Implementing a Safety Protocol for Thirst Management to Improve Postoperative Thirst Using the Iowa Model of Evidence‐Based Practice: A Propensity Score–Matched Evaluation.
Aim: This study aimed to (1) implement a Safety Protocol of Thirst Management (SPTM) as an evidence‐based practice for quenching postoperative thirst and (2) evaluate its effectiveness using a comparative pre‐and‐post induction design. Design: A quasi‐experimental study using propensity scored match...
| Publicado en: | Journal of Clinical Nursing (John Wiley & Sons, Inc.) Vol. 35; no. 9; pp. 3857 - 3867 |
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| Autores principales: | , , , , |
| Formato: | algorithm clinical trial research tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Sep2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195863222&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195863222 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09621067 LVDZ jtl: Journal of Clinical Nursing (John Wiley & Sons, Inc.) issn: 09621067 maglogo: N pubinfo: dt: Sep2026 vid: 35 iid: 9 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 195863222 194088015 195863222 195863222 10.1111/jocn.70377 195863222 ppf: 3857 ppct: 10 formats: tig: atl: Implementing a Safety Protocol for Thirst Management to Improve Postoperative Thirst Using the Iowa Model of Evidence‐Based Practice: A Propensity Score–Matched Evaluation. aug: au: Tsai, Han‐Yi Wang, Man‐Ling Yeh, Yu Chang Chao, Anne Hsiao, Wei‐Ling affil: School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan sug: subj: Thirst Postoperative Complications Nursing Nursing Practice, Evidence-Based Nursing Protocols Treatment Outcomes Human Male Female Adult Middle Age Quasi-Experimental Studies Academic Medical Centers Taiwan Taiwan Patient Satisfaction Pain Management Body Temperature Regulation Post Anesthesia Care Units Program Evaluation Implementation Science Conceptual Framework Scales Pilot Studies Descriptive Statistics Data Analysis Software One-Way Analysis of Variance Chi Square Test Fisher's Exact Test Mann-Whitney U Test Wilcoxon Rank Sum Test Clinical Assessment Tools Checklists Clinical Trials Pretest-Posttest Design Comparative Studies Length of Stay Funding Source Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Aim: This study aimed to (1) implement a Safety Protocol of Thirst Management (SPTM) as an evidence‐based practice for quenching postoperative thirst and (2) evaluate its effectiveness using a comparative pre‐and‐post induction design. Design: A quasi‐experimental study using propensity scored matching. Method: Guided by the Iowa Model, the SPTM was implemented at a tertiary medical centre in Taiwan in 2023. Outcomes were compared between adult surgical patients admitted in 2023 (post‐induction) and those admitted prior (pre‐induction). Data on thirst and pain intensity, body temperature, and PACU length of stay (LOS) were analyzed for 15,168 patients. Results: A standardized SPTM flow diagram was established. Following SPTM induction, mean thirst scores significantly decreased from 5.76 to 1.30 (p < 0.001). Although pain intensity and PACU LOS (63.63 vs. 62.23 min) showed statistically significant increases, these changes were clinically marginal. Body temperature remained stable with no incidence of perioperative hypothermia. Conclusions: The Iowa Model effectively guides nursing organizations in translating evidence into practice. The SPTM provides a safe, consistent framework for nurses to alleviate postoperative thirst, significantly enhancing the quality of surgical care. Impact: This study addresses the lack of standardized thirst management. Results demonstrate that an evidence‐based SPTM protocol effectively quenches thirst without increasing adverse clinical risks. Patient and Public Contribution: The SPTM was triggered by patient reports of thirst‐related distress. During the design phase, patient feedback on the acceptability of cold oral stimuli was used to refine the protocol. While patients did not participate in the data analysis, the primary outcome (thirst intensity) was selected based on its significance to patient‐cantered care. Reporting Method: This study was reported according to TIDieR guideline. Key Points: What does this paper contribute to the wider global community? ○Patients undergoing surgery frequently experience moderate thirst.○Implementing a safety‐tested thirst management protocol, specifically utilizing cold oral stimuli techniques, significantly reduces postoperative thirst without introducing additional clinical risks or complications. pubtype: Academic Journal doctype: algorithm clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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