Nursing Practice Problem and PICOT Question

Research Critique and PICOT Question
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Research Critique and PICOT Question
Postoperative surgical site infections (SSIs) remain a significant problem in healthcare. In orthopedic clinics or departments, approximately 335,500 patients develop SSIs (Jusino-Leon et al., 2019). Various studies have examined the use of chlorhexidine gluconate (CHG) perioperative as an effective technique of reducing SSIs. The paper provides an analysis of two quantitative and two qualitative studies examining the phenomena. Specifically, the articles show that CHG perioperative use lowers the risk of SSIs, how CHG usage impacts the nursing practice, ethical considerations, outcomes comparison, and proposed evidence-based practice change.
Nursing Practice Problem and PICOT Question
In many orthopedic surgical departments, postoperative surgical site infections (SSIs) pose serious problems. SSIs are infections near the surgical procedure site but are the most common preventable infections. However, 2 to 4 percent of all patients in orthopedic patients undergoing a surgical procedure suffer an SSI (PSNet, 2019). While SSIs are treatable, they remain the main concern for morbidity and mortality following surgery. They are associated with increased readmissions after a surgical procedure, while about 3 percent of patients who suffer SSI die (PSNet, 2019). In this case, finding measures to reduce SSI risk remains a fundamental goal of most healthcare facilities. One of these measures is the use of chlorhexidine gluconate (CHG) perioperative to reduce the risk of contracting an infection. The PICOT question states:
For orthopedic patients (P), does chlorhexidine gluconate (CHG) wash perioperative (I), compared to usual care (c), reduce the risk of post-surgical site infection (SSI) (O) a month after the procedure (T)?
Background
The articles reveal CHG perioperative and not otherwise lowers the likelihood of SSIs after orthopedic surgery. In the article, "Presurgical Skin Preparation with a Novel 2% Chlorhexidine Gluconate Cloth Reduces Rates of Surgical Site Infection in Orthopaedic Surgical Patients," Eiselt argues patients undergoing joint surgery have a high risk of developing an SSI. The article's objective is to evaluate the efficiency of 2% CHG without rinsing the night before a surgical procedure (Eiselt, 2009). Eiselt's research question is: Does rinsing with CHG before surgery lower an infection's risk after the operation? The article is significant to nursing because it can help patients prepare effectively before a surgical procedure and improve their health outcomes.
Makhni et al. article “No Clear Benefit of Chlorhexidine Use at Home Before Surgical Preparation” claims that bacterial infections pose severe threats to patients after surgery. The purpose of the article was to investigate the efficacy of using CHG wipes the night and morning before the surgery in decreasing bacterial infection around the neck (Makhni et al., 2018). The research question is: Does the use of CHG wipes the night before surgery decrease bacterial infection growth on the neck? Makhni et al. study is significant to nursing bec...