Inpatient surgical bowel preps: making them work.
This article will describe the evidence-based approach our hospital developed to best prepare children for abdominal surgery. Our evidence-based interdisciplinary approach was based on the work of [McCallin, A. (2001). Interdisciplinary practice--A matter of teamwork: An integrated literature review. Journal of Clinical Nursing, 10, 419-428], [Melnyk, B. M. (2002). Evidence-based practice. Strategies for overcoming barriers in implementing evidence-based practice. Pediatric Nursing, 28, 159-161], [Melnyk, B. M., & Fineout-Overholt, E. (2002). Evidence-based practice. Key steps in implementing evidence-based practice: Asking compelling, searchable questions and searching for the best evidence. Pediatric Nursing, 28, 262-266], [Sierchio, G. P. (2003). A multidisciplinary approach for improving outcomes. Journal of Infusion Nursing, 26, 34-43], and [Wojner, A. W. (1996). Outcomes management: An interdisciplinary search for best practice. AACN Clinical Issues, 7, 133-145]. At our hospital, a leading children's hospital in an eastern urban setting, we surgically manage children, from newborns to young adults, with a variety of diagnoses. These diagnoses include the following: inflammatory bowel diseases, such as Crohn's disease and UC, imperforate anus, necrotizing enterocolitis, and abdominal tumors. The bowel prep is an integral part of these children's surgical preparation.
O'Donnell
Ellen A
EA
Nurse Practitioner Surgical Programs, Children's Hospital Boston, Boston, MA 02115, USA.
D000005:Abdomen / Q000601:surgery*; D000293:Adolescent; D001900:Boston; D002648:Child; D002675:Child, Preschool; D004032:Diet; D013505:Digestive System Surgical Procedures / Q000451:nursing*; D004573:Electrolytes; D006801:Humans; D007081:Ileostomy / Q000451:nursing; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011092:Polyethylene Glycols; D011300:Preoperative Care; D016730:Program Development; D011785:Quality Assurance, Health Care
D004573:Electrolytes; C033608:Golytely; D011092:Polyethylene Glycols