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A standardized process to eliminate sternal wound infections in adult cardiac surgery patients: a program evaluation

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TitleInfo
Title
A standardized process to eliminate sternal wound infections in adult cardiac surgery patients: a program evaluation
Name (type = personal)
NamePart (type = family)
Fonseca
NamePart (type = given)
Maria Alcina
DisplayForm
Maria Alcina Fonseca
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Niedz
NamePart (type = given)
Barbara
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Barbara Niedz
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
chair
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
School of Nursing - RBHS
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school
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Text
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theses
Genre (authority = ExL-Esploro)
ETD doctoral
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2021
DateOther (type = degree); (qualifier = exact); (encoding = w3cdtf)
2021-01
Language
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English
Abstract (type = abstract)
Purpose 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.
Subject (authority = local)
Topic
Sternal wound infection
Subject (authority = local)
Topic
Healthcare associated infection
Subject (authority = local)
Topic
Cardiac surgery
Subject (authority = local)
Topic
Deep sternal wound infections
Subject (authority = local)
Topic
CDC guidelines
Subject (authority = local)
Topic
Bypass surgery
Subject (authority = local)
Topic
Quality of life after cardiac surgery,
Subject (authority = local)
Topic
Cardiac surgery comorbidities
Subject (authority = local)
Topic
Incisional care bundle
Subject (authority = RUETD)
Topic
Post-Master's DNP Leadership
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Rutgers University Electronic Theses and Dissertations
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ETD
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ETD_11298
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application/pdf
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text/xml
Extent
1 online resource (76 pages) : illustrations
Note (type = degree)
DNP
Note (type = bibliography)
Includes bibliographical references
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School of Nursing (RBHS) DNP Projects
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rucore10004500001
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NjNbRU
Identifier (type = doi)
doi:10.7282/t3-mprx-4m50
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The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Fonseca
GivenName
maria
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Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2020-10-24 12:56:51
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Name
maria Fonseca
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Affiliation
Rutgers University. School of Nursing - RBHS
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Author Agreement License
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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Type
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2021-01-31
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2023-01-31
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after January 31st, 2023.
Copyright
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Copyright protected
Availability
Status
Open
Reason
Permission or license
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2020-10-24T16:37:16
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