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Research Analysis and Synthesis (RAS) Forum Discussion
use Research Analysis and Synthesis (RAS) discussions to analyze a set of research studies under the following scenario: Your facility has been debating whether or not gum chewing is an effective intervention to reduce length of stay for patients after surgery. You will be working with a team of nurses to develop research-based recommendations as to whether this innovation should be placed as part of the post operative care guidelines.
• Write two different topic discussions from the 4 studies.
• Outside sources should be used to contribute new information and support arguments.
Topics: Identifying research problems, purpose statements, research questions, and hypotheses. Writing hypotheses and classifying them as null, alternative/research, directional, and nondirectional.
posts should be at least two fully developed paragraphs and should thoughtfully reflect on, critique, or expand upon the post that you are responding to.
The four primary quantitative articles used for this scenario are as follows:

  1. Asao, T., Kuwano, H., Nakamura, J., Morinaga, N., Hirayama, I., & Ide, M. (2002). Gum chewing enhances early recovery from postoperative ileus after laparoscopic colectomy. Journal of American College of Surgeons, 195(1), 30-32. http://doi.org/10.1016/s1072-7515(02)011791 download
  2. Harma, M. I., Barut, A., Arikan, I. I., & Harma, M. (2009). Gum-chewing speeds return of first bowel sounds but not first defecation after cesarean section. Anatolian Journal of Obstetrics & Gynecology, 1(1), 1-3. download
  3. Matros, E., Rocha, F., Zinner, M., Wang, J., Ashley, S., Breen, E., Soybel, D., Shoji, B., Burgess, A., Bleday, R., Kuntz, R., & Whang, E. (2006). Does gum chewing ameliorate postoperative ileus? Results of a prospective, randomized, placebo-controlled trial. Journal of the American College of Surgeons, 202(5), 773–778. https://doi.org/10.1016/j.jamcollsurg.2006.02.009
  4. Ngowe, M. N., Eyenga, V. C., Kengn, B. H., Bahebeck, J. & Sosso, A. M. (2010). Chewing gum reduces postoperative ileus after open appendectomy. Acta Chir Belg, 110(2), 195-199. https://doi.org/10.1080/00015458.2010.11680596
    Example RAS Post
    Below is an example of a 5-point RAS post. It is based on a previous student’s post that I have modified and added to. To earn the full 5 points, include two complete paragraphs, use proper APA formatting and style, and use at least one class resource (textbook, class articles, etc.) and at least one outside source. Do not forget to use proper citations and include a reference list. You do not need a cover page or abstract. Discuss concepts relevant to the topic at hand and bring in outside information to strength the discussion and build a dialogue between classmates.

Example post for RAS 2 Topic A:
The hypotheses used for the class gum chewing articles are very similar. Another study conducted by Schuster, Grewal, Greaney, and Waxman (2006) tested a comparable hypothesis. They hypothesized that chewing gum after an elective open colon resection may stimulate bowel motility and decrease the duration of postoperative ileus. Like this study by Schuster et al., Asao et al. (2002) had two groups in their study: a gum chewing group and a control group. Because they have very similar hypotheses, they chose the same type of study design: randomized control trials. They also had similar results with the same conclusion that chewing gum postoperatively increases the recovery time in patients after surgery. Schuster et al. concluded that “gum chewing early in the postoperative period following elective partial sigmoid colon resections hastens time to bowel motility and ability to tolerate feedings. This inexpensive and well-tolerated treatment resulted in earlier hospital discharge” (Comment Section, Para. 6). Since the hypotheses the researchers are testing are so similar, it makes sense that how they design their studies to test those hypotheses would also be similar.

The hypotheses for these two articles are also similar to the hypothesis for the study by Matros et al. (2006), however they added a placebo to strengthen their study. For example, Matros et al. hypothesized that “Gum chewing is more effective than a placebo in hastening bowel recovery and shortening hospitalization after open colectomy” (p. 773). This study similarly used an intervention group and a control group, but having a placebo added a third group. This is useful because it allows the researchers to control for the placebo effect, when participants think that they feel better due to the treatment, because they expect it to work. Having this placebo makes the study stronger and leads to a better test of the hypothesis than the studies by Schuster et al. (2006) and Asao et al. (2002).

Reference:
Asao, T., Kuwano, H., Nakamura, J., Morinaga, N., Hirayama, I., & Ide, M. (2002). Gum chewing enhances early recovery from postoperative ileus after laparoscopic colectomy. Journal of American College of Surgeons, 195, 30-32.
Matros, E. Rocha, F., Zinner, M., Wang, J., Ashley, S. Breen, S. et al. (2006) Does gum chewing ameliorate post operative Ileus? Results of a prospective, randomized, placebo-controlled trial. Journal of American College of Surgeons, 202, 773-778.
Schuster, R., Grewal, N., Greaney, G. C., & Waxman, K. (2006). Gum chewing reduces ileus after elective open sigmoid colectomy. (n.d). Archives of surgery, 141(2), 174-176.doi:10.1001/archsurg.141.2.174Links to an external site.

Type Of Service: Academic paper writing
Type Of assignment: Research summary
Subject: Not defined
Pages/words: 1/275
Number of sources: 2
Academic Level: Sophomore(College 2nd year)
Paper Format: APA
Line Spacing: Double
Language style: US English

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