Efficacy of an Intervention to Improve the Preoperative Shower in Scheduled Surgery

Study Overview
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Brief Summary
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The aim of the project is to evaluate the effectiveness, on the skin cleanliness of the patient on arrival at the operating room, of an intervention aimed at improving the performance of the preoperative shower, for patients undergoing a planned surgical intervention in an orthopedic surgery department, digestive, gynecological, thoracic, or vascular.

Detailed Description
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The project will be realized in 2 phases. - The first phase of the project will consist of a sociological survey conducted with caregivers and patients in the care sectors participating in the study. This component sociological research will be carried out on the basis of in-depth interviews with caregivers (nurses and nursing assistants) from the departments concerned by research and patients. The expected sample, subject to data saturation, is 40 caregivers and 20 patients. These in-depth and non-directive interviews will be carried out by a sociologist and will aim to explore the way in which healthcare professionals see their activity professional, the relationship they maintain with the various members of the healthcare team, their perceptions of the body, privacy and hygiene of patients, but also to explore the representations of caregivers of the preoperative shower and of the relationship with caregivers during phases of explanation, possible help with the shower, and control of cleanliness cutaneous. These interviews will identify the representations of caregivers and patients with the aim of establishing a procedure for caregivers to improve care of the preoperative shower. In view of the statements of patients and caregivers concerning preparing for the preoperative shower and checking skin cleanliness during the Survey exploratory, it appears necessary to improve and formalize the protocol. Investigation will thus establish a base of knowledge necessary to establish a care procedure giving an account of the roles of each person, caregivers and patients.

Official Title
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Efficacy of an Intervention to Improve the Preoperative Shower in Scheduled Surgery

Conditions
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Surgery, Surgical Site Infection

Intervention / Treatment
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* Behavioral: improvement of preoperative shower


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: age 18 and over, and scheduled for surgery (outpatient or full hospitalization) in one of the following specialties: orthopedics, digestive (including bariatric surgery), gynecological, thoracic, vascular, and having read and understood the briefing note and not showing up for research. Exclusion Criteria: operated on urgently, or operated on for an intervention other than orthopedics, gynecology, digestive surgery, vascular surgery, or having received a toilet in bed, or having expressed their opposition to the research.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Interventional Model Description: stepped wedged randomization
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Process about performance of the preoperative shower<br>Implementation of a process aimed at improving the preoperative shower in programmed surgery | Behavioral: improvement of preoperative shower<br>* Process about preoperative shower<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| skin cleanliness | The criterion for evaluating the effectiveness of the preoperative shower, consistent with national recommendations, is skin cleanliness, defined as the absence of macroscopic stains on the skin. | at the time of surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| occurrence of a surgical site infection | Occurrence of a surgical site infection (SSI) | 30 days after surgery | 
| postponement of surgery | Postponement of surgery due to insufficient cleanliness (no go) | Within 8 hours after shower | 
| need for detersion in the operating room | Need for debridement in the operating room for areas of surgery for which it is not systematic | Within 8 hours after shower | 
| patient's satisfaction regarding the preoperative shower | Patient satisfaction with the preoperative shower | Within 1 month after shower | 
| healthcare workers' satisfaction regarding the preoperative shower | Satisfaction of caregivers responsible for the care of preoperative patients in the care unit and in the operating room | Within 1 month after shower | 
| frequency of skin cleanliness assesment by healthcare workers | Verification of cleanliness by the caregiver (patient declarative data). | Within 8 hours after shower | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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surgery, surgical site infection