Question

1) Introduction to the problem and background of the problem?

2)describe the study and how it was conducted. Was it quantitative or qualitative study, why?

3)share the studies findings(not statistics)

4)summarize what we can do as nursing strategies to address the problem?

5)identify barriers in implementing the suggested strategies or changes.

KEY WORDS: bathing, infection, showering, wound STUDY CHARACTERISTICS The study included randomized trials conducted in pa- tients who had undergone any surgical procedure and REVIEW QUESTION Does timing of postoperative showering or bathing affect wound morbidity or quality of life? had surgical closure of their wounds, irrespective of the lo cation of the wound and whether the wound was dressed. Trials Trials were exclhuded if they included patients with contam- inated, dirty, or infected wounds and those that included The primary outcomes looked at how timing of operative patient's health-related quality of life. Gost open wounds. Also excluded were quasi-andomized trials bathing would affect wound morbidity and the cohort studies, and case-control studies, Assessment of risk of bias was done for allocation, sequence generation, blind- ing of Secondary outcomes that were to be looked at were length of hospital stay, number of dressing changes, num- ber of hospital/home visits for dressing changes, and number of patients requiring addisional ansblotics participants, incomplete outcome data, selective out- come reporting, and blinding of outcome measures. To measure the treatment effect, risk ratios and confidence intervals were calculated. Heterogeneity was assessed the χ test with significance set at P. , 10 and by the NURSING IMPLICATIONS Nurses deliver the majority of postoperative care, includ The databases searched were The Cochrane Wounds ing wound care. Therefore,if dming of bathing or showering Group Specialists Trials Register, The Cochrane Central can affect wound morbidity or quality of life, nunses would Register of Controlled Trials (CENTRAL) CThe Cochrane be the best healthcare provider to institute any required Library), The Database of Abstracts of Reviews of Effects change in practice. Early showering or bathing may reduce (DARE (The Cochrane Library); Ovid MEDLINE Ovid risk of infection and promote wound healing by removing MEDUNE (In-process and Other Nonindexed Citations) dead skin, dlirt, microorganisms, and sweat that may be around Ovid EMBASE; ERSCO CINAHL; the metaRegister of Con- trolled Trials (mRCT, and the International Clinical Trials the wound edges. Also, early showing or bathing may im- prove early mobility and therefore all the added benefts of Registry Platform. early mobility, namely, prevention of deep vein thrombosis respiratory failure. xy failure However,early shower suMMARY OF KEY EVIDENCE ing or bathing may have adverse effects such as wound maceration and disturbance of the healing environment by eady exposure. A total of 104 references were found utilizing the database search mentioned abore, 'the authers excluded 98 imee vana references by title and abstract review Five more were excluded based on rcasons outlined in the "characteristics Author Affiliations Aduh Critical Care Nurse Practtioner, Cochrane Nu of excluded studies. Therefore, only 1 study met inclusion criteria andd that study was at high risk for bias related to Care Feld writing Group, Bronson Methodist Hospital, Kalamasoo, Genn Carlson is a member of the Cochrane Nursing Care Field The author seports no conßigs of inerest how the study was conducted. The study was conducted in the peimary care setting, and the wound was a minorskin Correspondence: Susan B. Fower, PhD,R, CNRN, FAHA, Walden unie excision. The early bathing group had the dressing removed ese 6s tsex Ae urt IOS Metten, Nl 0880 rylweservarp within 12 hours and bathed normally, and participants in the DO: 10.109TINUROO00000000000103 delayed bathing group retained the dressing for 48 hours MhApr4 2015 Copynght O 2015 woRers Kluwer Health, Inc. All rights reserved The only outcome measure was Sst (surgical site infection), BEST PRACTICE RECOMMENDATIONS and there was no difference between the 2 groups. The No recommendations can be made regarding timing of post study was underposwered to measure smaler diffierences, operaive hithing or showering and the conficence intervals overlapped; therfore, clini cally significant diéferences in proportion of patients withReference SSI cannok be ruled out

Answer 1

1, Introduction:
Post operative Showering or bathing affect wound morbidity or quality of life..post operative bathing have both advantages and disadvantages..
2, The Study conducted randomized trials patient who undergo any surgical procedures and surgical closure of their wounds..the trial study excluded with contaminated,dirty or infected wounds included the quasi- randomized trials,cohort studies and case-control studies..it was qualitative study because this systematic and subjective approach used to define the experience and meaning and its Assessment of risk bias was done for allocation,sequence generation,blinding of participants,incomplete outcome data,selective out-come reporting and blinding of outcome measures..
3, Treatment effect,risk ratios and confidence intervals were calculated and the study was conducted in the primary care settings..minor skin wound excision, the first group dressing removed within 12hours and bathed normally and delayed bathing group retained the dressing for 48hours..Both had surgical site infection and there is no difference between the 2groups..
4, To solve this problem and reducing the infection,daily dressing changes and limiting the hospital stays, regular hospital visit for dressing changes,additional antibiotics can address the problem..