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Surgical site infection in coronary artery bypass graft patients: a program evaluation
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Lim, Rowena. Surgical site infection in coronary artery bypass graft patients: a program evaluation. Retrieved from https://doi.org/doi:10.7282/t3-fvbg-hk89

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TitleSurgical site infection in coronary artery bypass graft patients: a program evaluation
NameLim, Rowena (author); Niedz, Barbara (chair); Weber, Lydia (member); Pagani, Claudia (member); Rutgers University; RBHS School of Nursing
Date Created2022
Other Date2022-10 (degree)
SubjectNursing, Cardiac surgery, Coronary artery bypass graft, Operating room, Surgical site infection
Extent89 pages : illustrations
DescriptionPurpose of the Project: This DNP project sought to evaluate the impact of surgical site skin preparation and operating room traffic control in coronary artery bypass graft (CABG) surgical patients using the Context, Input, Process, Product (CIPP) evaluation model.
Methodology: This DNP project was an 18-month retrospective program evaluation which extended from August 2020 to January 2022. A total of 150 medical charts were reviewed, including 50 charts in preimplementation, 50 in implementation, and 50 in postimplementation. Data were tracked on surgical site infection (SSI) rates across the 18-month period. After the postimplementation, a survey with 11 questions was distributed to 34 cardiac service line staff members. The survey analyzed participants' knowledge and attitude toward SSI.
Results: During the program evaluation of 18 months, 28 CABG SSIs were reported, including 12 in pre-implementation, 8 in implementation, and 8 in post-implementation. The surgical skin preparation result of Pearson Chi-Square (X 2 = 145.633, p < .001) indicated a statistically significant improvement in adherence to the proper skin preparation. However, the number of staff members during the CABG procedure result of Mann-Whitney (Z = -.439, p = .661) showed insufficient evidence to conclude the number of staff members during the CABG procedure was associated with CABG SSI incidences. The CABG SSI received a 50% response rate (17) with a total mean score of M = 25.11, Median = 25.00 and Std Deviation = 2.84.
Implications for Practice: The result showed an opportunity for the perioperative nursing leadership to address the challenges, including the CABG patient surgical skin readiness before going to the operating room. This process facilitates the surgical hand-off communication and adherence to the preoperative checklist.
NoteD.N.P.
NoteIncludes bibliographical references
Genretheses
Persistent URLhttps://doi.org/doi:10.7282/t3-fvbg-hk89
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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