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  • 1
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    Online Resource
    Reducing the risk of surgical site infection using a multidisciplinary approach: an integrative review
    Informa UK Limited ; 2015
    In:  Journal of Multidisciplinary Healthcare
    Details
    In: Journal of Multidisciplinary Healthcare, Informa UK Limited
    Type of Medium: Online Resource
    ISSN: 1178-2390
    URL: Journal
    URL: Article
    DOI: 10.2147/JMDH
    DOI: 10.2147/JMDH.S73565
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2015
    detail.hit.zdb_id: 2453343-9
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  • 2
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    Nurses' role in delivering discharge education to general surgical patients: A qualitative study
    Wiley ; 2020
    In:  Journal of Advanced Nursing Vol. 76, No. 7 ( 2020-07), p. 1698-1707
    Details
    In: Journal of Advanced Nursing, Wiley, Vol. 76, No. 7 ( 2020-07), p. 1698-1707
    Abstract: 探讨护士为普通外科手术病人提供出院教育中的认知作用和经历。 设计 定性研究,采用焦点小组和面对面的个人访谈形式。 方法 采用最大变异的立意抽样方法招募澳大利亚昆士兰某三级医院普外科病房护士的调查样本。从2018年8月至2019年7月,对21名参与术后出院教育的护士进行了半结构式访谈(三个焦点小组和四名个人访谈)。访谈资料采用归纳内容分析法进行分析。 结果 提出了四个主题:在没有出院沟通的情况下承担患者教育的责任;支持患者在住院后参与自我管理;出院教育的资源、内容和实施方式的多样性;满足操作的需求但影响到患者出院教育的质量。 结论 本研究强调了护士在实施有效出院教育中所发挥作用的重要性以及面临的挑战。这些发现可用于确定加强卫生医护人员出院沟通的策略,规范出院教育的实施,以改善外科手术患者的术后疗效。 影响 无效的出院教育会导致患者出院后的康复管理不善。了解护士在出院教育中的作用,有助于制定政策和护理措施,改善患者的健康状况,减少意外和紧急护理的可能性。
    Type of Medium: Online Resource
    ISSN: 0309-2402 , 1365-2648
    URL: Issue
    URL: Article
    DOI: 10.1111/jan.v76.7
    DOI: 10.1111/jan.14379
    Language: English
    Publisher: Wiley
    Publication Date: 2020
    detail.hit.zdb_id: 2009963-0
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  • 3
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    Evaluating the feasibility of a web-based discharge education programme to improve general surgical patients’ postdischarge recovery: a pilot randomised controlled trial
    BMJ ; 2022
    In:  BMJ Open Vol. 12, No. 2 ( 2022-02), p. e054038-
    Details
    In: BMJ Open, BMJ, Vol. 12, No. 2 ( 2022-02), p. e054038-
    Abstract: To assess the feasibility of implementing a web-based discharge education programme for general surgery patients both prior to and after hospital discharge. Design, setting and participants This is a prospective, two-arm, pilot randomised controlled trial. Patients who had a general surgery procedure were recruited from a tertiary hospital between October 2020 and January 2021. Patients were randomly assigned to either the standard education or the web-based education intervention. Intervention The web-based education comprised of three components designed to enhance patients’ knowledge, skills and confidence to improve their engagement with self-care, and the ability to detect any postoperative issues that can arise during the postdischarge period. Main outcomes and measures The primary outcome was feasibility in terms of recruitment, randomisation, retention and treatment fidelity related to intervention delivery, adherence and satisfaction. Secondary outcomes were patient activation, self-care ability and unplanned healthcare utilisation. Results Eighty-five patients were recruited and randomised (42 control; 43 intervention). Twenty-three (27%) were lost to follow-up. All patients received their group allocation as randomised and all patients in the intervention group received the web-based education prior to discharge. Postdischarge, patients accessed the education an average of 3 times (SD 3.14), with 4 minutes (SD 16) spent on the website. 28 (97%) of the intervention patients found the content easy to understand, 25 (86%) found it useful and 24 (83%) were satisfied with its content. There was a significant association between the intervention and patient activation ( F( 1,60)=9.347, p=0.003), but not for self-care ability and unplanned healthcare utilisations. Conclusion This pilot study demonstrated the feasibility of implementing a web-based education programme. There was a high number of participants lost to follow-up, requiring additional attention in the design and implementation of a larger trial. Trial registration number ACTRN12620000389909p.
    Type of Medium: Online Resource
    ISSN: 2044-6055 , 2044-6055
    URL: Article
    DOI: 10.1136/bmjopen-2021-054038
    Language: English
    Publisher: BMJ
    Publication Date: 2022
    detail.hit.zdb_id: 2599832-8
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  • 4
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    Evaluation of a Brief Team Training Intervention in Surgery: A Mixed‐Methods Study
    Wiley ; 2017
    In:  AORN Journal Vol. 106, No. 6 ( 2017-12), p. 513-522
    Details
    In: AORN Journal, Wiley, Vol. 106, No. 6 ( 2017-12), p. 513-522
    Abstract: The aim of this study was to evaluate a brief team training program in relation to teams’ observed nontechnical skills (NTSs) in surgery, teams’ perceptions of safety culture, and the training implementation. We used mixed methods to analyze structured observations of 179 surgeries, semistructured interviews with surgical team members from four selected surgical specialties, and a survey. There were significant ( P 〈 .001) improvements in surgical teams’ observed NTSs and in the use of the World Health Organization's Surgical Safety Checklist after participation in the training program. Nonsignificant results included increased perceived safety climate and decreased perceived teamwork climate. From participant interviews, we identified that production pressure and time constraints were the biggest barriers to implementation and the greatest enabler was the organization's support for staff education initiatives. Most participants perceived the content of the program to be useful. These results highlight the complexities inherent in the development and evaluation of interdisciplinary patient safety interventions.
    Type of Medium: Online Resource
    ISSN: 0001-2092 , 1878-0369
    URL: Article
    DOI: 10.1016/j.aorn.2017.09.013
    Language: English
    Publisher: Wiley
    Publication Date: 2017
    detail.hit.zdb_id: 2259224-6
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  • 5
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    Development of a web‐based discharge education intervention to improve the postdischarge recovery of general surgical patients
    Wiley ; 2022
    In:  Journal of Nursing Scholarship Vol. 54, No. 2 ( 2022-03), p. 143-151
    Details
    In: Journal of Nursing Scholarship, Wiley, Vol. 54, No. 2 ( 2022-03), p. 143-151
    Abstract: Postoperative complications contribute to unplanned hospital readmissions, reoperations, and increased mortality for surgical patients. Discharge education for general surgical patients is often inadequate, and challenged by organizational, clinician and patient factors. Purpose This research describes the development of the web‐based discharge education intervention to improve patients’ knowledge, skills, and confidence in self‐managing their recovery after general surgery. Methods The intervention was informed by the UK Medical Research Council guidance for developing and evaluating complex interventions and Knowledge‐to‐Action framework, consisting of four iterative stages. Stakeholder engagement was undertaken throughout the development process and a logic model was utilized to map the working mechanism of the intervention. The concept of patient activation and Knowles adult learning theory underpinned the development process. Results The literature review and stakeholders’ engagement in qualitative interviews and a series of meetings resulted in a web‐based discharge education program with three different components: (1) post general surgery warning signs; (2) post general surgery everyday care instructions; and (3) animation video on wound potential wound complications. Conclusion The web‐based discharge education was developed according to the needs and preferences of healthcare providers and general surgical patients. Despite the rigorous and systematic approach used to develop the intervention, its effectiveness requires testing. Clinical relevance This comprehensive iterative approach serves as a guide for others planning web‐based interventions designed for surgical patients and the research approach used may inform those developing web‐based interventions for other patient groups.
    Type of Medium: Online Resource
    ISSN: 1527-6546 , 1547-5069
    URL: Issue
    URL: Article
    DOI: 10.1111/jnu.v54.2
    DOI: 10.1111/jnu.12717
    Language: English
    Publisher: Wiley
    Publication Date: 2022
    detail.hit.zdb_id: 2116095-8
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  • 6
    Online Resource
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    Discharge education delivered to general surgical patients in their management of recovery post discharge: A systematic mixed studies review
    Elsevier BV ; 2018
    In:  International Journal of Nursing Studies Vol. 87 ( 2018-11), p. 1-13
    Details
    In: International Journal of Nursing Studies, Elsevier BV, Vol. 87 ( 2018-11), p. 1-13
    Type of Medium: Online Resource
    ISSN: 0020-7489
    URL: Article
    DOI: 10.1016/j.ijnurstu.2018.07.004
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2018
    detail.hit.zdb_id: 2009451-6
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  • 7
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    Use of Negative-Pressure Wound Dressings to Prevent Surgical Site Complications After Primary Hip Arthroplasty : A Pilot RCT
    SAGE Publications ; 2015
    In:  Surgical Innovation Vol. 22, No. 5 ( 2015-10), p. 488-495
    Details
    In: Surgical Innovation, SAGE Publications, Vol. 22, No. 5 ( 2015-10), p. 488-495
    Abstract: Purpose. Negative-pressure wound therapy (NPWT) is increasingly used for primary surgical incisions despite the paucity of evidence. Study objectives were to assess the use of NPWT on surgical sites to prevent infections and other wound complications after elective primary hip arthroplasty and to consider feasibility of a larger trial. Methods. A nonmasked, randomized controlled pilot trial. Patients were recruited preoperatively from the preadmission clinic of an Australian hospital during 2013-2014. Computer-generated randomization was performed with allocation concealed until completion of surgery. The intervention group received NPWT (PICO) while the control group received the standard care hydrocolloid, reinforced with 2 absorbent dressings. Patients were followed for 6 weeks for postoperative complications (infection, length of stay, readmission) and skin complications (bruising, seroma, hematoma, dehiscence). Feasibility end points included numbers recruited, randomized, and followed up; fidelity; and costs. Results. Of 77 people approached, 76 were recruited, and 70 were randomized. Of 35 in the negative-pressure group, 2 received the standard dressing. Attrition at 6 weeks exceeded 10% in both groups. Dressing costs were lower in the control group ($3.01/d vs $38.40/d); SSI incidence was 2/35 in the NPWT and 3/35 in the control group (intention to treat: risk ratio [RR] = 0.67; 95% confidence interval [CI] = 0.12-3.7; P = .65). NPWT patients experienced more postoperative wound complications (RR = 1.6; 95% CI = 1.0-2.5; P = .04). Conclusion. A reduction of 3% in SSI incidence suggests that a definitive trial requires approximately 900 patients per group. Yet there is uncertainty around the benefit of NPWT after elective hip arthroplasty.
    Type of Medium: Online Resource
    ISSN: 1553-3506 , 1553-3514
    URL: Article
    DOI: 10.1177/1553350615573583
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2015
    detail.hit.zdb_id: 2233576-6
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  • 8
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    Incidence and risk factors for surgical wound complications in women with body mass index 〉30 kg/m2 following cesarean delivery: a secondary analysis
    Elsevier BV ; 2022
    In:  AJOG Global Reports Vol. 2, No. 3 ( 2022-08), p. 100069-
    Details
    In: AJOG Global Reports, Elsevier BV, Vol. 2, No. 3 ( 2022-08), p. 100069-
    Type of Medium: Online Resource
    ISSN: 2666-5778
    URL: Article
    DOI: 10.1016/j.xagr.2022.100069
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2022
    detail.hit.zdb_id: 3063973-6
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  • 9
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    Changes in surgical team performance and safety climate attitudes following expansion of perioperative services: a repeated-measures study
    CSIRO Publishing ; 2018
    In:  Australian Health Review Vol. 42, No. 6 ( 2018), p. 703-
    Details
    In: Australian Health Review, CSIRO Publishing, Vol. 42, No. 6 ( 2018), p. 703-
    Abstract: Objective The aim of the present study was to describe process changes in surgical team performance and team members’ attitudes to safety culture following hospital relocation and expansion of perioperative services. Methods The study was a naturalistic study using structured observations and surveys to assess non-technical skills (NTS; i.e. communication, teamwork, situational awareness, decision making and leadership) in surgery. This interrupted time series design used mixed-linear regression models to examine the effect of phase (before and after hospital relocation) on surgical teams’ NTS and their processes that may affect performance. Differences in self-reported teamwork and safety climate attitudes were also examined. Results In all, 186 procedures (100 before and 81 after hospital relocation) were observed across teams working in general, paediatric, orthopaedic and thoracic surgeries. Interobserver agreement ranged from 86% to 95%. An effect of phase was found, indicating that there were significant improvements after relocation in the use of NTS by the teams observed (P=0.020; 95% confidence interval 1.9–4.7). Conclusions The improvements seen in surgical teams’ NTS performance and safety culture attitudes may be related to the move to a new state-of-the-art perioperative department. What is known about the topic? Patient safety in surgery relies on optimal team performance, underpinned by effective NTS. What does this paper add? The NTS of surgical teams may be improved through ergonomic innovations that promote teams’ shared mental models. What are the implications for practitioners? Effective multidisciplinary teamwork relies on a combination of NTS and ergonomic factors, which inherently contribute to team performance and safety climate attitudes.
    Type of Medium: Online Resource
    ISSN: 0156-5788
    URL: Article
    DOI: 10.1071/AH17079
    Language: English
    Publisher: CSIRO Publishing
    Publication Date: 2018
    detail.hit.zdb_id: 2082451-8
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  • 10
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    Patient experiences of, and preferences for, surgical wound care education
    Wiley ; 2023
    In:  International Wound Journal Vol. 20, No. 5 ( 2023-05), p. 1687-1699
    Details
    In: International Wound Journal, Wiley, Vol. 20, No. 5 ( 2023-05), p. 1687-1699
    Abstract: The aim of this study was to describe patients' experiences of, and preferences for, surgical wound care discharge education and how these experiences predicted their ability to self‐manage their surgical wounds. A telephone survey of 270 surgical patients was conducted across two hospitals two weeks after discharge. Patients preferred verbal (n = 255, 94.8%) and written surgical wound education (n = 178, 66.2%) from medical (n = 229, 85.4%) and nursing staff (n = 211, 78.7%) at discharge. The most frequent education content that patients received was information about follow‐up appointments (n = 242, 89.6%) and who to contact in the community with wound care concerns (n = 233, 86.6%). Using logistic regression, patients who perceived that they participated in surgical wound care decisions were 6.5 times more likely to state that they were able to manage their wounds at home. Also, patients who agreed that medical and/or nursing staff discussed wound pain management were 3.1 times more likely to report being able to manage their surgical wounds at home. Only 40% (107/270) of patients actively participated in wound‐related decision‐making during discharge education. These results uncovered patient preferences, which could be used to optimise discharge education practices. Embedding patient participation into clinical workflows may enhance patients' self‐management practices once home.
    Type of Medium: Online Resource
    ISSN: 1742-4801 , 1742-481X
    URL: Issue
    URL: Article
    DOI: 10.1111/iwj.v20.5
    DOI: 10.1111/iwj.14030
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 2152163-3
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