Date of this Version

12-1-2023

Document Type

DNP Project

Abstract

Abstract

Background:

The discovery of anesthesia has dramatically transformed modern medicine by eliminating pain from surgery.1 One of the common negative occurrences following surgery is postoperative nausea and vomiting. PONV happens in the majority of patients with at least one risk factors and results in discomfort, patient dissatisfaction, delayed recovery, increased hospital costs due to prolonged postoperative hospital stay and other associated comorbidities.4 One of the advantages of laparoscopic surgery with no major complications is minimal scarring and the overall quick recovery time.1,2,

Method:

This study proving the efficacy of acupressure will be conducted through comprehensive literature using Medline (ProQuest), Excerpta Medica Database (EMBASE), and Cumulative Index of Nursing and Allied Health Literature (CINAHL). This review will be conducted using a combination of search words and Boolean operators to find literature reporting the research on acupressure as a valid treatment to treat PONV in women having laparoscopic surgery.7,8 The setting for this project is through Florida International University's DNP program guidelines and conducted at a level 1 trauma center and one of the top 10 most significant public health systems in the United States. The participants of this project involve interested parties such as CRNAs, anesthesiologists and anesthesiology residents. Each stakeholder will actively participate, either through this review, educational presentation, and other needed tasks.

Results:

The post-test demonstrated an overall significant progress in different areas of P6 acupressure methodology. Participants’ knowledge improvement ranged from 7% to 81% in all areas of the project which was built on providing education about the efficacy of this complementary therapy. Conclusively, the post-test demonstrated an increase of 48% anesthesia providers willing to utilize this therapy. There was also a decrease of 30% in individuals who were indifferent and in 10% in individuals who previously reported they would not recommend this treatment to their patients.

Discussion:

Thisproject successfully displayed the study participants ‘willingness in utilizing P6 acupressure when treating PONV, and successfully encouraged participants to expand their knowledge about administration of this treatment. There is a continued hope that this anesthesia providers will recommend and educate patient about this complementary therapy so that it can be implemented across facilities nationwide.

Keywords:

Acupressure, Postoperative nausea and vomiting, PONV women undergoing laparoscopic procedure, alternative to Zofran, ondansetron, P6 Neiguan point.

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