The Evidence Based Practice Study
Added on 2020-03-28
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Running head: NURSINGResearch evidence and clinical practiceName of the student:Name of the university:Author note:
1NURSINGThis paper is based on the evidence based practice study. In this paper there is adescription about the clear liquid diet and its effectiveness. This study describes that the adultpatients from the age of 18-45 who is being prepared for some test or operation are on lessrisk as compared to the patients who is in fasting for long time.Clear liquid diet – A clear liquid diet is a type of fluid that helps a patient to stayhydrated. It may consist of water, clear juices, tea or coffee. It is mainly used to provide restto the gastrointestinal before doing a test or an operation. These liquids diets are used so thatthey can provide vitamins and minerals for generating energy so that it can keep our bodyhydrated (Hookey et al., 2017). This type of diet helps the patient by providing themimportant electrolytes and gives them energy when a proper diet cannot be provided to thepatient. As a part of surgical department, it is noticed that some of the patient used to dofasting for a long time without thinking about the condition of the patient and their surgery. Itis obvious that the medical experts are proceeding with the customary method for "nil bymouth" from the midnight for any operations. The tradition of fasting before the operation isto diminish the risk of complications (Brown and Heuberger, 2014). Clear liquids incorporatewater, natural product juice, clear genial, dark espresso and tea. As per Australian and NewZealand school of Anaesthetists, 2016 (ANZCA), it had been prescribed to take constrainednon-greasy strong sustenance up to six hours and clear liquid weight control plans up to 2hours preceding anaesthesia. It is not prescribed to apply the new fasting guideline to patientswho are at the danger of peri-operative spewing forth or heaving (Smith et al., 2011). Thisincorporates patients experiencing crisis surgeries and those with associated deferred purgingwith gastric substance, and obstetric patients who are in the process of giving birth (Smith etal., 2011).
2NURSINGPICO question– Does the intake of clear fluid diet effective for the post operative patientsfrom 18-45 on low risk as compared to the patients who are fasting from midnight?P – Patients from 18-45 undergoing operation I – Intake of clear fluid dietC – Fasting from midnightO – Reduction in the complicationsSearch strategyKeywords search: clear fluid diet; clear liquid diet; post operations; post operative patients;fasting; effectiveness;.ActionsSearch termsSearch modeResultsLimiters/ ExpandersS5S1 OR S2 OR S3 ORS4Boolean/Phrase29385S1Clear fluid dietBoolean/Phrase24,630Limiters - LinkedFull Text; ReferencesAvailable; PublishedDate:20130101-20171231; EnglishLanguage;PeerReviewedS3(MH"OperatingSystems") OR (MH"Operating RoomPersonnel") OR (MH"Students, Post-RN")(MH "Diet, LowCarbohydrate") OR(MH "Diet, Gluten-Free") OR (MH"Diabetic Diet") OR(MH"RestrictedDiet")Boolean/Phrase4811Limiters - LinkedFull Text; ReferencesAvailable; PublishedDate:20130101-20171231; EnglishLanguage;PeerReviewedS2(MH"OperatingSystems") OR (MH"Operating RoomPersonnel") OR (MH"Students, Post-RN")Boolean/Phrase12Limiters - LinkedFull Text; ReferencesAvailable; PublishedDate:20130101-20171231; English
3NURSINGLanguage;PeerReviewedA search was conducted in using EBSCO host database (CINAHL) using “fastingtimes before operations” and “effectiveness” for a period of last ten years from 2013 to 2017.This search had generated 12 results articles related to the search terms. Further systematicsearch carried out in five different databases which are CINAHL, Clinical knowledgeNetwork (CKN), ClinicalKey (Elsevier), Cochrane library and MEDLINE.An advanced search strategy was done by using the search terms separately in abovementioned selected databases for receiving the full text articles, which are in Englishlanguage, peer-reviewed and from the year 2013-2017. The search terms used are “Clearfluid diet” AND (MH "Operating Systems") OR (MH "Operating Room Personnel") OR(MH "Students, Post-RN") (MH "Diet, Low Carbohydrate") OR (MH "Diet, Gluten-Free")OR (MH "Diabetic Diet") OR (MH "Restricted Diet")(MH "Operating Systems") OR ("Operating Room Personnel") OR ("Students, Post-RN")The selection of articles also refined to English only academic articles and articles related to agroup of adults aged from 18-45 year of age (Bozzetti & Mariani, 2014). Electronic searchesThe following electronic databases were searched for finding the journals or articles:The Cochrane LibraryOvid MEDLINE Ovid EMBASE EBSCO CINAHL Critique using CASP Tool
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