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Exploring challenges regarding the surgical hand scrubbing, gowning and gloving in the operating theatre of a hospital in Swaziland

Dissertation (MCur)--University of Pretoria, 2015.

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Other Authors: Maree, C.M. (Carin)
Format: Thesis
Language:English
Published: University of Pretoria 2015
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author2 Maree, C.M. (Carin)
author_browse Maree, C.M. (Carin)
author_facet Maree, C.M. (Carin)
collection Thesis
dc_rights_str_mv © 2015 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Dissertation (MCur)--University of Pretoria, 2015.
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institution University of Pretoria (South Africa)
language English
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license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2015
publishDateRange 2015
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publisher University of Pretoria
publisherStr University of Pretoria
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spelling oai:repository.up.ac.za:2263/50881 Exploring challenges regarding the surgical hand scrubbing, gowning and gloving in the operating theatre of a hospital in Swaziland Maree, C.M. (Carin) dlamini.thelma@gmail.com Bhana-Pema, Varshika Dlamini, Thelma Smangele UCTD SDG-03: Good health and well-being Dissertation (MCur)--University of Pretoria, 2015. Background of the study The operating theatre is a controlled environment where surgical teams have to adhere strictly to the infection control principles. If infection control principles are not applied correctly or adhered to in the operating theatre, it can lead to contamination and infection of the surgical site. Surgical site infections are the third most common source of nosocomial infections in developing countries. In Swaziland, the incidence of surgical site infections was exceptionally high and a major cause of post-surgical complications as it accounts for about 12-18% of hospital acquired infections in all the regional hospitals. Surgical hand scrubbing is the process of removing as many microorganisms as possible from the hands of the sterile surgical team members before wearing a sterile surgical attire that consist of a sterile gown and sterile gloves. The antiseptics should conform to the agreed standards of infection control and principles of sterile technique to prevent contamination. Multiple factors influence the availability of the needed resources and the implementation of policies in an operating theatre such as the setting where the research was conducted. Aim of the Study The aim of this study was to explore and describe challenges faced by the surgical teams and the hospital management regarding the surgical hand scrubbing, gowning and gloving procedure in the operating theatre of a hospital in Swaziland. Research Objectives The objectives of the study were the following: · to explore and describe the challenges experienced by surgical teams regarding surgical hand scrubbing, gowning and gloving procedures in the operating theatre; · to explore and describe the challenges experienced by the hospital management regarding surgical hand scrubbing, gowning and gloving procedures in the operating theatre; and · to make recommendations to address the challenges regarding surgical hand scrubbing, gowning and gloving in the operating theatre of a hospital in Swaziland. Methodology A qualitative design was used. The population for this study was the surgical teams from all the surgical disciplines of the operating theatre and the hospital management which includes the operating theatre nurse managers and the administrative management of the hospital. Data were collected by means of focus group interviews, which were conducted separately for the hospital management and the surgical teams. Data analysis was through qualitative content analysis. Themes and subthemes that merged from the focus groups interviews with relevant literature were used to make recommendations to address the challenges experienced. Results of the Study Seven main themes were identified, which were related to the following: Management; Supplies; Physical Facilities; Equipment; Personnel knowledge, skills and attitude; Maintenance of infection control practices; and Process of surgical hand scrubbing, gowning and gloving. Recommendations Recommendations were made for clinical practice, education and research in order to improve surgical hand scrubbing, gowning and gloving procedure in the operating theatre. tm2015 em2026 Nursing Science MCur Unrestricted SDG-03: Good health and well-being 2015-11-25T09:54:05Z 2015-11-25T09:54:05Z 2015/09/01 2015 Dissertation Dlamini, TS 2015, Exploring challenges regarding the surgical hand scrubbing, gowning and gloving in the operating theatre of a hospital in Swaziland, MCur Dissertation, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/50881> S2015 http://hdl.handle.net/2263/50881 en © 2015 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria
spellingShingle UCTD
SDG-03: Good health and well-being
Exploring challenges regarding the surgical hand scrubbing, gowning and gloving in the operating theatre of a hospital in Swaziland
title Exploring challenges regarding the surgical hand scrubbing, gowning and gloving in the operating theatre of a hospital in Swaziland
title_full Exploring challenges regarding the surgical hand scrubbing, gowning and gloving in the operating theatre of a hospital in Swaziland
title_fullStr Exploring challenges regarding the surgical hand scrubbing, gowning and gloving in the operating theatre of a hospital in Swaziland
title_full_unstemmed Exploring challenges regarding the surgical hand scrubbing, gowning and gloving in the operating theatre of a hospital in Swaziland
title_short Exploring challenges regarding the surgical hand scrubbing, gowning and gloving in the operating theatre of a hospital in Swaziland
title_sort exploring challenges regarding the surgical hand scrubbing gowning and gloving in the operating theatre of a hospital in swaziland
topic UCTD
SDG-03: Good health and well-being
url http://hdl.handle.net/2263/50881