Date of Conferral

2023

Degree

Ph.D.

School

Nursing

Advisor

Janice Long

Abstract

AbstractDespite evidence that surgical care bundle usage prevents surgical site infections (SSIs) in colorectal surgeries, there is a consistent increase in SSIs. Perioperative nurses are in a unique position to provide insight into the process for colorectal surgical care bundle usage, yet little is known about how perioperative nurses view the process. The perioperative patient focused model was used in this qualitative interpretative phenomenological study to examine the perceptions of perioperative nurses regarding the use of colorectal surgery care bundle and its role in preventing SSIs in patients undergoing colon and rectal surgeries. Sixteen perioperative nurses who were members of the Association of Perioperative Registered Nurses were invited via email to participate in the study, however the final interview sample was comprised of seven nurses. After informed consent was obtained, the one-on-one interviews were conducted via Zoom until saturation was achieved. The interviews were recorded and transcribed verbatim then analyzed using Braun and Clarke’s six step analytic method. Results revealed three themes. The themes were (a) compliance, (b) education, and (c) accountability. The study is important to clinical practice because nurses are the advocates for patients, especially in the perioperative environment where patients are most vulnerable. The study highlighted perioperative nurses’ perceptions, which can be used for positive social change to initiate changes that will be beneficial to patients undergoing colon and rectal surgeries. Future research is needed with other perioperative nurses as the only respondents in this study were operating room nurses, and this may not be a true representation of the perceptions of all perioperative nurses.

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