Development of clinical nursing practice guideline based on evidence-based practice for prevention of surgical site infection (CNPG SSI) in a patient undergoing mitral valve replacement procedure at Sunpasitthiprasong Hospital
Keywords:
clinical nursing practice guideline, evidence-based practice, mitral valve replacement, preventing surgical site infectionAbstract
This research and development design was aimed to develop the clinical nursing practice guideline (CNPG) based on evidence-based practice (EBP)for the prevention of surgical site infection (SSI) in a patient undergoing a mitral valve replacement procedure at Sunpasitthiprasong hospital and to study results of using CNPG. Research method composed of 2 phases; The first phase was to develop CNPG base on the conceptual for translating EBP into clinical practice guidelines suggested by Joanna Briggs Institute (JBI). The second phase was to evaluated the implementation of CNPG SSI. The purposive sample were 26 perioperative nurses and nine patients undergoing mitral valve replacement procedures. The research instruments were: 1) CNPG SSI quality agreement of experts using The AGREE II and the nursing practice record form, 2) surgical patient record form and 3) prevention assessment SSI form. The quantitative data were analyzed using descriptive statistic.
The results indicated that: 1) The first phase of the CNPG SSI development were: (1) preoperative phase including patient information and knowledge, (2) intraoperative phase including techniques for preventing infection surgical site, preparing instrument and equipment, inspection of artificial heart valves, stimulates the heartbeat with warm normal saline solution and keep warm, and (3) postoperative phases and transfer patients to ICU including monitoring blood circulation, respiratory rate and keep warm. 2) The second phase of outcomes of CNPG SSI evaluation were: (1) no sign of sternal wound infection in nine patients after 72 hours (2) CNPG SSI evaluated by nurses was 96.29% practical in all steps.
This study suggests that the CNPG SSI could be applied appropriately in the hospital and should be improved for updated CNPG currently.
References
Ministry of Public Health. Public health statistics A.D. 2018 [document on the Internet]. Nonthaburi: The Institute; 2019 [cited 2020 Apr 26]. Available from: https://bps.moph.go.th/new_ bps/sites/default /files/statistic%2061.pdf (in Thai).
The Society of Thoracic Surgeons of Thailand. Heart surgery statistics 2017-2019. [homepage on the internet]. 2019; [cited 2020 Apr 26] Available from: https://ststhai.org/en/stats/ (in Thai).
Sayasathid J. Common cardiac surgery. Pitsanulok: Global com.Ltd; 2017. (in Thai).
Sunpasithiprasong Hospital. Anaul report and Operating procedure report. Ubon Ratchathani: Sunpasithiprasong Hospital; 2019. (in Thai).
Khamla A, Wongwattanareak W, Juraree S, Jearanai J, Keawta K. The development of care model to prevent surgical site infection for patients undergoing coronary artery bypass graft using evidence-based practice. Journal of Nursing and Health Care. 2018; 35(2):34-44. (in Thai).
Perioperative nursing care Department. Summary of work record in perioperative nursing care undergoing mitral valve replacement procedure at Sunpasithiprasong Hospital Ubonratchatani 2018; 2015-2017. (in Thai).
The Joanna Briggs Institute. Reviewers’ manual 2014 edition. [document on the Internet]. Australia: The Institute; 2014 [cite 2019 May 1] Available from: http:// www. joannabriggs.org/assets/docs/sumari/reviewersmanual-2014.pdf
Institute of Medical Research and Technology Assessment. Appraisal of guideline for research & evaluation II; AGREE II. [document on the Internet] 2013. Available from https://www.agree trust.org /wp-content/uploads/2017/12/ AGREE -II-Users-Manual-and-23-item-Instrument-2009-Update-2017.pdf
Ling ML, Apisarnthanarak A, Abba A, Morikane K, Lee KY, Warrier A, et. al. The Asia pacific society of infection control guidelines for the prevention of surgical site infection. Antimicrob Resist Infect Control. 2019; 8(174):1-8.
World Health Organization. WHO guidelines for safe surgery 2018: safe surgery saves lives. [document on the Internet]. Switzerland: The Institute; 2009. [cited 2019 Jan 10]. Available from: http://apps. who.int/iris/ bitstre m/10665/44185/1/9789 241598552_ eng.pdf
Kummatid A, Markrat M. Using the systematic review to provide a complete summary on a research question in evidence-based practice: a 3-step method. The Southern College Network Journal of Nursing and Public Health. 2019; 3(3):246-59. (in Thai).
Suwannakeeree W, Payaprom Y. Prevention of surgical site infection. Journal of Nursing Science Chulalongkorn University 2017; 29(2):15-28. (in Thai).
Wongnaikot P, Saensom D. Development of an intrahospital transfer clinical nursing practice guideline for critically ill trauma patients. Proceedings of National Seminar on research presentation. Khonkan: Khonkan University; 2017. (in Thai).
Jungul S, Charoensuk K.The Effect of instruction in pre opened heart patients by Video Compact Disc on knowledge regarding health practice and anxiety level. Nursing Journal of the Ministry of public health 2015; 25(1):157-166. (in Thai).
Leung Wai Sang S, Chaturvedi R, Alam A, Samoukovic G, Varennes BD, Lachapelle K. Preoperative hospital length of stay as a modifiable risk factor for mediastinitis after cardiac surgery. J. Cardiothorac. Surg. 2013; 8(45):1-7.
Risnes I, Abdelnoor M, Almdahl SM, Svennevig JL. Mediastinitis after coronary artery bypass grafting risk factors and long-term survival. Ann. Cardiothorac. Surg. 2010; 89(5):1502- 9.
Durongrithichai W, Wattanadachasakun N, Phiwphang R, Mongkolrungraung S. The clinical nursing practice guideline for patients with coronary artery bypass grafting: research synthesis for application. HCU Journal of Health Science. 2016; 20(39):143-56. (in Thai)
Ban KA, Minei JP, Laronga C, Harbrecht BG, Jensen EH, Fry DE, et al. American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update. J Am Coll Surg. 2017; 224(1):59-74.
Bérubé M, Bernard F, Marton H, Parent J, Thibault M, Williamson DR, et al. Impact of a preventive programme on the occurrence of Incidents during the transport of critically ill patients. Intensive Crit. Care Nurs. 2013; 29(1):9-19.
Oliveira AP, Souza EN, Pellanda LC. Effectiveness of video resources in nursing orientation before cardiac heart surgery. Rev. Assoc. Med. Bras. 2016; 62(8):762-67.
The Thai Perioperative Nurses Association. Perioperative nurse competencies. Bangkok: Bangkok Wetchasan Printing House; 2011. (in Thai).
Vipavakarn S, Phetyotha M, Paluekpetch K. The development of perioperative nursing documentation in Krabi Hospital. The Southern College Network Journal of Nursing and Public Health 2014; 1(3): 59-72. (in Thai).
Suwatno R, Wivatvanit S. The Effect of Teamwork for Adverse Events Prevention Programin Surgical Operating Theater on Work Effectiveness. Journal of Nursing Science Chulalongkorn University 2015; 27(3): 146-155. (in Thai).
Boonlikitsawad N, Jitpanya C. The effectiveness of nursing interventions on health outcomes in patients after open heart surgery: a meta – analysis. Kuakarun Journal of Nursing 2012; 19(2): 26-41. (in Thai).
Piyasoontrawong N. Role of operating nurse in laparo-endoscopic single site surgery. Journal of health science. 2009; 3(1): 21-27. (in Thai).
Permpech R, Butsripoom B. The role of perioperative nurse: health education for pre and postoperative visiting. Rama Nurse. 2016; 22(1): 9-20. (in Thai).
Martin CG, Turkelson SL. Nursing care of the patient undergoing coronary artery bypass grafting. J Cardiovasc Nurs. 2006 Mar-Apr;21(2):109-17. doi: 10.1097/00005082-200603000-00006. PMID: 16601527.
Ana Paula aMEsToy dE oliVEira, EMilianE noguEira dE souza & lucia caMPos PEllanda. Effectiveness of video resources in nursing orientation before cardiac heart surgery. Rev. Assoc. Med. Bras. 2016; 62(8): 762- 67.
Kue R, Brown P, Ness C, Scheulen J. Adverse clinical events during intrahospital transport by a specialized team: a preliminary report. Am J Crit Care. 2011 Mar;20(2):153-61; quiz 162. doi: 10.4037/ajcc2011478. PMID: 21362719; PMCID: PMC3715047.
Pongpanich T, Lokittichon T, Maknual S. Development of a safety system model to prevent infection in operating theatre nursing department, Rajavithi Hospital. Nursing Journal of the Ministry of Public Health. 2020; 30(1): 174-89. (in Thai).
Nunthachaiphan P. Appraisal quality of clinical practice guidelines: documentation training lecture on empirical evidence practice. Chiang Mai: Nursing Service Center, Faculty of Nursing, Chiang Mai University; 2007. (in Thai).
Bureau of Nursing, Department of Medical Services, Ministry of Public Health. Nursing standards in hospitals. 2nd update. Nonthaburi: Veterans Relief Organization; 2007.
Padungsak S, Bamrungwong S, Khongsamai T. The development of the clinical nursing practice guidelines for perioperative hypothermia prevention in patients undergoing operation. Thai Journal of Nursing. 2019; 68(4): 56-63. (in Thai).
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