De Leon, Josephine M. PhD, RN, Anglo, Tracy Faye R., Serrano, Maria Celina C., Tangan, Cheryl B., Manayao, John Lenon E.,

Centro Escolar University Mendiola, Manila

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OBJECTIVE - This study aimed to test the effectiveness of Surgical Care Bundle in improving safety outcomes to post-operative patients in acute care setting.


METHODS - A quasi experimental, pre and post-test design was utilized to determine the effectiveness of the Surgical Care Bundle. The study is composed of 30 post-operative patients which is purposively selected to receive the Surgical Care Bundle which comprises of pain management, wound care and respiratory management. Pain management included compliance to medications while wound care consisted of wound dressing and hand washing techniques, while respiratory management included deep breathing exercises, positioning, coughing techniques, early mobilization, ambulation, and oral care. Patients are assessed pre and post- intervention with Surgical Care Bundle of care for pain level, wound severity and risk index for Hospital Acquired Pneumonia utilizing the standard instruments: Bates-Jensen Wound Assessment Tool for wound severity, Visual Analog Scale for pain scale and Multifactorial Risk Index for presence of Hospital Acquired Pneumonia. The profile of the patients was described using frequency and percentage while the status of patients’ pre and post-Surgical Care Bundle of care were described using Mean and Standard Deviation. To determine differences in the pain scale, wound severity and risk for hospital acquired pneumonia of patients’ pre and post-Surgical Care Bundle paired T-test was used. Patients who received the Surgical Care Bundle were in the 40-44 age bracket, mostly are males and had cholecystectomy and were confined for 4 days. During the pre and post-test of the pain management, patients’ pain have decreased from moderate to absence of pain. During the pre-test of the wound care, wounds of the patients were characterized as mild severity and after the post-test, minimal severity was observed. Patients were in low risk for Hospital Acquired Pneumonia during the pre and post-test.


RESULTS - There is a significant difference (p=.000) in the pain level and wound severity of the patients after the implementation of the Surgical Care Bundle. There is no significant difference in the risk level of patients for Hospital Acquired Pneumonia before and after the implementation of the Surgical Care Bundle, patients remained to be at low risk which indicates that patients have not acquired pneumonia.


CONCLUSION - The implementation of the Surgical Care Bundle is effective in postoperative patients in decreasing pain, improving wound severity and prevention from acquiring pneumonia in acute care setting, thus improving safety outcomes.