Why Day Zero Matters in Early Ambulation for Postoperative Patients: An Evidence-Based Project

Abstract

<p>The purpose of this evidence-based practice project is to review the literature to determine if ambulation on postoperative day zero improved patient outcomes when compared to ambulation on postoperative day one. The PICOT question used in this research project was: In adult patients in a postoperative setting, how does ambulation within twelve hours of surgery compare to non-early ambulation after twelve hours of surgery improve patient outcomes during the first thirty days following surgery? This topic addressed both quality improvement and evidence based practice in nursing. The evidence revealed how the timing of ambulation after surgery has the ability to improve patient outcomes. Early ambulation had a positive impact on physical, psychological, and social outcomes and decreased complications. A search of the Cochrane, PubMed, and Cinahl plus Full Text databases was conducted and three articles assumed the criteria. Two literature reviews and one randomized controlled trial were analyzed. Future recommendations for nursing include: further research in timing of ambulation, staff education, compliance, and administrative awareness and support. A change in policy is needed when ambulation within twelve hours after surgery is not the standard of care for postoperative patients.</p>