Formative 1 NSG 6210 Literature Search Summary

Formative 1 NSG 6210 Literature Search Summary

This formative assessment focuses on your understanding and application of evidence-based practice (EBP) in nursing. It builds towards the summative assessment by requiring you to apply EBP principles in a real-world scenario. This case study will prepare you by honing your skills in critical thinking, research application, and patient-centered care. Understanding and implementing EBP is crucial for providing high-quality, up-to-date care that improves patient outcomes and advances the nursing profession.

Instructions:

You are a registered nurse working in a medical-surgical unit. You’ve noticed that many patients are experiencing postoperative nausea and vomiting (PONV) despite receiving standard antiemetic medication. Your supervisor has asked you to research and propose an evidence-based intervention to address this issue.

Your task is to:

Conduct a brief literature search and identify at least two relevant, recent (within the last 5 years) research articles that address the clinical situation from the case study.

Critically appraise the evidence found in these articles, considering factors such as study design, sample size, and relevance to your patient population.

Based on the evidence and considering your clinical expertise, propose an intervention to reduce PONV in your unit.

In your response, be sure to:

Clearly define EBP and its core principles

Demonstrate how each step of your process aligns with these principles

Reflect on any challenges you encountered in applying EBP and how you overcame them

Your case study response should be approximately 400-600 words.

Use the following structure your response:

Literature Search Summary

Evidence Appraisal

Proposed Intervention

Remember to cite your sources using APA format and include a reference list at the end of your document.

Formative 1 NSG 6210 Literature Search Summary

Formative 1 NSG 6210

Literature Search Summary

Healthcare providers, including registered nurses (RN), incorporate evidence-based practice (EBP) into their daily nursing routine, thereby optimizing treatment outcomes through patient-centered care. According to Freeman et al. (2023), EBP involves integrating provider’s clinical expertise, the best current research evidence, and patient preferences to support patient-centered care and optimal treatment outcomes through real-time clinical decisions. EBP is a comprehensive process guided by core principles, including clinical enquiry, evidence search, critically appraising the evidence, incorporating findings into clinical practice, and evaluating outcomes to determine if the EB intervention was effective in addressing a specific clinical issue. However, EBP depends on patient safety concerns or gaps in the current practice that needs improvement. Clinical issue of concern in this case study is high rate of postoperative nausea and vomiting (PONV) among postoperative patients. This problem has persisted despite being managed using standard antiemetic medication. Thus, current literature should be reviewed to identify EB intervention for resolving PONV incidents in postoperative patients.

Peer-reviewed articles selected to resolve PONV incidents through recent and high-quality evidence are Albalawi et al. (2024) and Hu et al. (2025). In their narrative review, Albalawi (2024) and colleagues examined Enhanced Recovery After Surgery (ERAS) protocols for managing patients undergoing colorectal surgery. In particular, they explored significant elements of ERAS protocols and its benefits in patients undergoing colorectal procedures. The review focused on multimodal approaches for boosting treatment outcomes in colorectal surgery patients, including preoperative, perioperative, and postoperative measures. This narrative review examined use of ERAS protocols in patients undergoing colorectal surgery; making it relevant to targeted patient population, postoperative patients experiencing PONV incidents. On the other hand, Hu (2025) and the team presented updated clinical practice guidelines (CPG) using EB recommendations to prevent and manage PONV. This study is relevance to patient population in the case study since it targets postoperative patients experiencing PONV incidents. This process aligns with EBP principles since it involves systematic search for current evidence relevant to improvement of treatment outcomes in postoperative patients with high risk of PONV.

Evidence Appraisal

Albalawi et al. (2024) conducted a narrative review to assess efficacy of enhanced recovery after surgery (ERAS) protocols in improving treatment outcomes following colorectal surgery. Evidence from multiple studies focusing on perioperative care was included in this narrative review. This study has once significant strength since multimodal recovery interventions were used to prevent potential postoperative adverse treatment outcomes, including PONV incidents. Nonetheless, evidence from this study is considered low since narrative reviews lack standardized appraisal techniques, thereby increasing risk of bias.

On the other hand, CPG by Hu et al. (2025) presents high-quality evidence that would inform clinical decisions in this scenario. Authors used multiple EB approaches and the GRADE system to assess evidence quality and if it is recommended for application in a real-world scenario. Multimodal prophylaxis, including combining antiemetics was recommended as an EB treatment guideline for moderate- and high-risk patients following literature review involving multiple studies. Additionally, this multimodal approach is a credible and relevant EB treatment intervention for adult postoperative patients since it has been supported by other quality studies, including systematic reviews focusing on adults receiving postoperative care Formative 1 NSG 6210 Literature Search Summary.

One of the most significant challenge faced in the EBP process was identifying multiple recent and quality peer-reviewed articles focusing on postoperative patients with PONV incidents. Some studies presented strong evidence but focused on pediatrics makes them irrelevant to postoperative adult patients. To overcome this challenge, studies selected for the review presented perioperative evidence and CPGs targeting postoperative care settings for adults, thereby ensuring relevance of evidence to postoperative adult patients with high PONV risk.

Proposed Intervention

Proposed EB intervention involves implementing a standardized multimodal PONV prevention care protocol. This decision is based on strong evidence and CPGs from reviewed studies. This multimodal approach would lower PONV risk through preoperative, perioperative, and postoperative measures, including using validated screening tools to assess PONV risk and combined antiemetic prophylaxis therapy. Multimodal antiemetic therapy is supported by CPG of 2025 since its more effective in preventing nausea and vomiting in postoperative patients than a mono-medication regimen (Mieszczański et al., 2025). This approach further involves use of alternative pain management therapies to replace opioids, which increase nausea and vomiting risk in postoperative patients (Schlesinger et al., 2023). Additionally, ERAS measures, such as early mobilization, adequate hydration, and patient education can be incorporated into multimodal approach, thereby making this EB intervention more effective in preventing PONV.

Therefore, adopting this multimodal approach will prevent potential PONV incidence, lower risk of postoperative complications, and enhance comfort, resulting in positive patient experience Formative 1 NSG 6210 Literature Search Summary.

References

Albalawi, H. I. H., Alyoubi, R. K. A., Alsuhaymi, N. M. M., Aldossary, F. A. K., Albishi, F. M., Aljeddawi, J., … & Najm Jr, N. (2024). Beyond the operating room: a narrative review of enhanced recovery strategies in colorectal surgery. Cureus, 16(12).
https://assets.cureus.com/uploads/review_article/pdf/322294/20250121-2897226-ozrr5m.pdf

Freeman, N. L., Browder, S. E., & McGinigle, K. L. (2023). Balancing evidence-based care with patient-centered individualized care. 
Journal of Vascular Surgery: Venous and Lymphatic Disorders
, 
11
(6), 1089-1094.
https://www.sciencedirect.com/science/article/pii/S2213333X23003153

Hu, J., Wang, Z., Ma, B., Wang, T., Wang, E., & Yu, W. (2025). Clinical practice guidelines for the prevention and management of postoperative nausea and vomiting (2025 edition). 
Journal of Anesthesia and Translational Medicine
, 
4
(4), 286-302.
https://www.sciencedirect.com/science/article/pii/S2957391225000506

Mieszczański, P., Jurczak, M., Cylke, R., Ziemiański, P., & Trzebicki, J. (2025). Evidence-based perioperative prevention of postoperative nausea and vomiting (PONV) in patients undergoing laparoscopic bariatric surgery: a scoping review. 
Journal of Clinical Medicine
, 
14
(19), 6901.
https://www.mdpi.com/2077-0383/14/19/6901

Schlesinger, T., Meybohm, P., & Kranke, P. (2023). Postoperative nausea and vomiting: risk factors, prediction tools, and algorithms. 
Current Opinion in Anesthesiology
, 
36
(1), 117-123.
https://journals.lww.com/co-anesthesiology/abstract/2023/02000/postoperative_nausea_and_vomiting__risk_factors,.21.aspx
Formative 1 NSG 6210 Literature Search Summary