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409269

Effect of Evidence-Based Care Bundle on Healthcare Providers’ Practices and The Prevalence of Surgical Site Infections among Cardiac Surgery Patients.

Article

Last updated: 25 Feb 2025

Subjects

-

Tags

Medical surgical nursing

Abstract

                Background: Patients submitted to cardiac surgery are more susceptible to surgical site infection. Prevention of this infection is based on a bundle of preventive measures. Aim: Investigate the effect of implementing evidence-based care bundle on healthcare providers' practices, and the prevalence of surgical site infections among cardiac surgery patients. Design: A quasi-experimental research design (study and control groups, pre and posttest). Setting: Cardiothoracic Surgery Department, Outpatient Unit, Operating Theater, and Cardiothoracic Intensive Care Unit at Assiut University Heart Hospital. Participants: A convenience sample of 40 healthcare providers & a purposive sample of 100 patients, which divided into two equal groups. Tools: (I) Cardiac surgical patient assessment form, (II) Self- administered Questionnaire for Healthcare Providers, and (III) National Nosocomial Infections Surveillance System Risk Index. Results: The overall score for healthcare providers' practices showed a significant improvement, increasing from 17.45 ± 1.32 to 25.65± 3.80 after the implementation of evidence-based care bundle. There was a highly statistically significant difference was observed between the two groups regarding the degree of wound contamination with (p.value=0.005**), and regarding the National Nosocomial Infection Surveillance Risk Index with (p.value=0.001**). Conclusion: A significant improvement in healthcare providers' practices regarding preoperative, intraoperative, and postoperative measures following training on evidence-based care bundle, resulting in a lower surgical site infection prevalence in the study group compared to the control group. Recommendations: The National Nosocomial Infections Surveillance Risk Index should be routinely used as a predictive tool to assess the risk of surgical site infection in cardiac surgery patients.

DOI

10.21608/jnsbu.2025.345884.1119

Keywords

cardiac surgery patients, Evidence-based care bundle, Health care providers’ practices, & Surgical site infections rate

Authors

First Name

Ghada

Last Name

Ahmed

MiddleName

Hassan

Affiliation

Medical surgical Nursing-Faculty of Nursing-Assiut University-Assiut-Egypt

Email

hassanali@aun.edu.eg

City

-

Orcid

-

First Name

Olfat

Last Name

Thabet Mahmoud

MiddleName

Farouk

Affiliation

Fellow// lecturer of Medical- Surgical Nursing, Assiut University Hospital, Egypt

Email

olfatfarouk876@gmail.com

City

Assiut

Orcid

-

First Name

Hussein

Last Name

Elkahyat

MiddleName

H

Affiliation

Faculty of Medicine, Assiut University Assiut, Egypt

Email

dr_khayat@hotmail.com

City

Assiut

Orcid

-

First Name

Naglaa

Last Name

Abdelhafez Hariedy

MiddleName

Gamal Eldien

Affiliation

Critical care and emergency nursing Faculty of nursing sohag University

Email

nglaag@yahoo.com

City

-

Orcid

-

First Name

Manal

Last Name

Mohamed Abd Elnaeem

MiddleName

-

Affiliation

Critical Care & Emergency Nursing, Faculty of Nursing, Zarqa University, Jordan, Faculty of Nursing, Assiut University, Egypt

Email

manalcritical@gmail.com

City

-

Orcid

-

First Name

Maha

Last Name

Abd Elhafez

MiddleName

Nafady

Affiliation

Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Egypt

Email

maha.nafady@aun.edu.eg

City

-

Orcid

-

Volume

6

Article Issue

1

Related Issue

52774

Issue Date

2025-01-01

Receive Date

2024-12-20

Publish Date

2025-01-01

Page Start

276

Page End

298

Print ISSN

2682-3934

Online ISSN

2735-5802

Link

https://jnsbu.journals.ekb.eg/article_409269.html

Detail API

http://journals.ekb.eg?_action=service&article_code=409269

Order

409,269

Publication Type

Journal

Publication Title

Journal of Nursing Science Benha University

Publication Link

https://jnsbu.journals.ekb.eg/

MainTitle

Effect of Evidence-Based Care Bundle on Healthcare Providers’ Practices and The Prevalence of Surgical Site Infections among Cardiac Surgery Patients.

Details

Type

Article

Created At

01 Feb 2025