NURSING PAPER WEEK 9.docx - Running head PROJECT CHANGE...

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Running head: PROJECT CHANGE PROPOSAL ON SURGICAL SITE INFECTIONS 1 Project Change Proposal on Surgical Site Infections Shelby L. Nelson Grand Canyon University: NRS-490 1/26/2020
PROJECT CHANGE PROPOSAL ON SURGICAL SITE INFECTIONS 2 Background Surgical site infections (SSIs) are the most common healthcare-associated infection (HAI) that continues to affect not only patient outcomes and quality of life but also the burden on health care professionals. There are many risk factors associated with an SSI, but they can be prevented when every member of the healthcare team plays their part at every stage of the patient journey from preoperative assessment to post-discharge follow up (Burden & Thorton, 2018). This paper will review the healthcare problem at hand, a problem/PICOT statement, the purpose of the change proposal, the literature used to practice change, evaluate that literature, utilization of change, a proposed implementation with outcomes, and barriers to implementation and how to overcome them. Problem statement The goals of every health care organization are to provide patients with the highest quality of health care and patient safety. Therefore, it is crucial to identify and eliminate risk factors associated with surgical site infections. 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 et. al., 2017). Patients with SSIs place 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 experience short-term and lifelong disabilities that significantly affect quality of life along with financial and emotional strain. Purpose of the change proposal
PROJECT CHANGE PROPOSAL ON SURGICAL SITE INFECTIONS 3 The main purpose of the change proposal is to have patients discharged with no signs and symptoms of an SSI and to lower the rate of readmission due to SSIs. One way to implement these goals are to apply the surgical bundle along with multidisciplinary team compliance. This capstone project will use evidence-based practice (EBP) to ensure that patients have a lower rate of surgical site infections with the help of the surgical bundle. Four elements included in the bundle will consist of four elements, and they are: antibiotic prophylaxis according to local guidelines, no hair removal, normothermia and ‘hygiene discipline’ in the operating room (i.e. number of door movements) (Koek et. al., 2017). PICOT statement PICOT is an acronym that helps students formulate a research question and uses it as a guide to search for evidence. The (P) identifies a patient or population, (I) is the intervention to be implemented, (C) is the comparison of the intervention, (O) is the outcome of the intervention, and (T) is the set time frame used for data collection. For this writer’s PICOT

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