Topic: Preventing Infections in Surgical Patients
In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Students should consider the clinical environment in which they are currently employed or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The student may also choose to work with an interprofessional collaborative team.
Students should select a topic that aligns to their area of interest as well as the clinical practice setting in which practice hours are completed.
Write a 500-750 word description of your proposed capstone project topic. Include the following:
1. The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal.
2. The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed.
3. A description (providing a high level of detail) regarding the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
4. Effect of the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
5. Significance of the topic and its implications for nursing practice.
6. A proposed solution to the identified project topic with an explanation of how it will affect nursing practice.
You are required to cite to a minimum of eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Plan your time accordingly to complete this assignment.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal.
One of the most significant issues that undermine the quality of healthcare services in healthcare facilities and, more specifically, in surgical units is the occurrence of surgical site infections among patients who have undergone surgery. Agencies charged with evaluating the quality of healthcare services provided by healthcare facilities, such as the AHRQ, record the number of reported surgical site infections in a healthcare facility as a standard measure of the quality of healthcare services provided. High prevalence of surgical site infections among patients who have undergone surgery in a healthcare facility can indicate poor quality of services in such a facility and contribute significantly to adverse outcomes among the patients who have been operated on. Surgical site infections can also contribute to the wastage of resources in a healthcare facility, including financial and human resources in the treatment of such infections (Aeschbacher et al., 2021). The focus of a change proposal will be implementing effective ways of preventing infections in surgical patients.
The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed.
Surgical site infections are likely to emerge after the patient has been taken to the intensive care unit to recover after undergoing major surgery. If the health caregivers in an intensive care unit, including nurses, do not take adequate precautions to prevent surgical site infections such as hand-washing, environmental sterilization, and wearing of protective equipment such as gowns and gloves, it can eventually contribute to the onset of surgical site infections (Abbas et al., 2020).
A description (providing a high level of detail) regarding the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
According to Berríos-Torres et al. (2017), a surgical site infection (SSI) is an infection that will occur on the incision site that will be created after an invasive surgical procedure. According to the CDC, the prevalence of SSI has been estimated to be around 2.8% across the US in the recent past. However, scholars believe that the prevalence of SSIs is significantly under-reported in the US as a result of patients having a problem with voluntary self-reporting (Fields et al., 2020). SSIs are the leading cause of prolonged hospital stays, hospital morbidity, high rates of reoperation, increased hospital costs and even increased mortality rates among patients (Fields et al., 2020). The rate of surgical site infections differs significantly depending on different factors, such as the type of surgery that is conducted on a patient. However, SSIs worsen with the level of contamination. In the case where only the subcutaneous tissue and the skin of a patient are affected by an infection, this is referred to as a superficial SSI. On the other hand, in the case where an infection affects the fascial and muscular layers after surgery, this is referred to as a deep SSI. Finally, when an infection affects the joint cavity or abdominal cavity, this is referred to as cavity space infection, which is one of the most serious types of SSIs (Shiferaw et al., 2020). Different factors contribute to the onset of a surgical site infection, including patient factors or operational factors. The patient factors contributing to the onset of an SSI include smoking, obesity, increasing age, poor glucose control, immunosuppression, and renal failure (Abbas et al., 2020). On the other hand, the operation factors that can contribute to the onset of SSI include the length of operation with a longer operation having more risks for infection compared to a shorter operation. Preoperative shaving can also contribute to the onset of an SSI, while appropriate skin preparation utilization of antimicrobial prophylaxis and appropriate gowning and use of sterile tools can prevent the onset of SSI (Abbas et al., 2020).
Effect of the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
SSIs have numerous negative effects both on the health of patients who have undergone surgery and healthcare facilities, including contributing to prolonged hospital stays, hospital morbidity, high rates of reoperation, increased hospital costs and even increased mortality rates among patients. It is important for health caregivers, including nurses, to adopt strategies to prevent infections in surgical patients (Aeschbacher et al., 2021).
Significance of the topic and its implications for nursing practice.
Prevention of infections in surgical patients is a significant issue in the healthcare environment because of the adverse effects of SSIs on both the patients and healthcare facilities. Prevention of SSIs is also a significant issue in nursing practice because nurses are involved in most of the prevention strategies that can be adopted to prevent such infections (Ling et al., 2019). Nurses need to be involved in the drawing up of strategies to prevent surgical site infections in healthcare facilities, including the preparation of surgery units and prevention of infection in the recovery units of healthcare facilities.
A proposed solution to the identified project topic with an explanation of how it will affect nursing practice.
Health caregivers, including nurses, can be involved in different strategies to prevent SSIs in healthcare facilities, including hand hygiene compliance, consistent cleaning of Surgical sites, and adopting effective wound care strategies (Purba et al., 2018). Nurses are some of the most important health care give us when it comes to preventing surgical site infections in healthcare facilities. To prevent the onset of SSIs in healthcare facilities, nurses need to be provided with detailed procedures related to hand hygiene compliance, wound care, and cleaning of the surgical site (Biccard et al., 2021).
Abbas, M., Holmes, A., & Price, J. (2020). Surgical site infections following elective surgery. The Lancet Infectious Diseases, 20(8), 898–899. https://doi.org/10.1016/s1473-3099(20)30524-7
Aeschbacher, P., Nguyen, T. L., Dorn, P., Kocher, G. J., & Lutz, J. A. (2021). Surgical Site Infections Are Associated With Higher Blood Loss and Open Access in General Thoracic Practice. Frontiers in Surgery, 8. https://doi.org/10.3389/fsurg.2021.656249
Berríos-Torres, S. I., Umscheid, C. A., Bratzler, D. W., Leas, B., Stone, E. C., Kelz, R. R., Reinke, C. E., Morgan, S., Solomkin, J. S., Mazuski, J. E., Dellinger, E. P., Itani, K. M. F., Berbari, E. F., Segreti, J., Parvizi, J., Blanchard, J., Allen, G., Kluytmans, J. A. J. W., Donlan, R., & Schecter, W. P. (2017). Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JAMA Surgery, 152(8), 784. https://doi.org/10.1001/jamasurg.2017.0904
Biccard, B. M., Msosa, V., & Samateh, A. L. (2021). Prevention of surgical site infection in low-resource settings. The Lancet, 398(10312), 1664–1665. https://doi.org/10.1016/s0140-6736(21)01695-0
Fields, A. C., Pradarelli, J. C., & Itani, K. M. F. (2020). Preventing Surgical Site Infections. JAMA, 323(11), 1087. https://doi.org/10.1001/jama.2019.20830
Ling, M. L., Apisarnthanarak, A., Abbas, A., Morikane, K., Lee, K. Y., Warrier, A., & Yamada, K. (2019). APSIC guidelines for the prevention of surgical site infections. Antimicrobial Resistance & Infection Control, 8(1). https://doi.org/10.1186/s13756-019-0638-8
Purba, A. K. R., Setiawan, D., Bathoorn, E., Postma, M. J., Dik, J. W. H., & Friedrich, A. W. (2018). Prevention of Surgical Site Infections: A Systematic Review of Cost Analyses in the Use of Prophylactic Antibiotics. Frontiers in Pharmacology, 9. https://doi.org/10.3389/fphar.2018.00776
Shiferaw, W. S., Aynalem, Y. A., Akalu, T. Y., & Petrucka, P. M. (2020). Surgical site infection and its associated factors in Ethiopia: a systematic review and meta-analysis. BMC Surgery, 20(1). https://doi.org/10.1186/s12893-020-00764-1