Module Three: Topic A

Module Three: Topic A

Tionette Banks, Rico Candelasa

Azusa Pacific University

UNRS 425: Nursing Research

Professor Pack

October 6, 2017

Module 3: Topic A

Postoperative Ileus (POI) is the most common complication after abdominal surgery such as colectomy, gastrectomy, and appendectomy in Africa. It causes longer hospital stays, higher morbidity, and a higher cost to patients (Ngowe, Eyenga, Kengn, Bahebeck, & Sosso, 2010). Research shows that nasogastric intubation which is supposed to be the treatment of choice of POI has a trivial effect in gastric motility in the stomach. In addition, early ambulation, early feeding with liquid diet, and medications has been introduced to treat POI after abdominal surgery did also a little help in shortening the time of first bowel elimination or oral intake after abdominal surgery. A less known method know as sham feeding in the form of gum chewing after abdominal surgery has been found to have a significant impact in stimulating bowel function after surgery which will result in early hospital discharge (Ngowe et. al., 2010).

Sample

The size of the study consists of 26 men and 20 women and the age range were 17 to 73 years old. Fifteen patients came from rural areas and thirty-one patients live in town. Simple random sampling was used in the study were each participant have an equal chance of being selected as a subject (Polit & Beck, 2014). Patients were divide into two groups: chewing group and control group. The chewing gum group were given chewing gum three times a day when they become conscious after the surgery until gastric motility returns. Patient demographic, intraoperative, postoperative care were all the same (Ngowe et. al., 2010). Patients will be qualified to participate in the study if they undergone an open appendectomy, it maybe elective or emergency. The randomized study happened at a University teaching hospital in Africa. According to Polit and Beck (2014), quantitative research usually pursues to gather data in one specific setting to maintain uniformity of condition of the sample.

Critique

“Sampling is a critical part of the design of the quantitative research” (Polit & Beck, 2014). In the article Chewing Gum Reduces Postoperative Ileus after Open Appendectomy by Ngowe et al (2010), the researcher focused on a restricted sample of forty-six patient and on one demographic population which will create a potential bias. These biases can affect the quality and validity of the evidence in both qualitative and quantitative research studies. The researcher did not include other factors such as patient hydration, ambulation, past or recent medical history, diet after surgery, ingredient of the sugarless gum, and patient psychosocial status. These factors are frequently overlook but it has a significant impact of the outcome of the research study (Polit & Beck, 2014).

Conclusion

The result of these research study proves that chewing gum reduces patient POI after abdominal surgery. It is cheap, effective, and saves money.

References

Ngowe, M. N., Eyenga, V. C., Kengn, B. H., Bahebeck, J., & Sosso, A. M. (2010). Chewing gum reduces postoperative ileus after open appendectomy. Acta Chir Belg, 110 (2), 195-199.

Polit & Beck. (2014). Research problems, research questions, and hypotheses. Essentials of nursing research: Appraising evidence for nursing practice (pp. 99-115). Philadelphia, PA: Lippincott Williams & Wilkins.

�Include at least one outside source (not including the textbook or class articles) for full credit.

Your post should be a minimum of five paragraphs.

Your post should also discuss the qualitative study provided in the Course Modules section. State what two sampling methods were used in that study, critique whether or not they were appropriate given the qualitative nature of the study, and comment on the similarities/differences of the sampling methods between the quantitative and qualitative study.

�There is no period after the “et” in “et al.”

�Numbers greater than 10 should be written numerically. Only spell out large numbers when they are at the beginning of a sentence.

��Are you sure? Simple random sampling requires that all members of the population have a chance of being selected. This is very rarely feasible, so some type of nonprobability sampling is usually used. In this study, did all members of the population have a chance of being chosen, or was the sample chosen from a smaller group, such as from a particular hospital?