NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table
Grand Canyon University NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table – Step-By-Step Guide
This guide will demonstrate how to complete the Grand Canyon University NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table
Whether one passes or fails an academic assignment such as the Grand Canyon University NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table
The introduction for the Grand Canyon University NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
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How to Write the Body for NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table
After the introduction, move into the main part of the NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table
Learner Name:
PICOT:
Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article | Article Title and Year Published | Research Questions/ Hypothesis, and Purpose/Aim of Study | Design (Quantitative, Qualitative, or other) | Setting/Sample | Methods: Intervention/ Instruments | Analysis/Data Collection | Outcomes/Key Findings | Recommendations | Explanation of How the Article Supports Your Proposed EBP Practice Project Proposal |
| Zarco et al., Gerontology and Geriatric Medicine, https://doi.org/10.1177/23337214211060147 | Perceived benefits of a guided exercise program among older adults 2021 | Research question: what are the perceived benefits of participating in Essentrics? The purpose of the study was to explore the experiences of adults who participated in an Essentrics program. Foundational techniques of Essentrics include eccentric training and stretching (Esmonde-White et al., 2021; Zarco et al., 2021). | Qualitative design: it was a retrospective, qualitative study where data collection and analysis methods were primarily qualitative | Setting: Adelphi University Sample: nine participants | Older adults participated in a one-hour Essentrics program twice weekly for a year. The questionnaire instrument included open and close-ended questions on the motivation behind trying and continuing Essentrics and their benefits. A focus group discussion via Zoom meeting was also conducted to allow participants to expand the context of their responses. | The primary researcher collected data on how Essentrics affected functional mobility, flexibility, and strength. The recorded responses via Zoom were electronically transcribed, and thematic analysis was conducted to summarize the perceived benefits of the exercises. | The outcomes were changes in functional mobility, flexibility, and balance. Participants perceived Essentrics as beneficial to their physical health since it improved their functional mobility, balance, and flexibility. Other benefits included making participants feel more energized while improving their posture. | Researchers recommended a large-scale mixed study to validate the experiences of Essentrics participants. | The study supports the EBP project proposal by positively linking physical exercises with improved functional performance among older adults. The improved balance and strength after the exercises are critical to improving older adults’ independence, as the PICOT states. |
| Kirwan et al., International Journal of Environmental Research and Public Health, https://doi.org/10.3390/ijerph18116147 | Community-based exercise and lifestyle program improves health outcomes in older adults with type 2 diabetes 2021 | RQ: what are the effects of Beat It on anthropometric, physical fitness, and psychological outcomes among older adults with T2DM? Aim: the study explored whether Beat It was effective in improving anthropometric, physical fitness, and psychological outcomes in older adults with type 2 diabetes mellitus. | Quantitative: researchers collected and analyzed data quantitively. | Setting: 67 separate locations in New South Wales and Australian Capital Territory Sample: 588 older adults with T2DM | Participants were enrolled in Beat It over eight weeks. Beat It is a twice-weekly supervised group exercise and education program. The clinician-led program helps individuals manage diabetes and improve general health (Kirwan et al., 2022). Height and weight measures were used to calculate body mass index (BMI), while physical parameters were assessed using arm curls or the medicine ball throw test. | Researchers collected data on anthropometric measurements and physical fitness levels at baseline and the completion of the program. Data analysis was conducted using SPSS version 24. The program’s effectiveness was examined using paired T-tests. | Primary outcomes were changes in physical fitness and anthropometric measures. Researchers found a significant improvement in waist circumference and physical fitness post-program. The findings underline the significance of the program in improving the standard of healthy independent living after effective implementation. | Researchers recommended a longer-term follow-up to examine whether participants would maintain the positive changes beyond the program. | The article supports the proposed project by demonstrating the link between physical exercise and healthy independent living through improved physical fitness and anthropometric measures. |
| Harrison et al., Journal of Primary Care & Community Health, https://doi.org/10.1177/2150132720924137 | Perceptions, opinions, beliefs, and attitudes about physical activity and exercise in urban-community-residing older adults 2020 | RQ: what are the motivators to, barriers of, and benefits associated with engaging in physical activity and exercise? Aim: the study was conducted to determine older adults’ understanding of physical activity and exercise as well as barriers, motivators, and benefits influencing their participation. | Qualitative design: the researchers and participants discuss the topic and dominant themes summarized. | Setting: Washington, DC Sample:58 older adults enrolled in Senior Companion and Respite Aid programs | Eligible older adults who engaged in various physical activities at the community level were recruited via convenience sampling. Researchers conducted focus group sessions to explore the participants’ physical activity levels and experiences. Focus groups help researchers to collect data by exploring participants’ opinions, experiences, and perspectives (Dos Santos Marques et al., 2021). | Participants completed a short survey of demographic data, physical activity and exercise levels, and food intake. In the focus groups, the moderator used a semi-structured 5-8 question script to ask questions regarding experiences with physical exercises. | Primary outcomes were barriers, motivators, and benefits of physical activity and exercise. Participants identified physical activity as beneficial to health since it leads to prolonged life, increased physical energy, and a stronger body. Limited income was a significant barrier, while most participants preferred dancing for exercise. | Researchers recommended policymaking centered on programs for older adults that will promote physical activity and exercise. | The article supports the project proposal by confirming that physical exercises improve functional performance and independence by increasing physical energy and body strength. |
| Syue et al., International Journal of Environmental Research and Public Health, https://doi.org/10.3390/ijerph19138043 | The associations between physical activity, functional fitness, and life satisfaction among community-dwelling older adults 2022 | Hypothesis: older adults with higher physical activity had better functional fitness and life satisfaction. Aim: the study explored the association between physical activity and functional fitness and life satisfaction. Authors also evaluated the existence of dose-response relationship. | Quantitative design: researchers employed a cross-sectional study design and quantified relationship between variables. | Setting: 12 functional fitness and health screen stations in Chi-Yi city. Sample: 623 older adults participated in the study. | As a cross-sectional study, older adults were observed in their respective environments in 2016 and 2017. Participants engaged in different physical activities with varying intensities. They included slow dancing, strenuous household chores, and playing basketball. | Researchers used the International Physical Activity Questionnaire (IPAQ) form to assess the physical activity levels. Functional fitness was assessed via different tests, including the arm curl test, the chair test, the stand test, the step test, and the back scratch test. Life satisfaction was evaluated using an 11-point scale. The authors used Spearman’s rho to test correlations between physical activity, functional fitness, and life satisfaction. | The primary research outcomes were functional fitness and life satisfaction. Syue et al. (2022) found that physical activity increases older adults’ functional fitness and life satisfaction. | Researchers recommended high levels of physical activity since they were associated with high improvement in muscle strength, flexibility, endurance, and dynamic balance. | The article supports the proposed EBP practice project proposal by demonstrating the effectiveness of physical exercises in improving functional fitness. |
| Chang et al., Frontiers in Medicine, https://doi.org/10.3389/fmed.2021.734812 | Effectiveness of facebook remote live-streaming-guided exercise for improving the functional fitness of community-dwelling older adults 2021 | Hypothesis: the program would improve the functional fitness of the participants Aim: to investigate the effects of an 8-week Facebook remote exercise program on the functional fitness of community-dwelling older adults | Quantitative design: researchers conducted a non-randomized controlled design | Setting: Taipei City Sample: 73 older adults | The study was a non-randomized controlled trial with single blinding. Participants in the experimental group (n = 39) participated in a physical exercise program twice a week for eight weeks. The control group (n = 34) continued with ordinary lifestyle. | Researchers used the Senior Fitness Test to assess limb flexibility, muscle strength, and cardiorespiratory fitness pre- and post-program. Statistical analyses were performed using SPSS, version 22.0 software. | The main outcome was increased functional fitness. Researchers reported that the 8-week guided exercise intervention increased lower limb flexibility, muscle strength, and cardiorespiratory fitness. These improvements are critical to improved functional fitness and independent living among older adults. | Researchers recommended future studies that have clear exercise intensity using objective or subjective measurements. | The article supports the proposed project by positively linking physical exercises with improved functional fitness among older adults. |
| López-López et al., GeroScience, https://doi.org/10.1007/s11357-023-00877-4 | Functional mobility and physical fitness are improved through a multicomponent training program in institutionalized older adults 2023 | Hypothesis: the multicomponent training program will improve functional mobility and physical fitness. Aim: to clarify the benefits of a multicomponent training in institutionalized older adults. | Quantitative design (a randomized controlled trial) | Setting: Albertia Elderly Care Center Sample: 34 older adults | Researchers conducted a randomized controlled trial (RCT) with institutionalized older adults. The main goal of RCTs is to ascertain whether an intervention/treatment will cause a change in health or risk factors (Capili & Anastasi, 2023). In this study, the intervention group (18 participants) engaged in the multicomponent training program of muscle power training and endurance twice weekly for 12 weeks. The control group (n =16) continued with the usual mobility exercises. | Researchers collected data before and after the program. They estimated independence using the Barthel index, while multiple tools were used to evaluate physical fitness and functional mobility. They included the Short Physical Performance Battery (SPPB), hand grip strength dynamometry, and the Timed Up and Go (TUG) test. Data analysis was done using SPSS 23.0 software. Tests included Shapiro-Wilks, Levene, and the two-way analysis of variance (ANOVA). | Primary outcomes were functional mobility and physical fitness. Researchers found that the multicomponent training program was effective in improving functional mobility and physical fitness, albeit no significant difference regarding independence among the groups was observed. | The researchers recommended testing longer programs while monitoring nutrition and rest time to observe further physiological changes in the institutionalized population. | The article supports the proposed project by demonstrating the effectiveness of physical exercises in improving functional fitness among older adults. |
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Conclusion
Older adults are a unique population that requires optimal health and well-being. The effects of type 2 diabetes in old age are multidimensional, hence the need for interventions to improve health and well-being. As a result, interventions seeking to improve physical fitness are essential to enhance functional mobility and independence among older adults with type 2 diabetes. The articles evaluated in this table confirm the effectiveness of physical exercises and the need to implement them in healthcare settings and at home. For high outcomes and sustained performance, older adults should be guided and assisted appropriately.
References
Capili, B., & Anastasi, J. K. (2023). Efficacy randomized controlled trials. AJN The American Journal of Nursing, 123(3), 47-51. DOI: 10.1097/01.NAJ.0000921808.23646.01
Chang, S. H., Wang, L. T., Chueh, T. Y., Hsueh, M. C., Hung, T. M., & Wang, Y. W. (2021). Effectiveness of facebook remote live-streaming-guided exercise for improving the functional fitness of community-dwelling older adults. Frontiers in Medicine, 8, 734812. https://doi.org/10.3389/fmed.2021.734812
Dos Santos Marques, I. C., Theiss, L. M., Johnson, C. Y., McLin, E., Ruf, B. A., Vickers, S. M., Fouad, M. N., Scarinci, I. C., & Chu, D. I. (2021). Implementation of virtual focus groups for qualitative data collection in a global pandemic. American Journal of Surgery, 221(5), 918–922. https://doi.org/10.1016/j.amjsurg.2020.10.009
Esmonde-White, M. (2023). The miracle of flexibility: a head-to-toe program to increase strength, improve mobility, and become pain free. Simon and Schuster.
Harrison, E. A., Lord, L. M., Asongwed, E., Jackson, P., Johnson-Largent, T., Jean Baptiste, A. M., … & Jeffery, T. (2020). Perceptions, opinions, beliefs, and attitudes about physical activity and exercise in urban-community-residing older adults. Journal of Primary Care & Community Health, 11, 2150132720924137. https://doi.org/10.1177/2150132720924137
Kirwan, M., Chiu, C. L., Hay, M., & Laing, T. (2021). Community-based exercise and lifestyle program improves health outcomes in older adults with type 2 diabetes. International Journal of Environmental Research and Public Health, 18(11), 6147. https://doi.org/10.3390/ijerph18116147
Kirwan, M., Chiu, C. L., Laing, T., Chowdhury, N., & Gwynne, K. (2022). A web-delivered, clinician-led group exercise intervention for older adults with type 2 diabetes: single-arm pre-post intervention. Journal of Medical Internet Research, 24(9), e39800. https://doi.org/10.2196/39800
López-López, S., Abuín-Porras, V., Berlanga, L. A., Martos-Duarte, M., Perea-Unceta, L., Romero-Morales, C., & Pareja-Galeano, H. (2023). Functional mobility and physical fitness are improved through a multicomponent training program in institutionalized older adults. GeroScience, 1-9. https://doi.org/10.1007/s11357-023-00877-4
Syue, S. H., Yang, H. F., Wang, C. W., Hung, S. Y., Lee, P. H., & Fan, S. Y. (2022). The associations between physical activity, functional fitness, and life satisfaction among community-dwelling older adults. International Journal of Environmental Research and Public Health, 19(13), 8043. https://doi.org/10.3390/ijerph19138043
Zarco, E. P. T., Aquino, M., Petrizzo, J., Wygand, J., & McGorry, A. (2021). Perceived benefits of a guided exercise program among older adults. Gerontology and Geriatric Medicine, 7, 23337214211060147. https://doi.org/10.1177/23337214211060147
Sample Answer 2 for NUR 550 Evidence-Based Practice Project: Evaluation of Literature Table
PICOT:
Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article
| Article Title and Year Published
| Research Questions/ Hypothesis, and Purpose/Aim of Study
| Design (Quantitative, Qualitative, or other)
| Setting/Sample
| Methods: Intervention/ Instruments
| Analysis/Data Collection
| Outcomes/Key Findings
| Recommendations
| Explanation of How the Article Supports Your Proposed EBP Practice Project Proposal |
Pop-Vicas, A. E., Abad, C., Baubie, K., Osman, F., Heise, C., & Safdar, N. Infection Control & Hospital Epidemiology, 41(7), 805–812. https://doi.org/10.1017/ice.2020.112
|
Colorectal bundles for surgical site infection prevention: A systematic review and meta-analysis. 2020 | This study aimed to identify bundle interventions that are most associated with a reduction in SSI rates | The study adopted a quantitative study design | The sample comprised 75 articles | The researchers searched for relevant articles in databases to identify studies that assessed the effectiveness of bundles with at least three elements recommended for clinical practice. | Data was analyzed using the METAN statistical package in Stata statistical software. The relationships between colorectal prevention bundle interventions and SSI reductions were determined using pooled Mantel-Haenzel risk ratios and forest plots with 95% confidence intervals. A fixed model was used to pool SSI ratio estimates. Laird’s random-effects model and Der Simonian model were used to obtain adjusted standard errors of estimates and lower the level of variation. Cochran’s Q statistics and I2 were used to estimate study heterogeneity. Meta-regression and pairwise correlation were used to determine the impact of bundle size on SSI reduction. Cumulative effect models were used to determine the influence of individual studies. | 75 studies were used in the analysis. Bundles were associated with an overall reduction in SSIs (44%), superficial SSI reductions, deep SSI reductions, and organ-space SSI reductions. Bundle interventions containing at least 11 elements were associated with the greatest SSI reduction. Gloves with and without gown change for wound closure, separate instrument trays, and standardized postoperative dressing change at 48 hours were associated with the highest reductions in superficial SSIs. oral antibiotics combined with mechanical bowel preparation and preoperative chlorhexidine showers were associated with the highest organ-space SSI reductions. | Future studies should address how preventive bundles can be tailored to each clinical context. High-quality prospective studies focusing on bundle efficacy should be performed. | The article shows that the use of bundle interventions reduces the risk and rate of SSIs among patients. |
(Bagga et al., 2020) |
| The purpose of this study was to analyze the effect of care bundle protocol on SSIs | The study was a retrospective cohort study, which is a quantitative study | The study used 9607 patients who underwent spine procedures between 2014 and 2018. | A care bundle was implemented in January 2017. It comprised preoperative bundle-glycemic control, chlorhexidine gluconate bath, intra-operative bundle-time specified antibiotic prophylaxis, CHG+alcohol-based skin preparation, postoperative bundle-five moments of hand hygiene, early mobilization, and bundle auditing. | Surgical site infections were recorded as per the CDC standards and definitions. A retrospective review of patients from weekly and yearly spine audits and hospital infection committee software was done for data collection. SSIs were the outcome variables. | There was a decrease in the SSI rate from 3.42% in the pre-implementation cohort to 1.22% in the post-implementation cohort. There were statistically significant reductions in all the groups but were more pronounced in superficial, early, and instrumental groups. significant reductions were seen in lumbar and degenerative groups when subgroup analysis was performed. | Randomized controlled trials on the impact of care bundles should be conducted to assess the true impact of the interventions on SSIs. | The study shows that bundle interventions reduce the rates of SSIs among post-operative patients. |
Davidson, C., Enns, J., Dempster, C., Lundeen, S., & Eppes, C. American Journal of Infection Control, 48(5), 555–559. https://doi.org/10.1016/j.ajic.2019.09.005
| Impact of a surgical site infection bundle on cesarean delivery infection rates. 2020 | The study was a retrospective cohort study. It is a quantitative study. | This was a quantitative study. A multidisciplinary task force undertook a pre and post-implementation study to determine the impact of care bundles on SSIs. | The study used 4014 women who underwent cesarean sections between 2012 and 2015. | The project was initiated in three phases including initiation, development, education, and team training. The interventions included women’s education, chlorhexidine gluconate bath, showering before and on the day of surgery, CHG wipes cleaning, prophylactic antibiotics, skin preparation, and povidone-iodine vaginal preparation. | Data on SSI rates were obtained from the hospital infection prevention services and NHSN submissions. Patient charts were reviewed for bundle compliance. | There was a reduction in the incidence of cesarean SSIs from 2.44 to 1.1 following the implementation of the SSI bundle. Bundle compliance was high. | The study was a retrospective cohort research. High-quality randomized studies that use large population samples and controlled variables should be conducted to determine the impact of the interventions on SSI rates. | The article supports that the use of bundle interventions reduces the incidence of SSIs. |
Vicentini, C., Corradi, A., Scacchi, A., Elhadidy, H. S. M. A., Furmenti, M. F., Quattrocolo, F., & Zotti, C. M. International Journal of Surgery, 82, 8–13. https://doi.org/10.1016/j.ijsu.2020.07.064 | Impact of a bundle on surgical site infections after hip arthroplasty: A cohort study in Italy (2012–2019). 2020 | This study evaluated the effect of bundle intervention on SSI rates after hip arthroplasty over eight year period. | A retrospective cohort study design was used. | The study was conducted in 49 hospitals in the region of Piedmont. The study was conducted between January 1st, 2012 and December 31st, 2019. 18791 procedures were included in the study. | The elements of the bundle intervention included age-appropriate preoperative shower, perioperative normothermia, preoperative hair removal, and antibiotic prophylaxis. | Data on the included procedures were collected through SNICh. Demographic and clinical data of the patients were also extracted. Patients were stratified according to their risk of infection. | 18791 procedures were included in the study. Bundle compliance was achieved in 27.9% of the procedures. Multivariable analysis showed a significant association between full bundle compliance and reduced SSI rates with a 31% reduction in the odds of infection. | The study protocol should be implemented in settings with limited resources since it is simple and easy to adopt. | The study shows that bundle interventions effectively reduce SSI rates. |
Phelan, L., Dilworth, M. P., Bhangu, A., Limbrick, J. W., King, S., Bowley, D. M., & Hardy, K. Journal of Infection Prevention, 21(2), 52–59. https://doi.org/10.1177/1757177419892072
| Evaluation of a bundle of care to reduce incisional surgical site infection after gastrointestinal surgery. 2020 | The study tested the implementation of a pragmatic, evidence-based bundle designed to reduce incisional SSI after emergency laparotomy and elective major lower gastrointestinal surgery. | The study was a prospective before and after study. It is a quantitative study. | The study used 99 patients in the before group 71 in group 2, and 92 in group 3. | This was a before-and-after study. The data on incisional SSI was collected before and after the intervention. An evidence-based care bundle was implemented and data was obtained for two separate subsequent periods. | Data on incisional SSI was collected before and after the implementation of the interventions. Demographic data of the participants was also obtained. Data on 30-day hospital unplanned readmissions were also collected. | The incisional SSI rate was 29.3% before 28.2 in the second group, and 21.7% in the third group after the intervention. The care bundle was associated with significantly reduced readmissions and a non-significant reduction in SSI rates. | The authors recommended that bundle interventions should be tailored to meet the contextual needs of healthcare organizations. | Intervention bundles are effective in reducing SSI rates and hospital readmission rates among post-operative patients. |
Ribed, A., Monje, B., García-González, X., Sanchez-Somolinos, M., Sanz-Ruiz, P., Rodríguez-González, C. G., & Sanjurjo-Saez, M. European Journal of Hospital Pharmacy, 27(4), 237–242. https://doi.org/10.1136/ejhpharm-2018-001666 | Improving surgical antibiotic prophylaxis adherence and reducing hospital readmissions: A bundle of interventions including health information technologies. 2020 | This study described and evaluated the impact of a multidisciplinary intervention on antibiotic prophylaxis adherence to hospital guidelines and 30-day post-operative outcomes | This study adopted a quasi-experimental pre-post prospective study design | The study was conducted in a tertiary teaching hospital that performs 3700 orthopedic surgeries annually | The participants being followed up were divided into two groups. The pre-intervention group comprised patients who underwent surgery before the implementation of the program. The post-intervention group comprised patients who underwent orthopedic surgery after the program implementation. | Demographic and clinical data before and after surgery were collected. Information on the type of procedure, post-surgical hospitalization, fever development, incidence of suspected or confirmed SSI, and length of hospital stay were also collected. Data on 30-day post-operative hospital admission among the study participants was also obtained. | There was an improvement in global adherence to guidance, correct dosage post-surgery, timing of administration, and antibiotic pre-surgery prescription. Three surgical site infections were detected in the pre-intervention group and none in the intervention group. Length of hospital stay was reduced by a day while readmission rates decreased by 15%. | High-quality randomized trials should be conducted to determine the impact of multidisciplinary team bundle interventions on reducing SSIs. | The study shows that bundle interventions reduce the rate of SSIs and improve post-operative outcomes such as the length of hospital stay and 30-day readmission rates. |
References
Bagga, R. S., Shetty, A. P., Sharma, V., Vijayanand, K. S. S., Kanna, R. M., & Rajasekaran, S. (2020). Does preventive care bundle have an impact on surgical site infections following spine surgery? An analysis of 9607 patients. Spine Deformity, 8(4), 677–684. https://doi.org/10.1007/s43390-020-00099-0
Davidson, C., Enns, J., Dempster, C., Lundeen, S., & Eppes, C. (2020). Impact of a surgical site infection bundle on cesarean delivery infection rates. American Journal of Infection Control, 48(5), 555–559. https://doi.org/10.1016/j.ajic.2019.09.005
Phelan, L., Dilworth, M. P., Bhangu, A., Limbrick, J. W., King, S., Bowley, D. M., & Hardy, K. (2020). Evaluation of a bundle of care to reduce incisional surgical site infection after gastrointestinal surgery. Journal of Infection Prevention, 21(2), 52–59. https://doi.org/10.1177/1757177419892072
Pop-Vicas, A. E., Abad, C., Baubie, K., Osman, F., Heise, C., & Safdar, N. (2020). Colorectal bundles for surgical site infection prevention: A systematic review and meta-analysis. Infection Control & Hospital Epidemiology, 41(7), 805–812. https://doi.org/10.1017/ice.2020.112
Ribed, A., Monje, B., García-González, X., Sanchez-Somolinos, M., Sanz-Ruiz, P., Rodríguez-González, C. G., & Sanjurjo-Saez, M. (2020). Improving surgical antibiotic prophylaxis adherence and reducing hospital readmissions: A bundle of interventions including health information technologies. European Journal of Hospital Pharmacy, 27(4), 237–242. https://doi.org/10.1136/ejhpharm-2018-001666
Vicentini, C., Corradi, A., Scacchi, A., Elhadidy, H. S. M. A., Furmenti, M. F., Quattrocolo, F., & Zotti, C. M. (2020). Impact of a bundle on surgical site infections after hip arthroplasty: A cohort study in Italy (2012–2019). International Journal of Surgery, 82, 8–13. https://doi.org/10.1016/j.ijsu.2020.07.064