Department of Nursing and Midwifery, South/South West Hospitals Group, Erinville, Cork, Ireland.
School of Nursing and Midwifery, College of Medicine and Health, University College Cork, Cork, Ireland.
Nurs Open. 2024 Jan;11(1):e2048. doi: 10.1002/nop2.2048.
SSI is one of the most prevalent healthcare-associated infections and is associated with extended hospital stays, increased need for reoperation and higher hospital readmission rates. Implementing systematic SSI surveillance can reduce these adverse outcomes. Implementing a surveillance system into a hospital is a complex intervention requiring that staff involved in a patient's perioperative journey have the knowledge of SSI prevention, the data required for surveillance, an understanding of how data informs quality improvement initiatives and their role in surveillance. The aim of this study was to evaluate the impact of a complex intervention on the knowledge and attitudes of healthcare professionals towards surgical site infection (SSI), SSI prevention and surveillance in a university hospital setting.
The study used a quasi-experimental pre-test-post-test design.
The impact of a complex intervention was evaluated by measuring healthcare professionals' (n = 74) knowledge of and attitudes towards SSI and surveillance. Normalisation process theory (NPT) guided the study and the development of the intervention.
There was a statistically significant increase in scores on the knowledge of SSI and prevention from pre-intervention to post-test. The knowledge of risk factors scores at post-test was significantly higher than that at pre-intervention. Overall attitudes to SSI prevention and surveillance were good both pre-intervention and post-test but there was a significant change in the attitude of participants. The findings reveal an overall positive impact of the complex intervention on the knowledge and attitude of healthcare professionals relating to SSI, SSI prevention and surveillance; however, the extent of the change varied across items measured.
手术部位感染（SSI）是最常见的与医疗保健相关的感染之一，与延长住院时间、增加再次手术的需求和更高的医院再入院率有关。实施系统的 SSI 监测可以减少这些不良后果。在医院实施监测系统是一项复杂的干预措施，需要参与患者围手术期护理的工作人员了解 SSI 预防知识、监测所需的数据、了解数据如何为质量改进计划提供信息以及他们在监测中的角色。本研究的目的是评估一项复杂干预措施对大学医院环境中医疗保健专业人员对手术部位感染（SSI）、SSI 预防和监测的知识和态度的影响。
该研究采用了准实验前测后测设计。
通过测量医疗保健专业人员（n=74）对 SSI 和监测的知识和态度，评估复杂干预措施的影响。正常化进程理论（NPT）指导了研究和干预措施的制定。
在干预前后，SSI 知识和预防知识的得分均有统计学意义的提高。在干预后，风险因素知识的得分明显高于干预前。在干预前后，对 SSI 预防和监测的总体态度都很好，但参与者的态度发生了显著变化。研究结果表明，复杂干预措施对医疗保健专业人员与 SSI、SSI 预防和监测相关的知识和态度产生了总体积极影响；然而，所测项目的变化程度有所不同。
