1
NR 451 ASSIGNMENT WEEK 6 EBP CHANGE
PROCESS FORM
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.
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.
Star Point 2: Summary (Evidence to support need for a change)
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.
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.
2.2019 Update. DLP
, 2
Anderson, D. J., Podgorny, K., Berrios-Torres, S. I., Bratzler, D. W., Dellinger, E. P., Greene, L.,
... & Kaye, K. S. (2014). Strategies to prevent surgical site 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 surgical site 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 meta-
analysis. 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.
Star Point 3: Translation (Action Plan)
Identify care standards, practice guidelines, or protocols that may be in place to support
your intervention planning (These may come from your organization or from the other
sources listed in your Summary section in Star Point 2).
2.2019 Update. DLP
NR 451 ASSIGNMENT WEEK 6 EBP CHANGE
PROCESS FORM
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.
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.
Star Point 2: Summary (Evidence to support need for a change)
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.
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.
2.2019 Update. DLP
, 2
Anderson, D. J., Podgorny, K., Berrios-Torres, S. I., Bratzler, D. W., Dellinger, E. P., Greene, L.,
... & Kaye, K. S. (2014). Strategies to prevent surgical site 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 surgical site 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 meta-
analysis. 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.
Star Point 3: Translation (Action Plan)
Identify care standards, practice guidelines, or protocols that may be in place to support
your intervention planning (These may come from your organization or from the other
sources listed in your Summary section in Star Point 2).
2.2019 Update. DLP
