oru.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
National survey of operating room nurses’ aseptic techniques and interventions to reduce surgical site infections
Örebro University, School of Health Sciences.
Örebro University, School of Health Sciences.
Örebro University, School of Health Sciences.ORCID iD: 0000-0001-5403-4183
(English)Manuscript (preprint) (Other academic)
National Category
Other Health Sciences
Identifiers
URN: urn:nbn:se:oru:diva-61556OAI: oai:DiVA.org:oru-61556DiVA, id: diva2:1149547
Available from: 2017-10-16 Created: 2017-10-16 Last updated: 2017-10-16Bibliographically approved
In thesis
1. Swedish operating room nurses preventive interventions to reduce bacterial growth, surgical site infections, and increase comfort in patients undergoing surgery
Open this publication in new window or tab >>Swedish operating room nurses preventive interventions to reduce bacterial growth, surgical site infections, and increase comfort in patients undergoing surgery
2017 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Surgical site infection is a major postoperative complication that causes patient suffering and is costly for society. The general aim of this thesis was to test and describe interventions performed by operating room (OR) nurses to prevent bacterial growth in surgical patients, with the intent to prevent surgical site infections (SSIs) whilst increase patients comfort.

In studies I and II, 220 pacemaker patients were tested to compare pre-heated skin disinfection with room-temperature skin disinfection regard-ing bacterial growth, skin temperature and patient experience. Preheated skin disinfection was not less effective compared to room-temperature skin disinfection in reducing bacterial growth after skin disinfection and there were no differences regarding SSIs three month postoperatively. Preheated skin disinfection reduces skin heat loss and was perceived as more pleas-ant compared to room-temperature skin disinfection.

In study III, 12 OR nurses were examined regarding bacterial growth on their hands and at the sterile glove cuff end after surgical hand disinfec-tion and again after wearing sterile surgical gloves during surgery. They were compared with a control group of 13 non-health care workers. OR nurses’ hands had higher amounts of bacterial growth at two of three culture sites after surgical hand disinfection compared with the control group, and the bacterial growth increased in both groups with time during surgery. There seems to be a risk of bacterial growth at the glove cuff end during surgery, involving the same type of bacteria as isolated from the hands.

In study IV, 890 OR nurses answered an online questionnaire describ-ing OR nurses interventions guided by national guidelines to reduce SSIs, such as preparation of the patient skin, patient temperature, and OR ma-terials used. The proportion of the OR nurses who complied with the national guidelines preventive interventions was high: skin disinfection solution (93.5%), drapes (97.4%) and gowns (83.8%), and double gloves (73%). However, when guidelines were lacking the interventions differed.

Place, publisher, year, edition, pages
Örebro: Örebro University, 2017. p. 90
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 73
Keywords
skin disinfection, patient experience, skin temperature, intra-operative, surgical site infection, bacterial growth, recolonization
National Category
Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-59394 (URN)978-91-7529-213-7 (ISBN)
Public defence
2017-11-10, Universitetssjukhuset i Örebro, Wilandersalen, Södra Grev Rosengatan, Örebro, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2017-08-25 Created: 2017-08-25 Last updated: 2017-12-05Bibliographically approved

Open Access in DiVA

No full text in DiVA

Authority records BETA

Wistrand, CamillaFalk-Brynhildsen, KarinNilsson, Ulrica

Search in DiVA

By author/editor
Wistrand, CamillaFalk-Brynhildsen, KarinNilsson, Ulrica
By organisation
School of Health Sciences
Other Health Sciences

Search outside of DiVA

GoogleGoogle Scholar

urn-nbn

Altmetric score

urn-nbn
Total: 421 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf