For my DPI project, I plan to implement a care bundle to prevent the surgical site infections in post-operative craniotomy patients. The bundle that I plan to implement is similar to that which was investigated by Jimenez-Martinez et al. (2020). This bundle consists of staff training on and implementation of pre-operative cleaning with chlorhexidine gluconate, and hair cutting with single use clippers as indicated for the procedure. A prospective analysis performed by Wassef et al. (2020) further supports the research by Jimenez-Martinez et al. (2020). This analysis was performed on a bundle that was released at a hospital in Cairo, Egypt. The bundle included staff education, antimicrobial prophylaxis, and daily care with chlorhexidine.
For this project, I think that the most appropriate health promotion theory is the Theory of planned behavior. This theory explains behaviors over which people exert self-control (The Theory of Planned Behavior, n.d.). It is further explained that behavioral intent is a key aspect of this theory. Behavioral intentions are influenced by the attitude about the likelihood that the behavior will have the expected outcome and the subjective evaluation of the risks and benefits of that outcome (The Theory of Planned Behavior, n.d.). In the context of my project, I imagine the behaviors as the parts of the bundle we will be implementing. Over time the staff will become more proficient at performing these task, decreasing the likelihood of an infection occurring. Hopefully this will also cause them to expect that their intervention is decreasing the likelihood of the patients developing an infection. Each individual staff member will exert control over these tasks, so this I believe this theory fits well.
Jiménez-Martínez, E., Cuervo, G., Carratalà, J., Hornero, A., Ciercoles, P., Gabarrós, A., Cabellos, C., Pelegrin, I., Dominguez Luzón, M., García-Somoza, D., Càmara, J., Tebé, C., Adamuz, J., & Pujol, M. (2020). A care bundle intervention to prevent surgical site infections after a craniotomy. Clinical Infectious Diseases, 73(11), e3921–e3928. https://doi.org/10.1093/cid/ciaa884
The theory of planned behavior. (n.d.). Behavioral Change Models. Retrieved December 5, 2022, from https://sphweb.bumc.bu.edu/otlt/mph-modules/sb/behavioralchangetheories/BehavioralChangeTheories3.html
Wassef, M., Mukhtar, A., Nabil, A., Ezzelarab, M., & Ghaith, D. (2020). Care bundle approach to reduce surgical site infections in acute surgical intensive care unit, cairo, egypt. Infection and Drug Resistance, Volume 13, 229–236. https://doi.org/10.2147/idr.s236814
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