EBP Change Process form ACE Star Model of Knowledge Transformation

Star Point 1: Discovery (Identify topic and practice issue) Identify the topic and the nursing practice issue related to this topic. (This MUST involve a nursing practice issue.) Surgical infections are one of the critical issues in healthcare facilities. The infection has various adverse effects that include the infection of new illnesses, the deterioration of the existing illness and even death. The topic of evaluation is the rising incidences of surgical infections in healthcare facilities to establish the possible intervention measures. Star Point 2: Summary (Evidence to support need for a change) Briefly describe your rationale for your topic selection. Include the scope of the issue/problem. Surgical infections have led to the reduction in patient safety thereby making hospitals inefficient in discharging their role of providing efficient and effective patient care. The problem, which is unavoidable on the patient’s side, has led to the development of various complications after surgery as well as death of millions of patients across the world. It is therefore imperative to define the problem and its causes, which would help develop possible intervention measures to reduce or eliminate incidences of surgical infections. Describe the practice problem in your own words and formulate your PICOT question. The high rate of surgical infections caused by errors and negligence continues the practice problem. The infections range from failure to use Chlorhexidine as outlined in pre-operative procedures, lack of due care and professionalism, common errors and negligence by health care provides. Despite the wide-ranging effects of surgical infections, there is lacks sufficient intervention measures to avert the situation. 2 List the systematic review chosen from the Cochrane Database of Systematic Reviews from the Chamberlain library. Type the complete APA reference for the systematic review selected. Anderson, D. J., Podgorny, K., Berrios-Torres, S. I., Bratzler, D. W., Dellinger, E. P., Greene, L., ... & Kaye, K. S. (2014). Strategies to prevent surgicalsite infections in acute care hospitals: 2014 update. Infection Control & Hospital Epidemiology, 35(S2), S66-S88. List and briefly describe other sources used for data and information. List any other optional scholarly source used as a supplement to the systematic review in APA format. 1. Cataife, G., Weinberg, D. A., Wong, H. H., & Kahn, K. L. (2014). The effect of Surgical Care Improvement Project (SCIP) compliance on surgical site infections (SSI). Medical care, 52, S66- S73. 2. Cataife, G., Weinberg, D. A., Wong, H. H., & Kahn, K. L. (2014). The effect of Surgical Care Improvement Project (SCIP) compliance on surgicalsite infections (SSI). Medical care, 52, S66- S73. 3. Semsarzadeh, N. N., Tadisina, K. K., Maddox, J., Chopra, K., & Singh, D. P. (2015). Closed incision negative-pressure therapy is associated with decreased surgical-site infections: a metaanalysis. Plastic and reconstructive surgery, 136(3), 592-602. Briefly summarize the main findings (in your own words) from the systematic review and the strength of the evidence. Patient safety is one of the key components and aim of healthcare providers. It is therefore imperative to come up with the relevant measures to maximize patient safety and minimize errors that may put the patient at risk. The rise is surgical infections is mainly due to avoidable human and operational errors. The implementation of measures to reduce the prevalence is a vital step in improving healthcare safety and efficiency. Outline one or two evidence-based solutions you will consider for the trial project. The use of Chlorhexidine as part of the pre-operative procedure is critical in reducing and preventing surgical errors. Chlorhexidine helps reduce incidences of breakdown and irritation, which puts patients at a higher risk of infection. The use of Chlorhexidine requires prior examination to establish whether there is change in strength or regimen specifically among patients with sensitive skin. Another solution is the avoidance of hair removal at surgical sites. Hair removal increases the chances of having cuts and irritations that exposes patients to infections. The alternative to hair removal is the use of clippers if possible