- Title
- An educational intervention for professional nurses on the use of surgical attire in the prevention of surgical site infections in the operating theatres
- Creator
- Alayemi, Joshua
- Subject
- Surgical wound infections -- Prevention
- Subject
- Surgical nursing Operating room nursing
- Date Issued
- 2020
- Date
- 2020
- Type
- Thesis
- Type
- Masters
- Type
- MCur
- Identifier
- http://hdl.handle.net/10948/47937
- Identifier
- vital:40454
- Description
- Infection control and prevention is an issue that is of utmost importance to every health practitioner, including professional nurses, as patients who undergo surgeries could develop sepsis, leading to failure of multiple organs and possibly death. Surgical site infections acquired from operating theatres are often introduced when there is lack of application of and adherence to the necessary control measures, sterile principles and techniques, including the appropriate use of surgical attire. This study aimed to contextualize, implement and evaluate an existing educational intervention regarding the use of surgical attire in operating theatres, in order to establish whether the educational intervention enhanced the practices of professional nurses in operating theatres regarding the use of surgical attire. A quantitative research design, using a quasi-experimental two-group pre-test, post-test intervention approach was employed for the study. The study consisted of three phases. Phase 1 consisted of the administration of the pre-test questionnaire relating to Objective One: “To explore and describe the practices of professional nurses on the use of surgical attire in the prevention of surgical site infections in operating theatres”. Phase 2 consisted of the contextualization and implementation of the educational intervention, which related to Objective Two: “To contextualize and implement an educational intervention for professional nurses on the use of surgical attire in the prevention of surgical site infections in operating theatres”. Phase 3 consisted of the administration of the posttest questionnaire, which related to Objective Three: “To evaluate whether an educational intervention regarding the use of surgical attire in the prevention of surgical site infections in operating theatres enhanced professional nurses’ practices”. The study is underpinned by the Promoting Action on Research Implementation (PARiHS) framework. The research sample consisted of all professional nurses working in the public and private operating theatres in the Nelson Mandela Bay Municipality. Purposive sampling was used to select the hospitals in control (Hospitals 2 and 3) and intervention groups (Hospitals 4 and 5), ensuring an equal number of public and private hospitals in each group. Data was collected through self-administered pre- and post-questionnaires. An existing educational intervention based on the Association of Perioperative Registered Nurses (AORN’s) guidelines was contextualized through review by three professional nurses with a specialty in operating theatre. The educational intervention was implemented for the intervention group, while the control group only received the summary of the AORN guidelines. Reliability and validity were ensured through the conduct of a pilot study, and expert review by three professional nurses with a specialty in operating theatre in order to check the validity and reliability of the data collection instrument and educational intervention. The data collection instrument was also reviewed by a statistician. Ethical clearance and permission was obtained from the relevant institutions. The following ethical principles were adhered to during the study: justice, respect and beneficence. The overall score of pre-test and post-test questionnaires for the control group revealed means of 3.96 and 4.01, with a standard deviation of 0.40 and 0.38, with a difference of -0.06 and a degree of freedom of 59. The overall score of the pre-test and post-test of the intervention group revealed means of 3.68 and 4.22, a standard deviation of 0.47 and 0.36, with a difference of -0.53, degree of freedom of 61 and a large significance difference of Cohen’s d= 1.26. This means that the educational intervention had a positive effect in terms of improving the professional nurses’ practices on the use of surgical attire to prevent surgical site infections in operating theatres. Recommendations for education, practice as well as future research were provided.
- Format
- xv, 177 leaves
- Format
- Publisher
- Nelson Mandela University
- Publisher
- Faculty of Health Sciences
- Language
- English
- Rights
- Nelson Mandela University
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NMU School of Clinical Care Sciences
| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | SOURCE1 | JOSHUA ALAYEMI_2 Mar.pdf | 3 MB | Adobe Acrobat PDF | View Details Download |