Significance of Early Ambulation for Surgical Patients
Assessment Traits
Requires Lopeswrite
Assessment Description
Prepare this assignment as a 1,500-1,750-word paper using the instructor feedback from the previous course assignments and the guidelines below.
PICOT Question
Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.
The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).
Research Critiques
In the Topic 2 and Topic 3 assignments, you completed qualitative, quantitative, and mixed methods research critiques on two articles for each type of study (four articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.
The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.
Use the "Research Critiques and PICOT Question Guidelines - Final Draft" document to organize your essay. Questions under each heading should be addressed as a narrative in the structure of a formal paper. Please note that there are two new additional sections: Outcomes Comparison and Proposed Evidence-Based Practice Change.
General Requirements
You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Research Critique and PICOT Statement
The nursing practice issues covered in this research are the effectiveness of postoperative ambulation in adult patients and the clinical outcomes of early or later ambulation. The critical appraisal compares immediate ambulation within 12 hours following surgery versus late ambulation after 12 hours in terms of patient outcomes throughout the first 30 days after surgery to assess the effectiveness and results of postoperative ambulation among adult clients. The evaluation examines studies that discuss the significance of early ambulation for surgical patients and its possible impact on problems and results in the social, physical, and psychological realms.
Qualitative Study Background
In their 2018 study, Currier et al. sought to assess the impact of early ambulation (within 12 hours of surgery) to non-early walking (after 12 hours of surgery) on outcomes for patients in a postoperative context for adult patients. The researchers reviewed the literature and examined three papers, including two reviews of the literature and one controlled randomized trial (Currier et al., 2018). The survey’s study question was: “How well does quick ambulation enhance patient outcomes in the first thirty days following surgery compared to non-early walking beyond twelve hours after surgery? Stamm-Balderjahn et al. state that a patient-centered care strategy is crucial in addition to prevention, treatment, and rehabilitation (2019). One of the main goals of rehabilitation is to provide the patient with the knowledge and abilities to manage their health on their own, so they may continue to contribute to their family and society (Stamm-Balderjahn et al., 2019). Patients will be given the necessary resources, including a Passport, to improve health outcomes.
Quantitative Study Background
Implementing a structured diagnostic care pathway (ERAS) for minimally invasive surgical abdominal-based breast reconstructive surgery was the topic of the Astana et al. study from 2019. The study included three participant groups: an ERAS group, a changeover group with incomplete ERAS adoption, and normal control subjects (Astana et al., 2018). The study design was a cohort study, and it took place in a surgical care setting. No research question was explicitly stated, and the sample size was not specified. Recognizing culturally specific expectations and attitudes about health care that affect patient-provider interactions has become more difficult when there is increased in cultural and ethnic diversity (Lee et al., 2017). Patients and families with limited English proficiency (LEP) find it more difficult to communicate effectively with medical professionals, which is vital for providing high-quality service (Lee et al., 2017). To enhance communication between the doctor and minority patients and families, the development of the Patient Passport, a written platform (Passport book) for documenting medical facts, important inquiries, and comments, would be a helpful tool (Lee et al., 2017).
Support from Each Study
The studies evaluate the effectiveness and outcomes of postoperative ambulation in adult patients by examining the effects of ambulating within 12 hours post-surgery versus no ambulation in terms of efficacy and outcomes after 30 days of recovery. This research is relevant because early ambulation has been shown to positively impact physical, psychological, and social results and can decrease complications (Astana et al., 2018). Early ambulation enhances successful early recovery, reduces hospital stay, and improves the time to walk after surgery. The outcomes of the studies can determine the possible benefits of early ambulation for postoperative patients and improve the standard of care for postoperative patients to ensure the best possible outcomes. Passports make patients feel at ease and confident in planning their health and understanding medical treatment (Lee et al., 2017).
Methods of Qualitative Study
Three publications that fit the authors’ criteria in the searches of the Cochrane, PubMed, and Cinahl plus Full-Text libraries were used in Study 1’s literary evaluation and analysis. The PICOT inquiry compared early ambulation within twelve hours of the operation against non-early ambulation following 12 surgical hours to assess the effect of ambulation on outcomes for patients in the first thirty days following surgery (Currier et al., 2018). In a postoperative context, the authors assessed early ambulation’s physical, psychological, and social effects and consequences. The researchers selected database search terms for the PICOT question aspects. They focused on studies related to inpatient acute care settings regarding hospitalized patients who underwent surgery. In a postoperative context, they assessed the physical, psychological, and social effects and consequences of early ambulation among adult clients. Focus groups and guided interviews were employed to learn more about people's requirements, wants, and viewpoints on passports’ layout, appearance, and content (Stamm-Balderjahn et al., 2019). Focus groups were held to collect vital information from potential users on their acceptance of and use of the passport (Stamm-Balderjahn et al.,2019).
Methods of Quantitative Study
Three categories of women were utilized in a study cohort described in Article 5: a traditional scientific control group, a transition unit that implemented an enhanced healing after surgery (ERAS) path in part, and a team that followed the ERAS pathway. The researchers used varying samples; the traditional scientific control group had 169 patients, the transition group had 89 participants, and the ERAS cohort had 72 patients. Reduced preoperative fasting, prudent fluid use, multimodal painkillers, early oral nourishment, early Foley catheter removal, with early ambulation were all part of the ERAS approach (Astana et al., 2018). The authors evaluated length of hospital stay, 30-day associated complications, narcotic usage, client-reported pain levels, antiemetic utilization, time for a regular diet, and period to first walk in between categories. Surveys were applied to obtain t...