2.50
Hdl Handle:
http://hdl.handle.net/10755/157082
Category:
Abstract
Type:
Presentation
Title:
Integrating Nursing Evidence-based Practice and Information Technology
Author(s):
Catrett, Eloise; Dao, Thanh; Tillman, Connie; Francois, Rosalie; Custard, Kristi; Price, Margaret; Gentry, Layne; Baimbridge, Susan
Author Details:
Eloise Catrett, St. Luke's Episcopal Hospital, Houston, Texas, USA, email: ecatrett@sleh.com;Thanh Dao; Connie Tillman; Rosalie Francois; Kristi Custard; Margaret Price; Layne Gentry; Susan Baimbridge
Abstract:
PURPOSE: Surgical site infections (SSI) are recognized as major medical complications of significant mortality, morbidity, and cost. A nursing initiative to reduce the incidence of superficial surgical site infections in cardiovascular surgery patients was implemented and information technology was utilized to assist in sustaining evidence-based practices. Description: Research indicates most superficial SSI pathogens are the endogenous flora of the patient's skin and mucous membranes. Further analysis of our surgical site infections in cardiovascular surgery patients indicates a higher superficial than deep sternal wound infection rate. While deep wound infections are attributed to surgical techniques and tissue contamination in the operating room, superficial wound infections are shown to be associated with nursing care. The Sternal Wound Collaborative Practice Team (SWCPT) implemented the following wound care interventions: daily dressing change for 4 days and as needed, surgical site care with 2% chlorhexidine daily until discharge, dressing integrity assessments every shift, patient showering with dressing off, periodic on-site and routine remote compliance audits. This new protocol did not begin until all nurses and patient care assistants in the cardiovascular patient care areas were educated on proper procedures for prevention of surgical site infection. EVALUATION: A 43 % reduction in superficial sternal wound infection rate was observed over a six month period. Compliance audits were necessary to ensure performance. As audits indicated non-compliance, management was notified and staff education was reinforced. Management support was the key to program success and policy enforcement. Frequent feedback was shared between members of the SWCPT and nursing staff to promote employee engagement, encourage active participation, and nourish a sense of pride among the nursing team. Above all, the electronic method for daily auditing, a computer generated report which aggregates nursing wound assessment documentations, was essential to sustain quality.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.
Conference Date:
2009
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
New Orleans, Louisiana, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleIntegrating Nursing Evidence-based Practice and Information Technologyen_GB
dc.contributor.authorCatrett, Eloiseen_GB
dc.contributor.authorDao, Thanhen_GB
dc.contributor.authorTillman, Connieen_GB
dc.contributor.authorFrancois, Rosalieen_GB
dc.contributor.authorCustard, Kristien_GB
dc.contributor.authorPrice, Margareten_GB
dc.contributor.authorGentry, Layneen_GB
dc.contributor.authorBaimbridge, Susanen_GB
dc.author.detailsEloise Catrett, St. Luke's Episcopal Hospital, Houston, Texas, USA, email: ecatrett@sleh.com;Thanh Dao; Connie Tillman; Rosalie Francois; Kristi Custard; Margaret Price; Layne Gentry; Susan Baimbridgeen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157082-
dc.description.abstractPURPOSE: Surgical site infections (SSI) are recognized as major medical complications of significant mortality, morbidity, and cost. A nursing initiative to reduce the incidence of superficial surgical site infections in cardiovascular surgery patients was implemented and information technology was utilized to assist in sustaining evidence-based practices. Description: Research indicates most superficial SSI pathogens are the endogenous flora of the patient's skin and mucous membranes. Further analysis of our surgical site infections in cardiovascular surgery patients indicates a higher superficial than deep sternal wound infection rate. While deep wound infections are attributed to surgical techniques and tissue contamination in the operating room, superficial wound infections are shown to be associated with nursing care. The Sternal Wound Collaborative Practice Team (SWCPT) implemented the following wound care interventions: daily dressing change for 4 days and as needed, surgical site care with 2% chlorhexidine daily until discharge, dressing integrity assessments every shift, patient showering with dressing off, periodic on-site and routine remote compliance audits. This new protocol did not begin until all nurses and patient care assistants in the cardiovascular patient care areas were educated on proper procedures for prevention of surgical site infection. EVALUATION: A 43 % reduction in superficial sternal wound infection rate was observed over a six month period. Compliance audits were necessary to ensure performance. As audits indicated non-compliance, management was notified and staff education was reinforced. Management support was the key to program success and policy enforcement. Frequent feedback was shared between members of the SWCPT and nursing staff to promote employee engagement, encourage active participation, and nourish a sense of pride among the nursing team. Above all, the electronic method for daily auditing, a computer generated report which aggregates nursing wound assessment documentations, was essential to sustain quality.en_GB
dc.date.available2011-10-26T19:24:19Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:24:19Z-
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.conference.date2009en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationNew Orleans, Louisiana, USAen_GB
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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