Summary of Research Articles
Attitudes, risk of infection and behaviours in the operating room (the ARIBO Project): a prospective, cross-sectional study.
This article was authored by Birgand, G., Azevedo, C., Toupet, G., Pissard-Gibollet, R., Grandbastien, B., Fleury, E., & Lucet, J. C and published in the United States National Library of Medicine, National Institute of Health in 2014. This article was selected as an example of a qualitative article having used a prospective cross-sectional study design to explore and quantify the attitude and behaviors in the operating room that may influence the sterility in the room and lead to surgical site infection.
Problem Statement
The operating room forms a restricted area based on the fact that it observed a high level of sterility to ensure the aseptic environment is maintained all the times. Inappropriate behavior among the staffs in the operating room can lead to a breach of this sterility and lead to contamination of the environment and even lead to surgical site infection.
Statement of Purpose
This study dwells on the continued assessment of the operating room staff behaviors by a motion tracking system and their influence on the surgical site infection risk during surgeries.
Research Question(s)/Hypothesis
Movements by staffs in the operating room contaminates the environment and leads to surgical sites infections.
Study Methods
The multicenter prospective cross-sectional study involved ten operating rooms in 12 health facilities. The behaviors of staff were assessed through an objective, continued and extended quantification of the staff movement within the operating room.
Key Findings
With movements recorded on the movement within or and outside the room, a low number of surgical sites infections were recorded in the operating rooms which had reduced movements. At the same time, more surgical sites infections were recorded in the operating rooms where several movements were recorded. This was even higher in facilities where the staff moved in and out of the operating room during the procedure.
Citation
Birgand, G., Azevedo, C., Toupet, G., Pissard-Gibollet, R., Grandbastien, B., Fleury, E.,
& Lucet, J. C. (2014). Attitudes, risk of infection and behaviours in the operating
room (the ARIBO Project): a prospective, cross-sectional study. BMJ Open, 4(1),
e004274.
Hand hygiene and aseptic techniques during routine anaesthetic care – observations in the operating room
This article was authored by Megeus, V., Nilsson, K., Karlsson, J., Eriksson, B. I., & Andersson, A. E and published in the BioMed Central in 2015 for the Antimicrobial Resistance and Infection Control article as an observation of the practices of hand hygiene and aseptic technique in the operating room. It was chosen because it is an example of qualitative research using the case study design in the operating room.
Problem Statement
There exist a gap in the practice and determination improvement strategies when it comes to hand hygiene as well as maintenance of aseptic technique in the operating room. More knowledge is thus required concerning task intensity for hand hygiene and observation of sterility in the operating room during the anaesthetic care for efficient determination of the improvement strategies.
Statement of Purpose
The study aimed at exploring the indication and occurrences hand hygiene opportunities and aseptic techniques and adherence to guidelines governing the procedures during the normal anaesthetic care in the operating room.
Research Question(s)
What is the relationship between the knowledge and adherence as well as development of improvement strategies to the hand hygiene and aseptic technique in the operating room during the anaesthetic care of patients?
Method
Structured observational data about hand hygiene in the process of anaesthetic care for 94 surgical procedures were collected. This was done in line with the World Health Organization’s observational tool that was placed in the surgical department. The department had 16 operating rooms that were meant for various surgical units encompassing orthopaedic, urological, gynaecological and the general surgery.
Key Findings
A total of 2393 opportunities for hand hygiene were determined and noted down, the overall adherence was determined to be 8.1%. The adherence was 3.1% in the induction phase. Lowest adherence was evident in the induction phase at 2.2% and highest adherence occurring in the full-length surgeries from the exposure to the body fluids at 15.9%. These led to the conclusion on the need for sufficient improvement of observation of hand hygiene and aseptic technique as the evidence indicated a lower adherence to the guidelines.
Citation
Megeus, V., Nilsson, K., Karlsson, J., Eriksson, B. I., & Andersson, A. E. (2015). Hand
hygiene and aseptic techniques during routine anaesthetic care-observations in the
operating room. Antimicrobial resistance and infection control, 4(1), 5.
