The dnp project: literature synthesis | nursing | Chamberlain College of Nursing

 

PICOT: For adult surgical oncology patients at White Plains Hospital Center for Cancer Care, does the implementation of aromatherapy in the preoperative setting, compared to current practice, impact anxiety in 8-10 weeks?

Literature Search Strategy

Many articles were identified to highlight the impact aromatherapy has on preoperative anxiety. It is imperative to identify strong, supportive, high-quality literature to support the practice problem and intended intervention. By doing so, the hope is to produce positive patient outcomes in our surgical oncology population. Keywords were used to search the most recent, peer-reviewed articles for the most relevant material regarding anxiety in the surgical oncology patient. The keywords used were preoperative anxiety, aromatherapy, surgical oncology, AND adults. In addition, the Chamberlain library search engine was the sole source of research. Databases utilized included CINHAL, Medline, and PubMed. Approximately 20 peer-reviewed articles were identified and strongly support the evidence-based intervention of utilizing lavender aromatherapy in the preoperative setting for the management of anxiety. All articles vary in evidence type and will be used to show the importance of this proposed intervention.

Literature to Synthesis

Lavender aromatherapy is one of the most widely used, well-recognized, complementary, and alternative medicine (CAM) that promotes relaxation and calmness (Beyliklioglu & Arslan, 2019; Koehler, 2021; Shady et al., 2019; Wotman et al., 2017). In recent times, aromatherapy has been successfully utilized in combination with modern day medicine to cure, manage, and treat a litany of aliments. Being able to safely manage symptoms, with a non-pharmacological approach is ideal, especially in the preoperative setting.

Bedaso and Ayalew (2019) conducted a study that revealed a 47.0% prevalence of preoperative anxiety among individuals undergoing elective surgeries. Given the commonality of this overwhelming feeling, the need to establish a safe, cost-effective, non-pharmacologic management approach is monumental. Studies have found that aromatherapy, more specifically lavender aromatherapy, when implemented, significantly decreases preoperative anxiety (Abdelhakim, et al., 2019; Franco, et al., 2016; Guo et al., 2020; Koehler, 2021; Trambert et al., 2017; Wotman, et al., 2017). By decreasing preoperative anxiety, the overall health status of the surgical patient is inadvertently optimized, and will therefore, produce positive patient outcomes.   

Update

My DNP project has qualified for expedited review; therefore, it takes about 10-14 days for them to review the material and approve the project once fully submitted. Currently, there are a few little things to fix (mostly the wrong boxes clicked in the application) and then I can resubmit for approval. I am finally happy it is moving in the right direction and I now have a contact person who reviews the information in the iRIS database prior to submission.  

References

Abdelhakim, A.M., Hussein, A.S., Doheim, M.F., & Sayed, A.K. (2020). The effect of inhalation aromatherapy in patients undergoing cardiac surgery: A systematic review and meta-analysis of randomized controlled trials. Complementary Therapies in Medicine, 48, 1-8. https://doi.org/10.1016/j.ctim.2019.102256 (Links to an external site.)

Bedaso, A. & Ayalew, M. (2019). Preoperative anxiety among adult patients undergoing elective surgery: a prospective survey at a general hospital in Ethiopia. Patient Safety in Surgery, 13(18), 1-8. https://doi.org/10.1186/s13037-019-0198-0 (Links to an external site.)

Beyliklioglu, A. & Arslan, S. (2019). Effect of lavender oil on the anxiety of patients before breast surgery. Journal of PeriAnesthesia Nursing, 34(3), 587-593. https://doi.org/10.1016/j.jopan.2018.10.002 (Links to an external site.)

Franco, L., Blanck, T.J.J., Dugan, K., Kline, R., Shanmugam, G., Galotti, A., Granell, A.V.B., & Wajda, M. (2016). Both lavender fluer oil and unscented oil aromatherapy reduce postoperative anxiety in breast surgery patients: a randomized trial. Journal of Clinical Anesthesia, 33, 243-249. http://dx.doi.org/10.1016/j.jclinane.2016.02.032 (Links to an external site.) 

Guo, P., Li, P., Zhang, X., Liu, N., Wang, J., Yang, S., & Yu, L. (2020). The effectiveness of aromatherapy on preoperative anxiety in adults: A systematic review and meta-analysis of randomized controlled trials. International Journal of Nursing Studies, 111, 1-19. https://doi.org/10.1016/j.ijnurstu.2020.103747 (Links to an external site.)

Koehler, T. (2021). Lavender aromatherapy as a nurse-driven intervention for preoperative anxiety. Nursing for Women’s Health Journal, 25(4), 286-295. https://doi.org/10.1016/j.nwh.2021.05.005 (Links to an external site.)

Shady, K., Nair, J.M., & Crannell, C. (2019). Lavender aromatherapy. Examining the effects of lavender oil patches on patients in the hematology-oncology setting. Clinical Journal of Oncology Nursing, 23(5), 502-508. https://doi.org/10.1188/19.CJON.502-508 (Links to an external site.)

Trambert, R., Kowalski, M.O., Wu, B., Mehta, N., & Friedman, P. (2017). A randomized controlled trial provides evidence to support aromatherapy to minimize anxiety in women undergoing breast biopsy. Worldviews on Evidence Based Practice, 14(5), 394-402. https://doi.org/10.1111/wvn.12229 (Links to an external site.)

Wotman, M., Levinger, J., Leung, L., Kallush, A., Mauer, E., & Kacker, A. (2017). The efficacy of lavender aromatherapy in reducing preoperative anxiety in ambulatory surgery patients undergoing procedures in general otolaryngology. Laryngoscope Investigative Otolaryngology, 2, 437-441. https://doi.org/10..1002/lio2.121

I NEED A COMMENT FOR THIS DISCUSSION BOARD WITH AT LEAST 2 PARAGRAPHS AND USE AT LEAST 3 SOURCES WITH 3 SOURCES NO LATER THAN 5 YEARS

Calculate the price of your order

Select your paper details and see how much our professional writing services will cost.

We`ll send you the first draft for approval by at
Price: $36
  • Freebies
  • Format
  • Formatting (MLA, APA, Chicago, custom, etc.)
  • Title page & bibliography
  • 24/7 customer support
  • Amendments to your paper when they are needed
  • Chat with your writer
  • 275 word/double-spaced page
  • 12 point Arial/Times New Roman
  • Double, single, and custom spacing
  • We care about originality

    Our custom human-written papers from top essay writers are always free from plagiarism.

  • We protect your privacy

    Your data and payment info stay secured every time you get our help from an essay writer.

  • You control your money

    Your money is safe with us. If your plans change, you can get it sent back to your card.

How it works

  1. 1
    You give us the details
    Complete a brief order form to tell us what kind of paper you need.
  2. 2
    We find you a top writer
    One of the best experts in your discipline starts working on your essay.
  3. 3
    You get the paper done
    Enjoy writing that meets your demands and high academic standards!

Samples from our advanced writers

Check out some essay pieces from our best essay writers before your place an order. They will help you better understand what our service can do for you.

Get your own paper from top experts

Order now

Perks of our essay writing service

We offer more than just hand-crafted papers customized for you. Here are more of our greatest perks.

  • Swift delivery
    Our writing service can deliver your short and urgent papers in just 4 hours!
  • Professional touch
    We find you a pro writer who knows all the ins and outs of your subject.
  • Easy order placing/tracking
    Create a new order and check on its progress at any time in your dashboard.
  • Help with any kind of paper
    Need a PhD thesis, research project, or a two-page essay? For you, we can do it all.
  • Experts in 80+ subjects
    Our pro writers can help you with anything, from nursing to business studies.
  • Calculations and code
    We also do math, write code, and solve problems in 30+ STEM disciplines.

Frequently asked questions

Get instant answers to the questions that students ask most often.

See full FAQ
    See full FAQ

    Take your studies to the next level with our experienced specialists

    Chat
    Chat
    Hello, we are online 24/7. Leave a message we will reply instantly