The occurrence of surgical site infections (SSIs) in orthopedic surgeries results in reduced quality of life, increased hospital length of stay, increased likelihood of mortality, higher change of readmissions and reinterventions. Aim of the study: to evaluate the effect of pediatric orthopedic bundle guidelines on nurses' performance regarding surgical site infections for children undergoing orthopedic surgeries. Design: A Quasiexperimental research design was (pre/post-test) utilized to conduct the current study. Settings: The study was conduct at orthopedic surgery departments at Benha University Hospital, Benha Health Insurance Hospital and Benha Teaching Hospital. Subjects: A convenient sample of all available nurses (124) working at the previously mentioned study settings regardless of their personal characteristics. Tools of data collection: Two tools were used; a structural interviewing questionnaire to collect personal data of the studied nurses and their knowledge regarding orthopedic surgeries, surgical site infections and bundle of nursing care to reduce surgical site infections. The second tool; Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection. Results: The study results showed that there was a highly statistical significant improvement in total nurses' performance after implementation of Pediatric Orthopedic Bundle guidelines. Moreover, there was a highly statistically significant relation in nurses’ practice and their educational level, occupation, years of experience, and attendance of training courses. Conclusion: Based on the present study findings, it was concluded that there was unsatisfactory knowledge as well as an incompetent practice among nurses regarding surgical site infections before the orthopedic bundle guideline compared with after implementation, and there was an improvements in nurses’ knowledge and performance regarding surgical site infections. Recommendations: The study recommended that implementing the Pediatric Orthopedic Bundle guidelines for staff nurses are important to improve care provided to children in orthopedic departments to reduce surgical site infection. |
