The development of a comprehensive infection prevention quality audit tool for operating room theatres in a private health care environment
Date
2017
Authors
Engelbrecht, Linette
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Abstract
Multi-resistant organisms, the involvement of numerous stakeholders in the OR as
well as the complex procedural and technical advancements, especially in the private
healthcare environment, justifies an evidence based infection prevention quality audit
tool for an OR that is comprehensive. The purpose of the study was to develop a
comprehensive infection prevention quality audit tool for operating room within a
private healthcare environment. A three phased, multi-method study was conducted
whereby phase one included the identification of statements in existing audit tools,
policies and published articles. This was used to compile concourse statements that
were used during phase 2 in the Q-sort data collection method, which allowed
stakeholders (scrub- and anaesthetic nurses, CSD Managers, IPC- and OHS
Coordinators and surgeons) to indicate what they want to be included in the IPC
Audit Tool for operating room. A statement verification was conducted to expand the
concepts that enabled the researcher to compile an audit tool. Subject experts and
the researcher tested the degree of validity of the audit tool in phase three of the
study. A descriptive analysis revealed that the results of the Q-sort event was
inconclusive. The subject experts were unable to determine the degree of validity of
the audit tool, which forced the researcher to test the audit tool in an OR. A
Comprehensive IPC Control Quality Audit Tool was developed. The utilisation of the
audit tool in an OR should be a well-planned event. Specific education and training of
the multidisciplinary team regarding IPC in the OR should be considered.
Description
A Dissertation submitted to the Faculty of Health Science, University of the
Witwatersrand, in fulfillment of the requirements of the degree of Master of
Science in Nursing Education
Johannesburg, June 2017