reducing the rate of post-operative respiratory failure. 16 veteran hospital across the country, each representing a partook in the study. The initial or prework phase consisted of “ ...formed multidisciplinary teams, selected measures related to their goals, and collected baseline data”. The action phase, which lasted 6 months, consisted of the teams working together to implement clinical changes, discussed evidence based processes of care and intervention and presenting content regarding reducing respiratory failure rates among post-operative patients. Finally, the 9
INCENTIVE SPIROMETER RECCOMENDATIONS POSTOPERATIVELY decided upon changes were implemented in the final 6 months. As a result of the project, the changes consisted of 6 interventions to prevent respiratory failure post operatively. The 6 interventions were improving incentive spirometer use, documenting implementation of targeted interventions, oral care, standardized orders, early ambulation, and provider education. As a result of new protocols demanding these 6 interventions, teams reported decreased ICU admission related to post-operative respiratory complications. This study shows great promise in helping to create programs that promote better patient outcomes post operatively, with a focus on prevention of respiratory complications, and promoting positive patient outcomes is always the goal of healthcare providers. However, while this study did substantiate using an IS is helpful in preventing respiratory failure, this was proved using the IS and other interventions, so the IS is not solely responsible for the improvement. Gaps in this study include long-term sustainability and more focused study on each of the interventions individually. Across the board, these studies document strong evidence to encourage use of an IS post operatively. Moreover, evidence was also present using an IS helped individuals maintain and improve respiratory status as they age. While the results consistently remained the same, studies determined these results in a different way and related to different medical diagnoses. Synthesis, Interpretation and Presentation of Results Included in the appendix of this paper is an evidence table. This evidence table details several elements including design, method, sample, data collection, data analysis, validity, and reliability of the findings. After careful analysis of the evidence procured from the studies, data shows that utilizing an incentive spirometer after abdominal surgery to be effective in preventing respiratory 10
INCENTIVE SPIROMETER RECCOMENDATIONS POSTOPERATIVELY dysfunction and disorder, thereby reducing nosocomial infections, the need for higher level care and extended length of stay. Major trends included baseline or higher forced expiratory volume rates of patients whom properly utilized an IS. On the other hand, those who did not utilize interventions so no improvement in their respiratory status post operatively (Singh, Haribabu, and Ramalingthan 2017). 3 of the 5 studies were randomized control studies and all but one solely utilized the IS as an intervention.
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- Summer '17
- Randomized controlled trial, INCENTIVE SPIROMETER RECCOMENDATIONS