Development of review indicators and analysis of obstructive and facilitating factors for gastrointestinal function recovery in postoperative patients with gynecologic malignancies
10.3760/cma.j.cn115682-20240114-00274
- VernacularTitle:妇科恶性肿瘤患者术后胃肠功能恢复审查指标的制订及障碍与促进因素分析
- Author:
Huaiqing ZHAO
1
;
Huansheng WANG
Author Information
1. 山东大学齐鲁医院（青岛）妇科，青岛 266035
- Keywords:
Gynecologic malignancy;
Postoperative gastrointestinal function;
Evidence-based nursing;
Review indicator;
Obstructive factor
- From:
Chinese Journal of Modern Nursing
2024;30(23):3123-3131
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To implement evidence-based nursing practices for gastrointestinal function recovery in postoperative patients with gynecologic malignancies, develop review indicators based on the best available evidence, analyze their obstructive and facilitating factors, and provide references for applying evidence in clinical practice.Methods:Based on the 6S Pyramid Model, a comprehensive computer-based search was conducted across Chinese and international databases for evidence related to gastrointestinal function recovery in patients with gynecologic malignancies. The search included clinical decisions, guidelines, evidence summaries, systematic reviews, expert consensus, and randomized controlled trials up to July 10, 2023. The knowledge-to-action framework (KTA) was used to systematically retrieve, evaluate, and summarize the best evidence to develop an evidence-based nursing review plan for postoperative gastrointestinal function recovery in gynecologic malignancy patients. A baseline review was conducted, and influencing factors were analyzed to formulate action strategies.Results:A total of 16 articles were included, and 17 review indicators were developed. One indicator had an execution rate of 100%, one indicator had an execution rate of 95%, and the remaining 15 indicators had execution rates between 0 and 60%. Obstructive factors included ingrained previous work patterns, lack of awareness regarding evidence translation, increased clinical workload leading to resistance among medical staff, lack of necessary systems, processes, and equipment for practice change, and poor communication between multidisciplinary teams. Facilitating factors included Qilu Hospital of Shandong University (Qingdao) being an evidence-based nursing evidence application base in Shandong Province, with the Department being a key discipline in the hospital and having the necessary talent for practice change. In addition, the Department had high cooperation among medical staff and strong leadership with a focus on evidence-based clinical translation.Conclusions:There is a significant gap between clinical practice and best evidence in the gastrointestinal function recovery of postoperative patients with gynecologic malignancies. Precisely analyzing obstructive and facilitating factors and developing scientific action strategies are essential for driving effective evidence translation.
