Surgical Site Infection in Adult Inpatients with CHG Bath: An Evidence-Based Approach

QUESTION

write an Evidence based paper on Surgical site infection in adult inpatient with CHG bath addressing the following questions

1. Describe the population’s demographics and health concerns.
2. Describe the proposed evidence-based intervention and explain how your proposed intervention incorporates health policies and goals that support health care equity for the population of focus.
3. Compare your intervention to previous practice or research.
4. Explain what the expected outcome is for the intervention.
5. Describe the time for implementing the intervention and evaluating the outcome.
6. Explain how nursing science, social determinants of health, and epidemiologic, genomic, and genetic data are applied or synthesized to support population health management for the selected population.
7. Create an Appendix for your paper and attach the PICOT. Be sure to review feedback from your previous submission and revise your PICOT accordingly.

ANSWER

Surgical Site Infection in Adult Inpatients with CHG Bath: An Evidence-Based Approach

Introduction

Surgical site infections (SSIs) are a significant concern for adult inpatients undergoing surgical procedures. Infection at the surgical site can lead to increased morbidity, prolonged hospital stays, and added healthcare costs. This evidence-based paper focuses on the use of Chlorhexidine Gluconate (CHG) bath as an intervention to reduce the incidence of SSIs in adult inpatients. By incorporating health policies and goals that support healthcare equity, implementing this intervention can contribute to improved patient outcomes and equitable healthcare delivery.

Population Demographics and Health Concerns

The population of focus for this intervention includes adult inpatients undergoing surgical procedures. This encompasses individuals of diverse ages, ethnicities, and socio-economic backgrounds who may be at risk of developing SSIs. Health concerns specific to this population include wound complications, increased length of hospital stay, postoperative pain, and potential systemic infections.

Proposed Evidence-Based Intervention

The proposed intervention involves implementing CHG baths as part of preoperative preparations for adult inpatients. CHG, a broad-spectrum antiseptic, has shown efficacy in reducing microbial colonization and the risk of SSIs. This intervention aligns with health policies and goals focused on patient safety and quality improvement, promoting healthcare equity by ensuring all patients receive evidence-based care irrespective of their socio-economic status or other demographic factors.

 Comparison to Previous Practice or Research

Previous research has demonstrated the effectiveness of CHG baths in reducing SSIs. Multiple studies have shown a significant decrease in SSIs when CHG baths are used as part of preoperative preparations. This intervention represents an improvement over previous practices, which often involved routine bathing with soap and water without the added benefit of CHG’s antimicrobial properties.

Expected Outcome

The expected outcome of implementing CHG baths as a preoperative intervention is a reduction in the incidence of SSIs among adult inpatients. By effectively reducing microbial colonization, CHG baths contribute to improved wound healing, decreased infection rates, shorter hospital stays, and enhanced patient satisfaction.

Implementation and Outcome Evaluation

The implementation of CHG baths should occur during the preoperative phase, ideally starting at least 24 hours before the scheduled surgery. The bathing process should involve thoroughly cleansing the body using CHG-impregnated cloths or solutions. The outcome of this intervention should be evaluated through a comprehensive assessment of SSI rates, comparing the incidence of SSIs before and after the implementation of CHG baths.

Integration of Nursing Science and Population Health Management

Nursing science plays a vital role in implementing evidence-based interventions like CHG baths. Understanding the principles of infection control, microbiology, and wound care enables nurses to effectively apply CHG baths to reduce SSIs. Moreover, incorporating social determinants of health and epidemiologic, genomic, and genetic data ensures that population health management strategies are tailored to the specific needs and characteristics of the target population, promoting equitable healthcare delivery.

Conclusion

Implementing CHG baths as a preoperative intervention for adult inpatients can significantly reduce the incidence of SSIs and improve patient outcomes. By incorporating evidence-based practices and aligning with health policies and goals that support healthcare equity, this intervention addresses the specific needs of the population of focus. Continual evaluation and monitoring of SSI rates will guide quality improvement efforts and further enhance patient safety. By synthesizing nursing science, considering social determinants of health, and utilizing epidemiologic, genomic, and genetic data, healthcare providers can effectively manage population health and optimize patient outcomes.

Appendix

PICOT Question:
Population: Adult inpatients undergoing surgical procedures
Intervention: Chlorhexidine Gluconate (CHG) baths
Comparison: Routine bathing without CHG
Outcome: Reduction in surgical site infections (SSIs)
Time: Preoperative phase and postoperative follow-up period