Study on the Preventive Effect of Establishing an Integrated Working Group of Doctors and Nurses in Operating Room

Not Applicable

Recruiting

• Conditions: Orthopedic Disorder; Incision Infection
• Interventions: Other: an integrated working group nursing

• Registration Number: NCT06579599
• Lead Sponsor: The Fourth Affiliated Hospital of Zhejiang University School of Medicine

Brief Summary

To explore the preventive effect and clinical enlightenment of establishing an integrated working group of doctors and nurses in operating room on incision infection in orthopedic surgery.

Detailed Description

Surgery is the most used treatment in orthopedics. During orthopedic surgery, the integrity of the skin barrier is compromised, resulting in direct exposure of sterile tissue to the external environment and the potential impact of surgical instruments on local tissue. Additionally, orthopedic surgery procedures often entail prolonged duration, extensive surgical areas, and significant blood loss, all of which contribute to an elevated risk of surgical site infections. However, there are some limitations in the practical application of the conventional nursing model in the operating room. Against this backdrop, numerous new nursing models have emerged to meet contemporary demands. Among them, the integration of medical and nursing staff (MANS) in the operating room has garnered significant attention. Presently, this integrated model is predominantly employed in critical care settings and for postoperative infection prevention. However, the establishment and effectiveness of an integrated working group comprising both MANS in the operating room remains in its nascent stage of exploration, warranting further investigation into its clinical impact and implications.

Study Timeline

• Study First Submitted: 2024-08-28
• Study First Submitted QC: 2024-08-29
• Study First Posted: 2024-08-30
• Study Start: 2024-12-30
• Status Verified: 2025-02
• Last Update Submitted: 2025-02-16
• Last Update Posted: 2025-02-19
• Primary Completion: 2025-12-30
• Study Completion: 2025-12-30

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 130

Inclusion Criteria

• (1) All selected cases met the relevant diagnostic criteria outlined in the orthopedic disease guidelines. Diagnosis was confirmed through imaging methods.

  (2) The patients ranged in age from 18 to 70. (3) All individuals underwent surgery in the orthopedic department of our hospital.

  (4) The vital signs of the patients were essentially stable. (5) Patients possessed normal cognitive function before the operation and demonstrated the ability to listen, speak, read, and write.

Exclusion Criteria

• (1) Orthopedic patients with multiple injuries in other locations (such as craniocerebral trauma, chest trauma, etc.); (2) Patients with severe internal diseases, such as severe anemia, severe diabetes, liver insufficiency; (3) Patients with chronic infectious diseases; (4) Patients with malignant tumor; (5) Patients with pathological fracture, such as bone tumor; (6) Patients with mental diseases and cognitive impairment.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
an integrated working group nursing	an integrated working group nursing	Received intervention through the establishment of an integrated working group comprising medical staff in the operating room.

Primary Outcome Measures

Name	Time	Method
Incision infection rate	One month after surgery	Incision infection rate = the number of postoperative incision infection / the total number of cases × 100%

Secondary Outcome Measures

Name	Time	Method
Incision recovery	On the 1 day of discharge	On the day of discharge, the effect of incision healing was evaluated by the doctor and recorded by the nurse, including excellent: the surgical incision basically healed without adverse reactions; good: poor healing, mild redness, swelling and induration around the incision, but no suppuration; poor: the incision has been infected and suppurate. Excellent and good rate = (excellent + good) cases / total cases × 100%
Nursing quality	On the 1 day of discharge	The nursing quality management questionnaire of operating room made by our hospital was used, and the quality control department staff or head nurse made an unannounced visit to evaluate the nursing quality
Adverse nursing risk events	On the 1 day of discharge	the total adverse nursing risk rate of the two groups

Trial Locations

Locations (1)

The Fourth Affiliated Hospital of Zhejiang University School of Medicine; 🇨🇳 Yiwu, Zhejiang, China