Nursing Project Management to Reduce the Operating Room Infection
Background: Nursing project management is widely used in different aspects of the society. However, whether the nursing project management can control the infections in the operation room (OR) is rarely reported. We evaluated the outcomes of surgical patients after implementing a nursing project management program to provide new scientific ways to manage the OR infections.
Methods: Overall, 382 patients, who underwent surgical treatment in Qilu Hospital of Shandong University, Shandong, China from May 2015 to January 2016, were enrolled as observation group. Besides, 347 cases were selected as control group. Patients in the observation group were treated with the nursing project management plan, while patients in the control group were treated with the routine operation-room nursing measures. The infection control rates in the OR, and the patient satisfaction with the nursing team postoperatively were both compared between the two groups of patients.
Results: The OR air, the surgical and personnel’s hands surfaces were sampled for colony forming units, and all were found to be significantly of better quality (indicated by less colony forming units) in the observation group (P<0.001). In addition, there were 3 cases (0.79%) of post-operation infections in the observation group, while 12 cases (3.46%) occurred in the control group. The overall infection rate of the observation group was significantly lower than that of the control group (P = 0.011); and the satisfaction of patients with the nursing team in the observation group was significantly higher than that of the patients in the control group (P = 0.001).
Conclusion: It is worth popularizing and applying a good nursing project management plan for surgical patients in hospitals.
Pham JC, Ashton MJ, Kimata C, Lin DM, Nakamoto BK (2016). Surgical site infec-tion: comparing surgeon versus patient self-report. J Surg Res, 202(1):95-102.
Laurikainen E, Rintala E, Kaarto AM, Routamaa M (2016). Adherence to surgical hand rubbing directives in a hospital district of Southwest Finland. Infect Dis (Lond), 48(2):116-21.
Schiffers H, Zaatreh S, Mittelmeier W, Bader R (2014). Examination of cross contami-nation risks between hospitals by external medical staff via cross-sectional intercept survey of hand hygiene. GMS Hyg Infect Control, 9(2):Doc11.
Eramo LA (2016). HIM, meet project man-agemeni. Why project management is a skill growing in importance for HIM. J Ahima, 87(1):20-23.
Silver SA, Harel Z, McQuillan R, Weizman AV, Thomas A, Chertow GM, Nesrallah G, Bell CM, Chan CT (2016). How to Begin a Quality Improvement Project. Clin J Am Soc Nephrol, 11(5):893-900.
Grote R, Perschmann S, Walleneit A, Sedlacek B, Leuchtmann D, Menzel M (2008). [Operation room management: from degree of utilization to distribution of capacities. Cost reduction without decreasing productivity in the operation room using a new index]. Anaesthesist, 57(9):882-892. [In German].
Leidinger W, Meierhofer JN, Schupfer G (2006). [Operation room management in quality control certification of a mainstream hospital]. Anaesthesist, 55(11):1205-1211. [In German].
Yazdankhah A, Tayefeh NM, Ahmadi AH, Aminian A, Khorgami Z, Khashayar P, Khashayar P (2015). Using 360-degree multi-source feedback to evaluate profes-sionalism in surgery departments: An Iranian perspective. Med J Islam Repub Iran, 29:284.
Park KO, Kim JK, Kim MS (2015). [Operating Room Nurses' Experiences of Securing for Patient Safety]. J Korean Acad Nurs, 45(5):761-772. [In Korean].
Sorensen EE, Kusk KH, Gronkjaer M (2016). Operating room nurses' positioning of anesthetized surgical patients. J Clin Nurs, 25(5-6):690-698.
Fujiwara S, Komasawa N, Okada D, Ohchi F, Tanaka M, Nishihara I, Minami T (2015). [Simulation-based Perioperative Team Training in the Operating Room]. Masui, 64(7):768-771. [In Japanese].
Kang E, Massey D, Gillespie BM (2015). Factors that influence the non-technical skills performance of scrub nurses: a prospective study. J Adv Nurs, 71(12):2846-2857.
Dadhich A, Arya S, Kapil A (2014). Explor-ing the Pathogens Present at the Patient Care Equipments & Supplies to Sensitise the Health Care Workers for Preventing Health Care-Associated Infec-tions among In-Patients. Nurs J India, 105(6):283-286.
Cognat E (2015). [Continuity of care for pa-tients after postoperative recovery room stay]. Rev Infirm, (208):53-54. [In Ferench].
Park AE, Zahiri HR, Pugh CM, Vassiliou M, Voeller G (2015). Raising the quality of hernia care: Is there a need? Surg Endosc, 29(8):2061-2071.
Yu D, Lowndes B, Thiels C, Bingener J, Abdelrahman A, Lyons R, Hallbeck S (2016). Quantifying Intraoperative Work-loads Across the Surgical Team Roles: Room for Better Balance? World J Surg, 40(7):1565-1574.
Cosgrove MS (2015). Infection control in the operating room. Crit Care Nurs Clin North Am, 27(1):79-87.
Bathish M, McLaughlin M, Talsma A (2015). Relationship between operating room nursing staff expertise and patient out-comes. J Nurs Care Qual, 30(2):167-174.
|Issue||Vol 46 No 2 (2017)|
|Project management Operating room infection Nursing|
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