NURSING PAPER #1.docx - Running head PROJECT TOPIC...

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Running head: PROJECT TOPIC SELECTION & APPROVAL FOR CAPSTONE COURSE1Project Topic Selection & Approval for Capstone CourseShelby L. NelsonGrand Canyon University: NRS-49011/24/2019
PROJECT TOPIC SELECTION & APPROVAL FOR CAPSTONE COURSE 2This problem/issue that this project will focus on is the high rate of surgical site infections in adults. Surgical site infections (SSIs) are the most common healthcare-associated infection (HAI) that continues to affect the quality of patient health care. They can range from superficial infections to life-threatening complications. There are many risk factors that are associated with SSIs starting from the inability to perform proper hand hygiene to having health problems such as diabetes. Although inevitable, SSIs are totally preventable, but they require different members of the multidisciplinary team to play their part at every stage of the patient journey from preoperative assessment to post-discharge follow up (Burden & Thorton, 2018). Although surgical site infections can occur in any facility,I plan to observe this problem in the surgical unit suite at Rehoboth McKinley Christian health care services. When these types of patients contract an SSI, they are often brought back to the operating room (OR) to either havethe object (graft, stent, etc.) removed or have the surgical site debrided. Since our OR does not perform orthopedic surgeries anymore, the next specialties that have a high rate of surgical infections include obstetrician and gynecologist (OBGYN) and general surgeries. SSIs are infections that occur in any part of the body where surgery took place. The pathogen responsible for many SSIs are the patient’s ownendogenous flora. However, the causative pathogens responsible can also depend on the surgery, with the most commonly isolated organisms being staphylococcus aureus, coagulase-negative staphylococci, enterococcusspp. and escherichia coli. The transmission of pathogens can be spread from any reservoir, meaning that health care workers are not the only type of reservoir, but patients can be as well. Evidence indicates that patients are colonized with infective microorganisms in their wounds, which can be transmitted by direct contact, thus patients can also be reservoirs (Ardizzone, Smolowitz, Kline, Thom, & Larson, 2013).
PROJECT TOPIC SELECTION & APPROVAL FOR CAPSTONE COURSE 3The impact of surgical site infections affects the work environment, the quality of care provided by staff, and patient outcomes.SSIs contribute to prolonged hospital stays, reduced quality of life, increased mortality, additional cost for patients and their family, and rising health care cost (Sickder. Wanchai, Hunsa, & Nongkran, 2017). The annual direct cost of HAIs to the US health care system ranges from $28.4 billion to $45 billion (Spruce, 2014). Patients with SSIsplace many burdens on nursing staff such as more intensive monitoring, frequent interventions, and extra direct care than other patients. Many of the patients who survive to discharge usually

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