Effective surgical hand preparation: An integrative research review

The aim of this paper is to present an integrative literature review on the effectiveness of surgical hand preparation. Six electronic databases were searched between the years 2000 and 2011. During this time, 21 studies were included as they presented detailed and substantive information about any...

Full description

Bibliographic Details
Main Authors: Michael, Rene, Della, Phill, Zhou, Huaqiong
Format: Journal Article
Published: Cambridge Publishing 2012
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/33405
_version_ 1848753937815961600
author Michael, Rene
Della, Phill
Zhou, Huaqiong
author_facet Michael, Rene
Della, Phill
Zhou, Huaqiong
author_sort Michael, Rene
building Curtin Institutional Repository
collection Online Access
description The aim of this paper is to present an integrative literature review on the effectiveness of surgical hand preparation. Six electronic databases were searched between the years 2000 and 2011. During this time, 21 studies were included as they presented detailed and substantive information about any aspect on effective surgical hand preparation. Effectiveness was measured in a reduction of surgical site infection (SSI)/bacterial counts. Topics were clustered around the following categories: choice of surgical hand preparation solutions, surgical hand preparation techniques, and duration required for surgical hand preparation. Outcomes of the integrative research review (IRR) found, firstly, chlorhexidine surgical scrub solution is more effective than povidone-iodine in reducing 551/bacteria counts. Secondly, there is no difference in reduction of 551/bacteria counts when performing a surgical scrub with brushes. Thirdly, there is no difference in durations of applying surgical hand preparation solutions (two, three, five or 10 minutes). There are no consistent results from studies that examined surgical hand preparation techniques of scrub versus rubs. It is suggested that the application of universal practice guidelines are needed to ensure the effectiveness of surgical hand preparation. Further research is required to determine the effectiveness of surgical hand rubs in comparison to surgical scrubs.
first_indexed 2025-11-14T08:32:27Z
format Journal Article
id curtin-20.500.11937-33405
institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T08:32:27Z
publishDate 2012
publisher Cambridge Publishing
recordtype eprints
repository_type Digital Repository
spelling curtin-20.500.11937-334052017-01-30T13:36:55Z Effective surgical hand preparation: An integrative research review Michael, Rene Della, Phill Zhou, Huaqiong nurses surgical hand preparation surgical site infection integrative research review The aim of this paper is to present an integrative literature review on the effectiveness of surgical hand preparation. Six electronic databases were searched between the years 2000 and 2011. During this time, 21 studies were included as they presented detailed and substantive information about any aspect on effective surgical hand preparation. Effectiveness was measured in a reduction of surgical site infection (SSI)/bacterial counts. Topics were clustered around the following categories: choice of surgical hand preparation solutions, surgical hand preparation techniques, and duration required for surgical hand preparation. Outcomes of the integrative research review (IRR) found, firstly, chlorhexidine surgical scrub solution is more effective than povidone-iodine in reducing 551/bacteria counts. Secondly, there is no difference in reduction of 551/bacteria counts when performing a surgical scrub with brushes. Thirdly, there is no difference in durations of applying surgical hand preparation solutions (two, three, five or 10 minutes). There are no consistent results from studies that examined surgical hand preparation techniques of scrub versus rubs. It is suggested that the application of universal practice guidelines are needed to ensure the effectiveness of surgical hand preparation. Further research is required to determine the effectiveness of surgical hand rubs in comparison to surgical scrubs. 2012 Journal Article http://hdl.handle.net/20.500.11937/33405 Cambridge Publishing restricted
spellingShingle nurses
surgical hand preparation
surgical site infection
integrative research review
Michael, Rene
Della, Phill
Zhou, Huaqiong
Effective surgical hand preparation: An integrative research review
title Effective surgical hand preparation: An integrative research review
title_full Effective surgical hand preparation: An integrative research review
title_fullStr Effective surgical hand preparation: An integrative research review
title_full_unstemmed Effective surgical hand preparation: An integrative research review
title_short Effective surgical hand preparation: An integrative research review
title_sort effective surgical hand preparation: an integrative research review
topic nurses
surgical hand preparation
surgical site infection
integrative research review
url http://hdl.handle.net/20.500.11937/33405