Proposed Criteria to Conduct a Research Study on Backfill Assisted Voiding
Professional Socialization
December 2, 2008
Title and Description
a. Research Study for Backfill Assisted Voiding
b. Backfill assisted voiding is a procedure that is performed in the post anesthesia care unit. An indwelling catheter is placed preoperatively in selected patients in order for the procedure to take place. The “bladder was filled retrograde with room temperature sterile normal saline”. (Foster, RT Sr., Borawski, KM, pg. 627). Retrograde filling was stopped when the woman had a strong urge to void. The catheter was removed and the patient voided.
c. A cause for concern was initiated by the surgical outpatient unit because a MD is currently ordering the procedure on post-operative vaginal surgery patients with no standard practice. There is concern from members of the Nurse Practice Committee and Infection Control due to lack of evidence to support it and data to show the patient does not have negative consequences as a result of this procedure. Professional Outcome and Related Competency
a. The outcome of this proposal is to articulate the contributions of professional nursing to health care via research by defining the boundaries of nursing while gathering, organizing, planning, problem solving and reviewing in order to format an acceptable policy and procedure for standards of performance.
b. As a nurse we are held accountable for our actions. We must function within the Nurses Code of Ethics. We must engage in activities that promote evidence based practice such as familiarizing ourselves with gathering and monitoring data to support our proposal. The following guidelines are necessary for formulating standards of care for backfill assisted voiding: o Educational opportunities for staff and patients. o Minimum and maximum age requirements
References: Melnyk, B.M., & Fineout-Overholt, E. (2005). Evidence Based Practice in Nursing and Healthcare Foster, RT Sr., Borawaski, KM., South, MM. (2007). A randomized, controlled trial evaluating 2 techniques of postoperative bladder Foster, RT., Boroawski, KM., MM. Weidner, AC., Webster, GD., Amundsen, CL., (2007)