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A standardized process to eliminate sternal wound infections in adult cardiac surgery patients: a program evaluation
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Fonseca, Maria Alcina. A standardized process to eliminate sternal wound infections in adult cardiac surgery patients: a program evaluation. Retrieved from https://doi.org/doi:10.7282/t3-mprx-4m50

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TitleA standardized process to eliminate sternal wound infections in adult cardiac surgery patients: a program evaluation
NameFonseca, Maria Alcina (author); Niedz, Barbara (chair); Rutgers University; School of Nursing - RBHS
Date Created2021
Other Date2021-01 (degree)
SubjectSternal wound infection, Healthcare associated infection, Cardiac surgery, Deep sternal wound infections, CDC guidelines, Bypass surgery, Quality of life after cardiac surgery,, Cardiac surgery comorbidities, Incisional care bundle, Post-Master's DNP Leadership
Extent1 online resource (76 pages) : illustrations
DescriptionPurpose of the project: The purpose of this study was to conduct a comprehensive program evaluation of a quality improvement program (QI) implemented in 2018 to eliminate sternal wound infections (SWI).

Methodology: The program evaluation utilized the Stufflebeam (1983) model which consists of context, input, process, product (CIPP) as the theoretical framework. The participants comprised of nurses who work in the post-cardiac surgery telemetry unit. The study design consisted of a web-based anonymous survey with a five Likert-type scale questionnaire, open-ended question, and drag-and-drop exercise for the order of the steps to complete the incision care. The goal was to assess the knowledge and attitudes of nurses with adherence to the sternal incision care bundle.

Results: Findings indicated that the bundle’s elements comply with the Centers for Disease Control and Prevention (CDC) guidelines. Gaps and barriers identified with variability with incision care, lack of knowledge with CDC guidelines, and hand hygiene monitoring. Moreover, nurses reported the bundle is easy to follow and is time-saving. Importantly, the study’s site has seen a steady decrease in (SWIs) since the bundle was implemented and achieved a zero-infection rate, that was sustained for 13 months.

Implications for Practice: Implications for practice will focus on standardizing the clinical processes to include bundles that incorporate guidelines by the CDC to achieve a zero-infection rate. Revise the cardiac surgery postoperative incision care protocol and re-educate the clinical nurses and new orientees.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-mprx-4m50
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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