Reason for Attention The rate of surgical site infection (SSI) serves as a performance measure of a hospital. It reflects the quality and the standard of health care delivered to the patients. Hence, to compare the …show more content…
As per the research, there is 95% association between the cardiac surgery and diabetes in those who developed SSI (Martin et al., 2016). These outcomes stress on the need to prevent the SSI.
Stakeholders/Change Agents Patients and their family, health care providers, health insurance companies and the hospital management comprise the major stakeholders. As the glycemic control in the diabetic patients undergoing surgery can help prevent the SSI to a greater extent (Li, Guo, Ou, Dong, & Zhou, 2013), the stakeholders mentioned above will benefit from the proposal. The Joint Commission and the Centers for Disease Control and Prevention (CDC) are the change agents because their guidelines help meet the glycemic control in these patients (Joint Commission, 2010: Mangram, Horan, Pearson, Silver, & Jarvis, 1999).
PICOT Question Among the diabetic patients undergoing surgery (P), does the blood sugar level within the normal range (I) compared to the blood sugar level above the normal limit (C), impact the rates of surgical site infections (O) over a period of one month after surgery …show more content…
To measure the results of this new practice, will instruct the discharged postoperative diabetic patients to keep a daily blood sugar monitoring chart. If the blood sugar records prove that the levels are within the normal limits and they have not visited the hospital with surgical site infection within the 30-days after discharge, it indicates that the maintenance of a normal blood sugar level has a significant role in preventing the SSI.
Supportive rationale for the Nursing Involvement SSI can lead to devastating effects on the patients (Diaz & Newman, 2015). Nurses, being the frontline caregivers, have the responsibility to help the patients prevent this problem. Through implementing and encouraging the right treatment and follow-up measures and patient education, the nurses can contribute to maintaining the patient’s blood sugar level within the normal limits and avoid this problem. For instance, by counseling the patient about the blood sugar screening, the nurse can make the patient aware that it could reduce the risk of the surgical wound infection (Esa, Pasi, Jarkko, & Teemu, 2010).