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Surgery Wards' Health Caregivers' Knowledge, Attitude, and Practices Regarding the Pre-Operative Shower: A French

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Surgery ward caregivers often lack adequate training and clear protocols for pre-operative showers (POS), impacting patient skin cleanliness and infection prevention. Improvements in POS education and practice are needed.

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Area of Science:

  • Healthcare
  • Nursing Science
  • Surgical Care

Background:

  • Surgery ward caregivers play a vital role in patient education and skin preparation before surgery.
  • Pre-operative showers (POS) are crucial for mitigating surgical site infections (SSIs).
  • Caregiver responsibilities include patient education, assistance, and skin cleanliness evaluation.

Purpose of the Study:

  • To assess the knowledge, attitudes, and practices of surgery ward caregivers regarding the pre-operative shower (POS).
  • To identify gaps in training, protocols, and perceived challenges related to POS implementation.
  • To understand caregiver perspectives on skin cleanliness assessment and patient interaction.

Main Methods:

  • A multi-center prospective survey was conducted with nurses and nurse assistants in five French surgical facilities.
  • Data collected included caregiver training, ward protocols, guideline knowledge, attitudes, self-reported practices, and challenges.
  • A total of 72 caregivers participated in the survey.

Main Results:

  • Only 39% of caregivers reported receiving initial POS training, and 49% had a ward protocol.
  • Knowledge of current POS guidelines was suboptimal, with some caregivers adhering to unnecessary precautions.
  • Skin cleanliness assessment was inconsistently organized, perceived as intrusive, and influenced by patient factors and caregiver gender perception.

Conclusions:

  • Significant deficiencies exist in the training, implementation, and caregiver perceptions of the pre-operative shower process.
  • There is a need for standardized POS protocols and improved caregiver education to enhance patient safety and reduce SSIs.
  • Addressing caregiver attitudes and challenges is essential for effective POS delivery.