Abstract

Pathogen contamination is a risk factor for patients with wounds in home-based care. At the project site, there was no current evidence-based wound care guidelines for the nurses to use during wound care. The purpose of this quantitative, quasi-experimental quality improvement project was to determine to what degree the implementation of Rowley's aseptic non-touch technique (ANTT) would impact wound healing when compared to the current practice among adult patients in a home health facility in urban Texas over four weeks. Jean Watson's health promotion theory and Prochaska's trans-theoretical model were utilized to guide this project. Data on wounds was retrieved from the electronic health record among a total of 78 patients; n= 48 in the comparative group and n= 30 in the implementation group. To analyze the comparison and implementation group data a chi-squared test was used, and results showed there was no statistically significant improvement in wound healing post-implementation X2 (1, N = 78) = 4.94, p = .026. Despite the lack of statistical significance found, there is clinical significance in wound infection reduction from 62.5% to 36.7% post-implementation with an overall reduction of 25.8% over the project timeline. Therefore, it is recommended that the project is sustained at the project site and further data analysis conducted to determine if clinical and statistical significance aligns with a larger sample size.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 28772650; ProQuest document ID: 2595152922. The author still retains copyright.

Author Details

Kelechi E. Ogu, DNP, MSN, BSN, RN

Sigma Membership

Theta Tau

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Quantitative Research

Keywords:

Trans-Theoretical Model, Health Care Acquired Infections, Wound Healing, Aspetic Non-Touch Technique

Advisor

Tabitha Garbart

Second Advisor

Florence Anyanqu

Degree

DNP

Degree Grantor

Grand Canyon University

Degree Year

2021

Rights Holder

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All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2023-08-23

Full Text of Presentation

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