COW-nundrum: Is it Evidence-based or “Udder” Nonsense
What is a COW-nundrum?
A COW-nundrum is a practice that we do repeatedly and don’t question; yet, we aren’t sure if it is evidence-based or “udder” nonsense!
What is this Contest About?
This contest is all about having fun and asking “why?”! The contest is sponsored by UW Health Nursing Research and EBP Council to simply provide a process for asking these clinical questions.
Results of 2017 Contest
The 2nd Annual COW-nundrum contest was held October 2-22, 2017. We received 33 questions from 20 different practice areas!
Here are some examples of questions received:
- What is best practice for flushing an NG/DHT/Gtube? Should sterile water always be used or is tap water ok if the patient is not immunocompromised?
- How often should IV tubing be changed? Our practice is to change it every three days. At other institutions, tubing is changed every 4 days. (Of note, the IV infection risk problem in the care plan also references changing art line tubing every 96 hours, though this is not our practice). Is there evidence to support a specific timeframe?
- When I first started working as a new RN... I worked with... experienced nurses that were originally from England via Canada... where it's common practice to have a cup of tea in the afternoon. With the surgical patients, the routine was to give them ice chips... however, there was always a patient or two that it took a long time to hear bowel sounds and they did not want ice chips. [With MD ok, they gave] them sips of warm tea or water if ice chips were not compatible with results. This always seemed to work well and I often wondered why this couldn't be done more often with surgeries that didn't involve the GI tract.
- See a complete list of all the questions that were asked and the answers the Council members provided
What Will Happen with My Questions/Ideas?
All nurses who submitted entries received a cow-pie candy and a certificate.
Each entry was reviewed by the Nursing Research and EBP Council members and a table was created to share the questions that were asked and provide some information about the topic of inquiry.
View a complete list of questions
Off the 33 submissions:
- 21 were from inpatient areas
- 9 were from ambulatory areas
- 3 were from areas that are both in- and outpatient
Spread the word - view the COW-nundrums flier