As a nurse who works on a med-surg/oncology/post-op unit, I will be analyzing an article on ERAS (early recovery after surgery). This is a protocol that nurses and surgeons at my facility use to enhance healing and decrease recovery time.

Ardy Emile 

RE: Week 4 Discussion

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Nurs 6001: Foundations of Graduate Study

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Scholarly Writing

As a graduate student, writing encompasses much of a person’s time and it is important that the writing is scholarly. Scholarly writing is different from other types of writing because the writing is not based on opinion, it must be based on evidence (Laureate Education, 2012c). To achieve this, one must use peer-reviewed articles in which scholars in their field conduct research that is backed by evidence and that is heavily vetted by other scholars within that field (Cornell University Library, 2010).

Analyzing a Scholarly Article

When conducting scholarly writing I don’t normally search a particular database. It is best to perform an overarching search to get more results. One must make sure to select the full-text button, the peer-reviewed button, and a date range from 2013-2018. I’ve found it is hard to find articles at times because the articles tend to be just the abstract. When one comes across this issue, it’s important to scan the page because sometimes there will be a “full text” link or a link that leads you out to the full text. I usually end up with an article from the Ebsco database and I think it’s a great one for my colleagues to use.

As a nurse who works on a med-surg/oncology/post-op unit, I will be analyzing an article on ERAS (early recovery after surgery). This is a protocol that nurses and surgeons at my facility use to enhance healing and decrease recovery time. To reach this article, I searched “ERAS protocol” in the Walden library and performed the steps above. For patients who have colorectal cancer, bowel resection surgery is usually a must when indicated. After this surgery, some patients tend to have an ileostomy to help prevent the post-op complication of an anastomotic leak (Klek et al., 2018). This is seen as a contradiction to what ERAS is all about (Klek et al.). The article aims to research the efficacy of early closure of the protective ileostomy in ERAS patients (Klek et al.). From the article’s conclusions, early closure is safe and effective and should be installed in the ERAS protocol for patients with colorectal cancer (Klek et al.). This article had many strengths. The writing was in an appropriate voice for its target audience which is scholars/healthcare professionals. The conclusions were not backed by opinion, but by evidence through randomized clinical trial research groups (Klek et al.). From the research between early closure and late closure, there was no difference between anastomotic leak complications, other post-op complications, or time to pass flatus/bowel movement (Klek et al.). Early closure is safe and effective, provides a better quality of life for patients, and saves money (Klek et al.). The only weakness I can see from this article is that the trial data was received from only 58 people (Klek et al).

References

Cornell University Library. (2010). Distinguishing scholarly journals from other periodicals. Retrieved from http://guides.library.cornell.edu/c.php?g=31867&p=201759

Kłęk, S., Pisarska, M., Milian-Ciesielska, K., Cegielny, T., Choruz, R., Sałówka, J., … Pędziwiatr, M. (2018). Early closure of the protective ileostomy after rectal resection should become part of the Enhanced Recovery After Surgery (ERAS) protocol: a randomized, prospective, two-center clinical trial. Videosurgery & Other Miniinvasive Techniques / Wideochirurgia i Inne Techniki Malo Inwazyjne13(4), 435–441. https://doi-org.ezp.waldenulibrary.org/10.5114/wiitm.2018.79574

Laureate Education, Inc. (Executive Producer). (2012c). Introduction to scholarly writing: Purpose, audience, and evidence. Baltimore, MD: Author.

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