Projects per year
assessment is challenging, particularly after hospital discharge when most SSIs present. Existing SSI measurement tools have limitations and their suitability for post-discharge surveillance is uncertain.
Aims: This study aimed to develop a single measure to identify SSI after hospital discharge, suitable for patient or observer completion.
Methods: A three-phase mixed methods study was undertaken: Phase 1, an analysis of existing tools and semi-structured interviews with patients and professionals to establish the content of the measure; Phase 2, development of questionnaire items suitable for patients and professionals; Phase 3, pre-testing the single measure to assess acceptability and understanding to both stakeholder groups. Interviews and pre-testing took place over 12 months in 2014–2015 with patients and professionals from five specialties recruited from two UK hospital Trusts.
Findings: Analyses of existing tools and interviews identified 19 important domains for assessing SSIs. Domains were developed into provisional questionnaire items. Pre-testing and iterative revision resulted in a final version with 16 items that were understood and easily completed by patients and observers (healthcare professionals).
Conclusion: A single patient and observer measure for post-discharge SSI assessment has been developed. Further testing of the validity, reliability and accuracy of the measure is underway.
- BTC (Bristol Trials Centre)
- Centre for Surgical Research
- Outcome measure
- Ppost-discharge wound assessment
- Questionnaire development
- Surgical site infection (SSI)
- Surgical wound
- Wound healing
Macefield, R. C., 29 Sep 2020
Student thesis: Doctoral Thesis › Doctor of Philosophy (PhD)File