PRODOUCH'OP: Efficacy of an Intervention to Improve the Preoperative Shower in Scheduled Surgery
Study Details
Study Description
Brief Summary
The aim of the project is to evaluate the effectiveness, on the skin cleanliness of the patient on arrival at the operating room, of an intervention aimed at improving the performance of the preoperative shower, for patients undergoing a planned surgical intervention in an orthopedic surgery department, digestive, gynecological, thoracic, or vascular.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
The project will be realized in 2 phases.
- The first phase of the project will consist of a sociological survey conducted with caregivers and patients in the care sectors participating in the study. This component sociological research will be carried out on the basis of in-depth interviews with caregivers (nurses and nursing assistants) from the departments concerned by research and patients. The expected sample, subject to data saturation, is 40 caregivers and 20 patients. These in-depth and non-directive interviews will be carried out by a sociologist and will aim to explore the way in which healthcare professionals see their activity professional, the relationship they maintain with the various members of the healthcare team, their perceptions of the body, privacy and hygiene of patients, but also to explore the representations of caregivers of the preoperative shower and of the relationship with caregivers during phases of explanation, possible help with the shower, and control of cleanliness cutaneous. These interviews will identify the representations of caregivers and patients with the aim of establishing a procedure for caregivers to improve care of the preoperative shower. In view of the statements of patients and caregivers concerning preparing for the preoperative shower and checking skin cleanliness during the Survey exploratory, it appears necessary to improve and formalize the protocol. Investigation will thus establish a base of knowledge necessary to establish a care procedure giving an account of the roles of each person, caregivers and patients.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Other: Process about performance of the preoperative shower Implementation of a process aimed at improving the preoperative shower in programmed surgery |
Behavioral: improvement of preoperative shower
Process about preoperative shower
|
Outcome Measures
Primary Outcome Measures
- skin cleanliness [at the time of surgery]
The criterion for evaluating the effectiveness of the preoperative shower, consistent with national recommendations, is skin cleanliness, defined as the absence of macroscopic stains on the skin.
Secondary Outcome Measures
- occurrence of a surgical site infection [30 days after surgery]
Occurrence of a surgical site infection (SSI)
- postponement of surgery [Within 8 hours after shower]
Postponement of surgery due to insufficient cleanliness (no go)
- need for detersion in the operating room [Within 8 hours after shower]
Need for debridement in the operating room for areas of surgery for which it is not systematic
- patient's satisfaction regarding the preoperative shower [Within 1 month after shower]
Patient satisfaction with the preoperative shower
- healthcare workers' satisfaction regarding the preoperative shower [Within 1 month after shower]
Satisfaction of caregivers responsible for the care of preoperative patients in the care unit and in the operating room
- frequency of skin cleanliness assesment by healthcare workers [Within 8 hours after shower]
Verification of cleanliness by the caregiver (patient declarative data).
Eligibility Criteria
Criteria
Inclusion Criteria:
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age 18 and over, and
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scheduled for surgery (outpatient or full hospitalization) in one of the following specialties: orthopedics, digestive (including bariatric surgery), gynecological, thoracic, vascular, and
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having read and understood the briefing note and not showing up for research.
Exclusion Criteria:
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operated on urgently, or
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operated on for an intervention other than orthopedics, gynecology, digestive surgery, vascular surgery, or
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having received a toilet in bed, or
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having expressed their opposition to the research.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- University Hospital, Rouen
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2019/0413/OB