Routine Shaving of the Surgical Research Paper

Pages: 8 (2524 words)  ·  Bibliography Sources: 8  ·  File: .docx  ·  Level: College Senior  ·  Topic: Healthcare

SAMPLE EXCERPT . . .
The lack of adherence to the principles of aseptic technique, which include traffic patterns, maintaining the sterile field, proper wearing of surgical attire, etc., are all potential contributors to exogenous sources of wound contamination.

8. Surgical Technique:

Observing surgeons' practices that are known, and comparing them to those of surgeons with higher rates, may be helpful in determining opportunities for improvements.

9. Post-op Dressings:

All placements and use of dressings should be monitored. Dressing should be applied directly after skin closure and prior to drape removal, utilizing strict aseptic technique, and should not be removed unless there is excessive drainage or they become dirty or damaged. Infections do not typically occur on post-op day one or two. Therefore, leaving the dressing intact for a minimum of one to two days will promote healing, and prevent contamination and disruption of the moist healing environment.

A6. Discuss (suggested length 1/2-page) how you would involve key stakeholders in the decision to change this procedure or comply with a proposed change.

Despite the existing and emerging research related to preoperative hair removal, effecting a change in practice may still be a challenge. However, some healthcare facilities have been successful in eliminating preoperative shaving. Key strategies for changing practice regarding appropriate hair removal include:

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• Remove all razors from operating suites and surrounding patient support areas, or eliminate razors from surgical prep kits;

• Institute a policy to avoid shaving surgical sites, or if hair removal is necessary, perform hair removal only with clippers right before surgery;

• Gain support from chief of surgery;

• Send letters to surgeons and staff regarding the change from razors to clippers, including a timeline;

• Institute the placement of electric clippers throughout the areas where hair removal is likely to occur;

Research Paper on Routine Shaving of the Surgical Assignment

• Educate surgeons and clinical staff on appropriate hair removal techniques, and purchasing personnel on appropriate supplies;

• Implement "No Shave Zone" posters throughout the hospital;

• Standardize documentation of hair removal technique in the preoperative/operative record to include "no hair removal, clipper, depilatory," eliminating the razor/shaving option; and • Educate patients to not shave the surgical site before surgery or develop patient education materials on proper hair removal.

SECTION B

B. Write an essay (suggested length 2 pages) in which you:

B1. Discuss the difficulties in translating what you have identified in the research into practice.

Any new knowledge is put into practice by passing through 3 stages: awareness, acceptance and adoption. However, it focuses more on the first two stages of translation of theory ie. awareness and acceptance (Green and Seifert). This opinion is enforced by many other writers who believe that theory can be understood in a better way when it is put to practice (Graham, RN and Harrison). Research is the science which demonstrates the difference of the knowledge which is accepted from how it is adopted. The accepted "declarative" knowledge is attained through lectures, readings and discussions. On the other hand, the procedural knowledge is the one which is being acted upon by the health care institutes. There could be several types of difficulties that can block the way of this translational procedure. Through research it was learnt that for translation of process, there is a vote of confidence required from stakeholders. Educating the patients is a long process. The staff has to adapt to the new procedure, and change is not always welcome. Early feedback on declarative stage

1. Practice in early stages

2. Deliberate practice when procedural knowledge is not refined

B2. Discuss the possible barriers you could encounter in attempting to institute a change in procedure, based on your evidence-based study.

The problem of translating research into practice has come sharply into focus over the past several years. Many evidence-based practice guidelines have been developed over the last decade with the aim of improving the use of interventions of proven benefit for patient-oriented outcomes. A wide variety of individual interventions has been attempted, including at least 6 categories identified by Eisenberg. Education, positive or negative feedback, positive or negative incentives, and administrative regulations and sanctions. However, the generally very modest effects these methods have achieved

3 have led to widespread agreement that physicians and health care systems simply do not put new knowledge about how to improve our patients' outcomes into practice nearly quickly enough.

B3. Identify at least two strategies that you and your team could use to overcome these barriers to change.

Translation of research into clinical practice is often conceptualized as proceeding from awareness through acceptance to adoption.

Educational methods, such as disseminating practice guidelines and continuing medical education, clearly aim at awareness and acceptance. But although there has been a great deal of research identifying factors that affect adoption, there is little understanding of how adoption actually takes place.

B4. Explain how you can apply your findings to guide the implementation of improvements to the procedure.

The physician begins with a great deal of prior knowledge, and it is into this well-oiled machinery that the physician attempts to integrate new evidence from a journal report, continuing education course, or practice guideline. For example, consider the guideline that "congestive heart failure patients should be evaluated for use of beta-blockers." An expert physician may be aware of this recommendation and may wholeheartedly accept it as good practice, but may still fail to adopt it when they happen to see an elderly patient in the clinic who could benefit from beta-blockade. Knowledge of evidence can remain separate from, and not integrated into, the physician's extensive database of procedures that guides their decisions and actions.

Works Cited

Collins, A.S. (n.d.). Preventing Health Care - Associated Infections. Retrieved October 30, 2012, from National Center for Biotechnology: http://www.ncbi.nlm.nih.gov/books/NBK2683/

Graham, I.D., RN, J.L., Harrison, M.B., Straus, S.E., Tetroe, J., RN, W.C., et al. (2006). Lost in knowledge translation: Time for a map? Journal of Continuing Education in the Health Professions, 13-24.

Green, L.A., & Seifert, C.M. (2005). Translation of Reserch into Practice: Why we can't "Just Do It." PubMed, 541-545.

National Collaborating Centre for Women's and Children's Health. (2008, October). Surgical Site Infection: Prevention and Treatment of Surgical Site Infection. Retrieved October 29,… [END OF PREVIEW] . . . READ MORE

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