Efficacy of an Intervention to Improve the Preoperative Shower in Scheduled Surgery

Not Applicable

Not yet recruiting

• Conditions: Surgical Site Infection; Surgery
• Interventions: Behavioral: improvement of preoperative shower

• Registration Number: NCT04820075
• Lead Sponsor: University Hospital, Rouen

Brief Summary

The aim of the project is to evaluate the effectiveness, on the skin cleanliness of the patient on arrival at the operating room, of an intervention aimed at improving the performance of the preoperative shower, for patients undergoing a planned surgical intervention in an orthopedic surgery department, digestive, gynecological, thoracic, or vascular.

Detailed Description

The project will be realized in 2 phases.

- The first phase of the project will consist of a sociological survey conducted with caregivers and patients in the care sectors participating in the study. This component sociological research will be carried out on the basis of in-depth interviews with caregivers (nurses and nursing assistants) from the departments concerned by research and patients. The expected sample, subject to data saturation, is 40 caregivers and 20 patients. These in-depth and non-directive interviews will be carried out by a sociologist and will aim to explore the way in which healthcare professionals see their activity professional, the relationship they maintain with the various members of the healthcare team, their perceptions of the body, privacy and hygiene of patients, but also to explore the representations of caregivers of the preoperative shower and of the relationship with caregivers during phases of explanation, possible help with the shower, and control of cleanliness cutaneous. These interviews will identify the representations of caregivers and patients with the aim of establishing a procedure for caregivers to improve care of the preoperative shower. In view of the statements of patients and caregivers concerning preparing for the preoperative shower and checking skin cleanliness during the Survey exploratory, it appears necessary to improve and formalize the protocol. Investigation will thus establish a base of knowledge necessary to establish a care procedure giving an account of the roles of each person, caregivers and patients.

Study Timeline

• Study First Submitted: 2021-03-12
• Study First Submitted QC: 2021-03-25
• Study First Posted: 2021-03-29
• Status Verified: 2023-03
• Last Update Submitted: 2023-03-09
• Last Update Posted: 2023-03-10
• Study Start: 2023-09-01
• Primary Completion: 2024-07-01
• Study Completion: 2024-07-01

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 1000

Inclusion Criteria

1. age 18 and over, and
2. scheduled for surgery (outpatient or full hospitalization) in one of the following specialties: orthopedics, digestive (including bariatric surgery), gynecological, thoracic, vascular, and
3. having read and understood the briefing note and not showing up for research.

Exclusion Criteria

1. operated on urgently, or
2. operated on for an intervention other than orthopedics, gynecology, digestive surgery, vascular surgery, or
3. having received a toilet in bed, or
4. having expressed their opposition to the research.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Process about performance of the preoperative shower	improvement of preoperative shower	Implementation of a process aimed at improving the preoperative shower in programmed surgery

Primary Outcome Measures

Name	Time	Method
skin cleanliness	at the time of surgery	The criterion for evaluating the effectiveness of the preoperative shower, consistent with national recommendations, is skin cleanliness, defined as the absence of macroscopic stains on the skin.

Secondary Outcome Measures

Name	Time	Method
need for detersion in the operating room	Within 8 hours after shower	Need for debridement in the operating room for areas of surgery for which it is not systematic
healthcare workers' satisfaction regarding the preoperative shower	Within 1 month after shower	Satisfaction of caregivers responsible for the care of preoperative patients in the care unit and in the operating room
postponement of surgery	Within 8 hours after shower	Postponement of surgery due to insufficient cleanliness (no go)
patient's satisfaction regarding the preoperative shower	Within 1 month after shower	Patient satisfaction with the preoperative shower
occurrence of a surgical site infection	30 days after surgery	Occurrence of a surgical site infection (SSI)
frequency of skin cleanliness assesment by healthcare workers	Within 8 hours after shower	Verification of cleanliness by the caregiver (patient declarative data).