İntraoperatif Kontaminasyon Risk Faktörlerine İlişkin Kontrol Listesinin Geliştirilmesi

Abstract

Cebeci, F. Development of a Checklist for Intraoperative Contamination Risk Factors, Hacettepe University Graduate School of Health Sciences Surgical Nursing Program Doctoral Thesis, Ankara, 2024. The majority of risk factors for surgical site infection arise from contamination during the intraoperative process. This research was conducted between February 21, 2022 and July 22, 2023, using a sequential exploratory design from mixed methods research, in order to develop a checklist that will allow the detection of intraoperative contamination risk factors. Ethics committee approval and institutional permissions were obtained for the research. In the qualitative study, which was the first stage of the development of the checklist, data was collected at Dışkapı Yıldırım Beyazıt Training and Research Hospital, Gazi University Hospital and Ankara University Hospitals using the "Semi-Structured Interview Form". The experiences of 24 operating room nurses, determined by the maximum variation sampling method, while establishing and maintaining a sterile field were collected through in-depth individual interviews. The data were analyzed using Colaizzi's (1978) content analysis method. Five main themes were created: contamination caused by the team and the surgical process, types of contamination, maintenance of the sterile environment, and re-establishment of the sterile field when contaminated. Secondly, a systematic literature review was conducted from Web of Science, Cochrane, and PubMed databases to determine the risk factors for intraoperative contamination and surgical site infection. The checklist was created by following the steps developed by Stufflebeam (2000). The checklist was applied to 556 surgeries determined by proportional stratified sampling method at Hacettepe University Adult Hospital. When the total risk scores obtained from the checklist are examined; 1.8% of the patients were in the very low-risk group, 16.2% in the low-risk group, 39.3% in the lower-medium risk group, 30.2% in the upper-medium group, and 10.1% in the high-risk group. group and 2.5% were found to be in the very high risk group. The results show that the majority of patients are at moderate to high risk of contamination. The use of the checklist has been recommended to identify contamination risk factors and perform interventions to prevent surgical site infections.