Acute surgical wound-dressing procedure: Description of the steps involved in the development and validation of an observational metric

Simple item page
dc.contributor.authorHegarty, Josephine
dc.contributor.authorHowson, Victoria
dc.contributor.authorWills, Teresa
dc.contributor.authorCreedon, Sile A.
dc.contributor.authorMc Cluskey, Pat
dc.contributor.authorLane, Aoife
dc.contributor.authorConnolly, Aine
dc.contributor.authorWalshe, Nuala
dc.contributor.authorNoonan, Brendan
dc.contributor.authorGuidera, Fiona
dc.contributor.authorGallagher, Anthony G.
dc.contributor.authorMurphy, Siobhan
dc.contributor.funderUniversity College Corken
dc.date.accessioned2019-11-19T10:19:14Z
dc.date.available2019-11-19T10:19:14Z
dc.date.issued2019-04-01
dc.description.abstractThe aim of this study was to develop an observational metric that could be used to assess the performance of a practitioner in completing an acute surgical wound-dressing procedure using aseptic non-touch technique (ANTT). A team of clinicians, academics, and researchers came together to develop an observational metric using an iterative six-stage process, culminating in a Delphi panel meeting. A scoping review of the literature provided a background empirical perspective relating to wound-dressing procedure performance. Video recordings of acute surgical wound-dressing procedures performed by nurses in clinical (n = 11) and simulated (n = 3) settings were viewed repeatedly and were iteratively deconstructed by the metric development group. This facilitated the identification of the discrete component steps, potential errors, and sentinel (serious) errors, which characterise a wound dressing procedure and formed part of the observational metric. The ANTT wound-dressing observational metric was stress tested for clarity, the ability to be scored, and interrater reliability, calculated during a further phase of video analysis. The metric was then subjected to a process of cyclical evaluation by a Delphi panel (n = 21) to obtain face and content validity of the metric. The Delphi panel deliberation verified the face and content validity of the metric. The final metric has three phases, 31 individual steps, 18 errors, and 27 sentinel errors. The metric is a tool that identifies the standard to be attained in the performance of acute surgical wound dressings. It can be used as both an adjunct to an educational programme and as a tool to assess a practitioner's performance of a wound-dressing procedure in both simulated and clinical practice contexts.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationHegarty, J., Howson, V., Wills, T., Creedon, S.A., Mc Cluskey, P., Lane, A., Connolly, A., Walshe, N., Noonan, B., Guidera, F. and Gallagher, A.G., 2019. Acute surgical wound‐dressing procedure: Description of the steps involved in the development and validation of an observational metric. International wound journal. (8pp). DOI:10.1111/iwj.13072en
dc.identifier.doi10.1111/iwj.13072en
dc.identifier.eissn1742-481X
dc.identifier.endpage648en
dc.identifier.issn1742-4801
dc.identifier.issued3en
dc.identifier.journaltitleInternational Wound Journalen
dc.identifier.startpage641en
dc.identifier.urihttps://hdl.handle.net/10468/9061
dc.identifier.volume16en
dc.language.isoenen
dc.publisherWileyen
dc.relation.urihttps://onlinelibrary.wiley.com/doi/full/10.1111/iwj.13072
dc.rights© 2019 The Authors. International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltden
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectAcute surgeryen
dc.subjectWound-dressing procedureen
dc.subjectAseptic non-touch technique (ANTT)en
dc.titleAcute surgical wound-dressing procedure: Description of the steps involved in the development and validation of an observational metricen
dc.typeArticle (peer-reviewed)en
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Hegarty_et_al-2019-International_Wound_Journal.pdf
Size:
1.06 MB
Format:
Adobe Portable Document Format
Description:
Published version
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
2.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Nursing and Midwifery - Journal Articles