Adult cardiac surgery Surgery
Conditions
Interventions
This is a qualitative study involving observations and interviews.
32 patients across four cardiac centres in England will be observed by the study researchers. The observation period for each patien
Sponsors
University of Leicester
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients for observations: Patients are eligible if they: 1. Are having CABG surgery at a participating site during the study observation period 2. Are an elective or an urgent surgery patient 3. Are able to give informed consent 4. Are between 18 and 85 years 5. Have, or do not have, an existing infection 6. Have, or do not have, an existing condition or disability 7. Are any gender, ethnicity or socioeconomic group 8. Able to speak English (or have translator/interpreter available) Patients for intervention interviews: Patients are eligible if they: 1. Took part in the patient observations component of the study 2. Have been discharged from hospital 3. Have access to online interview facilities Staff for interventions interviews: Staff are eligible if they: 1. Work at a participating site 2. Contribute to the cardiac surgical patient journey 3. Represent a professional group identified through the observations 4. Have access to online interview facilities 5. Are any gender, ethnicity or age range Surveillance audit: Staff are eligible if they: 1. Are the surveillance lead or infection prevention lead at a cardiac centre in England Staff surveillance survey: Staff are eligible if they: 1. Are the surveillance lead or infection prevention lead at a cardiac centre in England, or 2. Contribute to the cardiac surgical patient journey, or 3. Contribute to cardiac surveillance programme Service user surveillance survey: Any service user is eligible to take part, whether they have had surgery or not, or whether they care for someone who has had surgery or not, any gender or ethnicity Staff for wound monitoring interviews: Staff are eligible if they: 1. Took part in the surveillance survey and volunteered to take part in an interview 2. Work in a cardiac centre 3. Have access to online interview facilities 4. Are any gender, ethnicity or age range Service users for wound monitoring interviews: Service users are eligible if they: 1. Took part in the surveillance survey and volunteered to take part in an interview 2. Have been a surgical patient (any specialty), have been a carer for a surgical patient, are a member of the public 3. Have had, or have not had a surgical wound infection 4. Have access to online interview facilities 5. Can give informed consent 6. Are between 18 and 85 years 7. Are any gender, ethnicity or socioeconomic group
Exclusion criteria
Exclusion criteria: Patients for observations: Patients are not eligible if they: 1. Are not having CABG surgery at a participating site during the study observation period 2. Are having emergency surgery 3. Are not able to give consent 4. Are younger than 18 years or older than 85 years Patients for intervention interviews: Patients are not eligible if they: 1. Did not take part in the patient observations component of the study 2. Do not have access to online interview facilities 3. Have not been discharged from hospital Staff for interventions interviews: Staff are not eligible if they: 1. Do not work at a participating site 2. Do not contribute to the cardiac surgical patient journey 3. Do not have access to online interview facilities 4. Do not represent a professional group identified through the observations WP 3 Surveillance audit: Staff are not eligible if they: 1. Are not the surveillance lead or infection prevention lead at a cardiac centre in England WP 3 Staff surveillance survey: Staff are not eligible if they: 1. Are not the surveillance lead or infection prevention lead at a cardiac centre in England, or 2. Do not contribute to the cardiac surgical patient journey, or 3. Do not contribute to the cardiac surveillance programme Surveillance audit: Staff are not eligible if they: 1. Are not the surveillance lead or infection prevention lead at a cardiac centre in England Staff surveillance survey: Staff are not eligible if they: 1. Are not the surveillance lead or infection prevention lead at a cardiac centre in England, or 2. Do not contribute to the cardiac surgical patient journey, or 3. Do not contribute to the cardiac surveillance programme Staff for wound monitoring interviews: Staff are not eligible if they: 1. Did not take part in the surveillance survey and did not offer to take part in an interview 2. Do not work in a cardiac centre 3. Do not have access to online interview facilities Service users for wound monitoring interviews: Service users are not eligible if they: 1. Did not take part in the surveillance survey and did not offer to take part in an interview 2. Do not have access to online interview facilities 3. Are unable to give consent 4. Are younger than 18 years or older than 85 years
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Process map of the cardiac surgical patient journey, measured in month 6 using data from patient observations in months 1, 2 and 3 2. Barriers and facilitators to the implementation of interventions to prevent wound infections, measured by staff and patient interviews during months 2, 3 and 4 of WP 2 3. Barriers and facilitators to the implementation of wound infection surveillance. measured by staff and Patient and Public Involvement (PPI) survey in month 1 of WP 3 and also by staff and PPI interviews in months 1 and 2 of WP 3 | — |
Secondary
| Measure | Time frame |
|---|---|
| There are no secondary outcome measures | — |
Countries
United Kingdom
Outcome results
None listed