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Bryr vi oss om ett litet hår i ditt sår?: En tvärsnittsstudie av personalens följsamhet till hygienriktlinjer under pågående operation
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
2019 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Do we care about a little bit of hair in there? : A cross sectional study of OR staff compliance to hygiene guidelines during surgery. (English)
Abstract [sv]

Bakgrund: Under 1800-talet fick Florence Nightingale ner dödligheten efter kirurgi bland annat genom att hålla en renare operationsmiljö. De medicinska framstegen har tagit exponentiella kliv och omvårdnaden försöker hålla takten. Studier visar dock att hälso- och sjukvårdspersonalens följsamhet till hygienriktlinjer är bristande. För att vårdrelaterade infektioner såsom postoperativ sårinfektion inte ska ta fäste, urholka sjukvårdsbudgeten och orsaka patienten vårdlidande behöver samtlig operationspersonal ta hygienfrågan på största allvar, utan undantag. Syfte: Syftet var att studera operationspersonalens följsamhet till hygienriktlinjer på två sjukhus i södra Sverige. Metod: Studien var en kvantitativ observationsstudie som genomfördes med ett strukturerat protokoll. I protokollet fanns faktorer som särskilt studerade om allt av personalens hår och skägg var täckt med operationsmössan vid allmän- och infektionskänslig kirurgi. Det observerades även om personalen använde skor med hel ovansida som var avtorkningsbar. Resultat: Resultatet visade en näst intill fullständig följsamhet till hygienriktlinjer vid infektionskänslig kirurgi. Vid allmän kirurgi fanns förbättringar att genomföra av samtlig operationspersonal. Personal som inte arbetade i operationssåret var den population som hade sämst följsamhet till de utvalda riktlinjerna. Slutsats: Kunskap och ansvar till hygienriktlinjer kan leda till ökad patientsäkerhet och minskat lidande för patienten.

Abstract [en]

Background: Florence Nightingale saved lives by keeping the environment clean before, during and after surgery in the mid-19th century. The knowledge in medicine has developed in exponential steps and the nursing care is trying to keep up. Studies show that compliance to hygiene guidelines are low. The routines to prevent surgical site infections need to be taken seriously, without exceptions, to prevent the infections to cause suffering both for individuals and the hospitals budgets. Aim: The purpose of this study was to study the OR staff´s compliance to hygiene guidelines at two south Swedish hospitals. Method: The study was a quantitative observational study. Data have been collected at two different southern Swedish hospitals during 152 surgeries. The observation was structured and followed a special protocol that observed if hair and beard is covered with a hood/other coverage and what type of shoes that the staff wear in the OR. It was also observed if surgeries that need ultraclean environment, as implant surgery, was respected with the extended guidelines. Results: The results showed that there where almost complete compliance to the hygiene guidelines during ultraclean surgeries. During other surgeries it showed that improvements could have been done by all staff in the OR. The staff that was working in the OR but not in the wound, close to the patient had lowest compliance. Conclusion: Knowledge and discipline to hygiene rules may lead to improvement in patient safety and diminished patient suffering.

Place, publisher, year, edition, pages
2019. , p. 47
Keywords [en]
Compliance, guidelines, hygiene, observation, surgical site infections, surgical team.
Keywords [sv]
Följsamhet, hygien, observation, operationspersonal, postoperativ infektion, riktlinjer.
National Category
Surgery Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-82496OAI: oai:DiVA.org:lnu-82496DiVA, id: diva2:1315110
External cooperation
Landsting Region Halland och Region Blekinge (Centraloperation Halmstad och Karlskrona).
Subject / course
Vårdvetenskap
Educational program
Specialist Nursing Programme, with Specialism in Theatre Nursing, 60 credits
Supervisors
Examiners
Available from: 2019-05-13 Created: 2019-05-11 Last updated: 2019-05-14Bibliographically approved

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CiteExportLink to record
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