lnu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Intraoperative prevention of Surgical Site Infections as experienced by operating room nurses
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0002-5173-9484
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0002-2204-2776
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0002-2602-0101
2019 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, no 1, p. 1-8, article id 1632109Article in journal (Refereed) Published
Abstract [en]

Aim: This study examines how OR nurses experience intraoperative prevention of SSIs. Introduction: Infections related to surgical procedures create both great patient suffering and high costs for society. Therefore, prevention of Surgical Site Infections (SSIs) should be a high priority for all surgical settings. All details of intraoperative care need to be investigated and evaluated to ensure best practices are evidence-based. Methods: This study uses the Reflective Lifeworld Research (RLR) approach, which is grounded in phenomenology. Participants were OR nurses with at least one year of clinical experience. In total, 15 participants from seven hospitals made contact and were included in this interview study. Results: Prevention of SSIs takes both head and hand. It requires long-term, continuous, and systematic work in several parallel processes, both intellectually and organisationally. The hierarchical tradition of the operating room is often ambiguous, shielded by its safe structures but still restricted by traditional patterns. Confident relations and resolute communication within the team generate favorable conditions for preventing SSIs. Conclusions: By setting up mutual platforms and forums for quality development, increasing legitimacy for OR nurses and establishing fixed teams, prevention of SSIs will continue to improve, ensuring the patients' safety during intraoperative care.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2019. Vol. 14, no 1, p. 1-8, article id 1632109
Keywords [en]
Intraoperative care, Operating room, Prevention, Surgical Site Infection, Surgical team
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-86967DOI: 10.1080/17482631.2019.1632109ISI: 000473526500001PubMedID: 31256748Scopus ID: 2-s2.0-85068214200OAI: oai:DiVA.org:lnu-86967DiVA, id: diva2:1338594
Available from: 2019-07-23 Created: 2019-07-23 Last updated: 2022-04-19Bibliographically approved
In thesis
1. Safeguarding from surgical site infections: A mutual responsibility between the patient, caregiver and the perioperative healthcare leaders
Open this publication in new window or tab >>Safeguarding from surgical site infections: A mutual responsibility between the patient, caregiver and the perioperative healthcare leaders
2021 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Aim: The overall aim of this thesis is to describe and explore preventive measuresand risks for surgical site infections.

Methods: Study I, a registry based and observational design study, includes 35 056cases analysed for risks for reoperation caused by periprosthetic joint infection afterelective total hip arthroplasty. Data are analysed with Cox regression. Study II is ahypothesis testing study and uses an experimental design. Comparative statisticswere used to compare contamination of agar plates after 15 hours for twoconditions: single drape covering or double drape covering. Study III, an interviewstudy that uses a reflective lifeworld research methodology, includes 15 operatingroom nurses who were interviewed regarding the phenomenon of intraoperativeprevention of surgical site infections. Study IV, also an interview study, includes 14orthopaedic patients who were interviewed regarding their experience with at-homepreoperative skin disinfection. Data were analysed using manifest content analysisaccording to Graneheim and Lundman.

Results: Study I shows an increased risk of reoperation caused by periprostheticjoint infection after planned total hip arthroplasty for age, male sex, morbidity (ASAclass III-IV), obesity, lateral approach to the hip, general anaesthesia, and prolongedoperative time. Study II shows reduced contamination of agar plates after 15 hoursstorage with double drape covering compared to single drape covering. Study IIIshows that prevention of surgical site infections is a struggle against an invisible anddelayed threat. Another key finding is the importance of operating room nurseslegitimacy and collaboration within the operating team to prevent surgical siteinfections. Study IV describes the patients’ experiences with at-home preoperativeskin disinfection. The result points out obstacles with the procedure and theimportance of identifying those patients who are not suitable for self-care regardingthis preventive measure

Conclusion: Safeguarding from surgical site infections is a mutual responsibility ofthe patient, caregivers, and perioperative healthcare leaders. Therefore, this complexphenomenon is difficult to assess. Prevention of surgical site infections needs to bea collaborative effort involving patient, caregivers, and perioperative healthcareleaders. The high-risk care of performing surgery requires confident and safeprofessionals in each position. Well-functioning teamwork and collaboration arekey factors for ensuring stability inside the operating room and providing conditionsfor safe care.

Place, publisher, year, edition, pages
Växjö: Linnaeus University Press, 2021. p. 84
Series
Linnaeus University Dissertations ; 427
Keywords
Operating Room, Perioperative care, Prevention, Qualitative content analysis, Reflective lifeworld research, Surgical site infection, Operating room nurse, Teamwork
National Category
Nursing
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-108180 (URN)9789189460256 (ISBN)9789189460263 (ISBN)
Public defence
2021-12-10, N 1007 Ikea-salen, växjö, 15:57 (Swedish)
Opponent
Supervisors
Available from: 2022-01-12 Created: 2021-11-22 Last updated: 2024-03-06Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopus

Authority records

Qvistgaard, MariaLovebo, JennyAlmerud Österberg, Sofia

Search in DiVA

By author/editor
Qvistgaard, MariaLovebo, JennyAlmerud Österberg, Sofia
By organisation
Department of Health and Caring Sciences
In the same journal
International Journal of Qualitative Studies on Health and Well-being
Nursing

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 407 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf