Qualitative Studies. Health, Medicine, Nursing Research Paper

Qualitative Studies
Postoperative surgical site infections (SSIs) are a common problem in healthcare. Among patients who have undergone orthopedic surgery, about 335,500 develop SSI. Various studies have shown that using chlorhexidine gluconate preadmission lowers the risk of post-surgical site infection. The paper provides an analysis of two qualitative studies in regards to their background, method, results, ethical consideration, and how they explain the effects of chlorhexidine gluconate among orthopedic patients.
Background of Study
Markström et al. study “Operating room nurses' experiences of skin preparation in connection with orthopaedic surgery: A focus group study” recognizes that SSIs are a problem in healthcare. The purpose of the study was to explore the experiences and perspectives of OR nurses in regards to skin preparation within the orthopedic surgical setting (Jusino-Leon et al., 2019). The research question is: Does OR nurses understand or practice appropriate skin preparation before, during, or after an orthopedic surgical procedure? The article plays a significant role in nursing by helping highlight issues of patient safety through lowering of infections during surgical procedures.
Jusino-Leon et al. article “Chlorhexidine Gluconate Baths: Supporting daily use to reduce central line–associated bloodstream infections affecting immunocompromised patients” explores the efficacy of chlorhexidine gluconate (CHG) baths in reducing healthcare-associated infections (HAIs). HAIs are considered a serious problem facing oncology healthcare settings. The objective of the study was to explore nurse adherence to existing CHG baths protocols and identify barriers to optimal use of CHG baths. The study assists nurses recognize how to lower the risk of HAIs using CHG baths. The research question is: Should CHG baths be incorporated in clinical settings and what are barriers to the use of CHG baths?
How the Articles Support the Nurse Practice Issue Chosen
Markström et al. article will be used to answer the PICOT question by exploring the effectiveness of skin preparation in orthopedic surgical settings. The study will help explain how nurses can promote patient safety surgical operations. The intervention group in the study was registered OR nurses, who work in the orthopedic surgical setting. They were interviewed to explore the techniques they use to prepare the skin before a surgical procedure. Just like in the PICOT question, the nurses describe use of local cleaning using CHG soap after admission.
In Jusino-Leon et al. study, will answer the PICOT question by evaluating the efficiency of CHG baths in reducing HAIs. The article helps identify whether CHG baths offer better outcomes compared to usual care when treating patients with a compromised immune system (Markström et al., 2020). The intervention group was education of staff members in an institution on the protocol for use of CGH wipes. The participants were observed for their effectiveness in the use of CHG wipes when interacting with patients. In this regard, the study compares to the PICOT question explaining how CHG baths can be used preadmission to promote patient health outcomes.
Method of Study
Markström et al. article is an exploratory study using focus group. Semi-structured interview guide was used for the focus groups. The interviews were free flowing following the interview guide. Participants answered questions based on their experiences offering in skin preparation before a surgical procedure. In Jusino-Leon et al. article, the method used was direct observation. The staff were observed on the frequency and use of ...