1.3. Determinants
Let us now explore some determinants which badly affected this scenario. Firstly Mrs Ali is old and weak to take care of her and with
increase age body immunity gets low and another important determinant is her surgical procedure (CABG). Coronary artery bypass
grafting is a major surgical procedure and with obesity, hypertension, diabetes and increase age person is already prone to wound
infection after surgery. Her care taker were also might very busy with other senior citizens that she hardly give enough time to Mrs.
Ali personal hygiene and Mrs. Ali hygiene was badly compromised, leading to penetrate her own harmful floras into her body and
causing the infection. Moreover, her caretaker might not know the importance of ventilation that’s why the window was closed and
there were unusual smells in her room and Mrs. Ali went on inhaling injurious fumes resulting in the infected wound.
1.4. Hypothesis to Test Nursing Interventions Based on Nightingale's Theory
The proposition or hypothesis which can be used to test a nursing intervention to change the unpleased outcome of above scenario can
be:
i. If the environmental measures that Nightingale identifies such as proper ventilation, good self and bed hygiene, are
emphasized to patient and family during hospital stay and particularly as discharge teaching.
ii. If these interventions are given to patient and family printed on a discharge summary, it can prevent patient from getting the
wound infection.