Abstract：
BACKGROUND:The increasing numbers of surgeries involving high risk, multi-morbid patients, coupled with inconsistencies in the practice of perioperative surgical wound care, increases patients' risk of surgical site infection and other wound complications. OBJECTIVES:To synthesise and evaluate the recommendations for nursing practice and research from published systematic reviews in the Cochrane Library on nurse-led preoperative prophylaxis and postoperative surgical wound care interventions used or initiated by nurses. DESIGN:Meta-review, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. DATA SOURCES:The Cochrane Library database. REVIEW METHODS:All Cochrane Systematic Reviews were eligible. Two reviewers independently selected the reviews and extracted data. One reviewer appraised the methodological quality of the included reviews using A MeaSurement Tool to Assess Systematic Reviews 2 checklist. A second reviewer independently verified these appraisals. The review protocol was registered with the Prospective Register of Systematic Reviews. RESULTS:Twenty-two Cochrane reviews met the inclusion criteria. Of these, 11 reviews focused on preoperative interventions to prevent infection, while 12 focused on postoperative interventions (one review assessed both pre-postoperative interventions). Across all reviews, 14 (63.6%) made at least one recommendation to undertake a specific practice, while two reviews (9.1%) made at least one specific recommendation not to undertake a practice. In relation to recommendations for further research, insufficient sample size was the most predominant methodological issue (12/22) identified across reviews. CONCLUSIONS:The limited number of recommendations for pre-and-postoperative interventions reflects the paucity of high-quality evidence, suggesting a need for rigorous trials to address these evidence gaps in fundamentals of nursing care.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Gillespie BM,Walker RM,McInnes E,Moore Z,Eskes AM,O'Connor T,Harbeck E,White C,Scott IA,Vermeulen H,Chaboyer Wdoi
10.1016/j.ijnurstu.2019.103486subject
Has Abstractpub_date
2020-02-01 00:00:00pages
103486eissn
0020-7489issn
1873-491Xpii
S0020-7489(19)30293-7journal_volume
102pub_type
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