Say It's Less Crazy Than it Sounds" by Maya Dukmasova/Chicago Reader

Irritable Bowel syndrom: Review the article and define the following questions: A significant number of patients...

Irritable Bowel syndrom: Review the article and define the following questions: A significant number of patients with irritable bowel syndrome hold misconceptions about their disease and experience more impaired quality of life compared with the general population and people suffering from other chronic diseases. This study was designed to explore the effectiveness of a structured educational intervention on disease-related misconceptions and quality of life in patients with irritable bowel syndrome in Wuhan, China. A convenience sample of 23 patients with...

The costs below all relate to Sounds Good, a company based in Alberta that manufactures high-end...

The costs below all relate to Sounds Good, a company based in Alberta that manufactures high-end audio equipment such as speakers, receivers, CD players, turntables, and home theatre systems. The company owns all of the manufacturing facilities (building and equipment) but rents the space used by the non-manufacturing employees (accounting, marketing, sales, human resources). Required: For each cost, indicate whether it would most likely be classified as a direct labour, direct material, manufacturing overhead, marketing and selling, or administrative cost.(Select...

Please read through the article below and answer the question at the end of the article....

Please read through the article below and answer the question at the end of the article. Strategy as a Wicked Problem Over the past 15 years, I’ve been studying how companies create strategy—the most important responsibility of senior executives. Many corporations, I find, have replaced the annual top-down planning ritual, based on macroeconomic forecasts, with more sophisticated processes. They crunch vast amounts of consumer data, hold planning sessions frequently, and use techniques such as competency modeling and real-options analysis to...

Please read through the article below and answer the question at the end of the article....

Please read through the article below and answer the question at the end of the article. High-Performing Teams Need Psychological Safety. Here’s How to Create It “There’s no team without trust,” says Paul Santagata, Head of Industry at Google. He knows the results of the tech giant’s massive two-year study on team performance, which revealed that the highest-performing teams have one thing in common: psychological safety, the belief that you won’t be punished when you make a mistake. Studies show...

Data indicating the atmospheric temperature at the time of 23 previous launches and the O-ring damage...

Data indicating the atmospheric temperature at the time of 23 previous launches and the O-ring damage index are given below. The year was 1986 and the space shuttle Challenger exploded, and seven astronauts were killed. Prior to the launch, when predicted atmospheric temperature was for freezing weather at the launch site, engineers for Morton Thiokol (the manufacturer of the rocket motor) prepared charts to make the case that the launch should not take place due to the cold weather. These...

A cooking article reported that cooking a quality meal takes time; in fact, the article states...

A cooking article reported that cooking a quality meal takes time; in fact, the article states that it takes longer than 45.0 minutes. Suppose a study is conducted to test the validity of this statement at a 95.00% confidence interval/level. A sample of 18 people is selected, and the length of time to put a meal on the table is listed: 45.20 40.70 41.10 49.10 30.90 45.20 55.30 52.10 45.40 55.10 38.80 43.10 39.20 58.60 49.80 43.20 47.90 46.60 What...

Subjects