The Evidence Based Practice Behind Neonatal Circumcision Essay

The Evidence Based Practice Behind Neonatal Circumcision Essay

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I chose to research the evidence based practice behind neonatal circumcision. I decided to research this particular topic because I wanted to be more knowledgeable about the health benefits of male circumcision and what the recommendations there are for the use of analgesia. I have heard many personal statements from friends, relatives and medical professionals regarding neonatal circumcision and have had conflicting results as to whether or not it was beneficial. I wanted to research this topic from peer-viewed evidence based professional works so that I could base my nursing practices according to published facts, not personal experience or opinion.
After researching the topic, I decided to read an article entitled Male Circumcision Task Force on Circumcision, which was published in PEDIATRICS the official journal for the American Academy of Pediatrics. The evaluation of male circumcision was conducted in order to indicate whether there are significant benefits which outweigh the risks of neonatal male circumcision; also whether the benefits justify access to the procedure for families who choose to have it performed. According to the research there were specific health benefits in newborn male circumcision such as prevention of urinary tract infections, acquisition of HIV, transmission of some sexually transmitted infections and penile cancer. (Circumcision, 2012, p. 756) The task force concluded that the health benefits of newborn male circumcision outweigh the risks and justify access to this procedure for families who choose it. However, the procedure should only be carried out by trained and competent practitioners, by using sterile technique and effective pain management. Adequate analgesia should be provided whenever new...

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...on any peer-reviewed evidence. I was also under the assumption that most circumcisions were done with nonpharmacological interventions. After my research and speaking to my nurse at St Joseph’s Hospital I know that analgesia is used during circumcisions done in the hospital and at the doctor’s office; EMLA, ring block, and dorsal penile nerve block are all used and which one is used is based on the practitioner’s preference. After my research, I feel that I am highly informed on the risks and benefits of newborn male circumcision and will be able to take my new found knowledge into clinical practice. Since there was found to be lack of parental educational teaching regarding the care of the uncircumcised penis, I will make sure that I provide adequate education to any parents in my care regarding the care of the uncircumcised penis and well as the circumcised penis.

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