Effect of Evidence-Based Care Bundle on Healthcare Providers’ Practices and The Prevalence of Surgical Site Infections among Cardiac Surgery Patients. | ||
| Journal of Nursing Science Benha University | ||
| Volume 6, Issue 1, January 2025, Pages 276-298 PDF (1.05 M) | ||
| DOI: 10.21608/jnsbu.2025.345884.1119 | ||
| Authors | ||
| Ghada Hassan Ahmed* 1; Olfat Farouk Thabet Mahmoud2; Hussein H Elkahyat3; Naglaa Gamal Eldien Abdelhafez Hariedy4; Manal Mohamed Abd Elnaeem5; Maha Nafady Abd Elhafez6 | ||
| 1Medical surgical Nursing-Faculty of Nursing-Assiut University-Assiut-Egypt | ||
| 2Fellow// lecturer of Medical- Surgical Nursing, Assiut University Hospital, Egypt | ||
| 3Faculty of Medicine, Assiut University Assiut, Egypt | ||
| 4Critical care and emergency nursing Faculty of nursing sohag University | ||
| 5Critical Care & Emergency Nursing, Faculty of Nursing, Zarqa University, Jordan, Faculty of Nursing, Assiut University, Egypt | ||
| 6Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Egypt | ||
| Abstract | ||
| Background: Patients submitted to cardiac surgery are more susceptible to surgical site infection. Prevention of this infection is based on a bundle of preventive measures. Aim: Investigate the effect of implementing evidence-based care bundle on healthcare providers’ practices, and the prevalence of surgical site infections among cardiac surgery patients. Design: A quasi-experimental research design (study and control groups, pre and posttest). Setting: Cardiothoracic Surgery Department, Outpatient Unit, Operating Theater, and Cardiothoracic Intensive Care Unit at Assiut University Heart Hospital. Participants: A convenience sample of 40 healthcare providers & a purposive sample of 100 patients, which divided into two equal groups. Tools: (I) Cardiac surgical patient assessment form, (II) Self- administered Questionnaire for Healthcare Providers, and (III) National Nosocomial Infections Surveillance System Risk Index. Results: The overall score for healthcare providers' practices showed a significant improvement, increasing from 17.45 ± 1.32 to 25.65± 3.80 after the implementation of evidence-based care bundle. There was a highly statistically significant difference was observed between the two groups regarding the degree of wound contamination with (p.value=0.005**), and regarding the National Nosocomial Infection Surveillance Risk Index with (p.value=0.001**). Conclusion: A significant improvement in healthcare providers' practices regarding preoperative, intraoperative, and postoperative measures following training on evidence-based care bundle, resulting in a lower surgical site infection prevalence in the study group compared to the control group. Recommendations: The National Nosocomial Infections Surveillance Risk Index should be routinely used as a predictive tool to assess the risk of surgical site infection in cardiac surgery patients. | ||
| Keywords | ||
| Cardiac surgery patients; Evidence-based care bundle; Health care providers’ practices; & Surgical site infections rate | ||
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