Student Research Symposium Program Portal: Submission #150

serial: '150'
sid: '8998'
uuid: a7b73707-b705-4a7f-a947-e98d408dad07
uri: /student-research/symposium/research-symposium-program-portal
created: '1768501476'
completed: '1768502100'
changed: '1768502100'
in_draft: '0'
current_page: ''
remote_addr: '2603:9001:4300:7e50:acdc:2ebe:24ff:44c2'
uid: '0'
langcode: en
webform_id: research_portal
entity_type: node
entity_id: '14501'
locked: '0'
sticky: '0'
notes: ''
metatag: meta
data:
  abstract: |-
    Postoperative nausea and vomiting (PONV) remain significant contributors to delayed recovery, prolonged post anesthesia care unit (PACU) stays, and reduces patient satisfaction. Evidence-based guidelines recommend dexamethasone as part of a multimodal PONV prevention strategy, yet many anesthesia providers remain hesitant to use it in diabetic patients due to concerns about hyperglycemia and surgical site infection (SSI). This quality improvement project sought to address these concerns through targeted education and will measure the success of the intervention by evaluating changes in provider perceptions. The PICO question was: In adult general surgical patients with diabetes (P), compared to non-diabetic patients (C), are those treated prophylactically for PONV (I) less likely to receive IV dexamethasone (O)?
    A pre and post educational intervention was conducted at a large tertiary hospital in the southeastern United States. Evidence-based posters summarizing current dexamethasone recommendations were displayed in high-traffic operating room areas. Pre- and post-intervention surveys assessed provider concerns, baseline practices, and likelihood of using dexamethasone in diabetic patients; responses were analyzed descriptively. Seventeen anesthesia providers completed both surveys.
    Results showed a 16.2% reduction in concern about hyperglycemia and a 14.7% reduction in concern about SSI after dexamethasone use, along with a small (1.18%) increase in reported likelihood of administering dexamethasone to diabetic patients. Although changes in attitudes were modest, the reduction in perceived risks indicates a positive shift toward evidence-based practice. These findings support continued education on PONV guidelines and suggest dexamethasone remains an appropriate option for diabetic patients when routine postoperative glucose monitoring is in place.
  additional_research_mentor: ''
  annual_description: '5th annual Undergraduate Research Symposium, April 17, 2025'
  co_presenters: 'Corey Bemis '
  first_name: 'Brendan '
  i_will_be_printing_my_poster: '0'
  keywords: 'dexamethasone, PONV, anesthesia'
  last_name: Watson
  major: 'Doctor of Nurse Anesthesia Practice (DNAP)'
  poster_pdf: '72776'
  poster_session_number: ''
  poster_thumbnail: '72777'
  presentation_modality: 'Synchronous Online Presentation'
  pronouns: ''
  research_mentor: 'Gerard T. Hogan, DNSc., CRNA, FAANA'
  research_mentor_s_college: 'Florida State University'
  research_mentor_s_department: 'Nurse Anesthesia Program (DNAP)'
  research_mentor_s_email: ghogan@pc.fsu.edu
  student_bio: 'Corey and Brendan are DNAP students excited to graduate and begin the next chapter of their careers in nurse anesthesia.'
  student_email: bsw23@fsu.edu
  student_photo: '72775'
  title: 'Dexamethasone in Diabetic Surgical Patients: An Educational Intervention to Enhance Adherence to PONV Guidelines'
  update_url: 'https://pc.fsu.edu/student-research/symposium/research-symposium-program-portal?element_parents=elements/student_photo&ajax_form=1&_wrapper_format=drupal_ajax&token=d5DGkZLnsjoTILZUF4Z4rW1QRxoFf--hNz-R1cLTW3M'
  work: Complete
  year: '2026'