Evidence map›Paper›PMID 41891931›Full record

ArticleNursing open2026

Barriers and Enablers in Home-Based Staphylococcus aureus Decolonisation Among Orthopaedic Surgery Patients: A Qualitative Study.

Greta Ghizzardi, Rosario Caruso, Gianfranco Barra, Silvia Belloni, Giulia Marzagalli, Luca Guardamagna, Marco Provenzano, Davide Di Napoli, Mirco Ardondi, Arianna Magon and 1 more

Abstract read
In one paragraph

Article in Nursing open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Greta GhizzardiDirectorate of Nursing and Allied Health Professions, ASST di Lodi, Lodi, Italy.ORCID https://orcid.org/0000-0002-4192-7107
Rosario CarusoHealth Professions Research and Evidence Transfer Unit, IRCCS MultiMedica, Sesto San Giovanni, Italy.ORCID https://orcid.org/0000-0002-7736-6209
Gianfranco BarraLaboratory for Rehabilitation and Orthopedic Surgery (LAROS), Institute of Care "Città di Pavia" Department of Clinical Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
Silvia BelloniDepartment of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy.ORCID https://orcid.org/0000-0002-5187-2410
Giulia MarzagalliLaboratory for Rehabilitation and Orthopedic Surgery (LAROS), Institute of Care "Città di Pavia" Department of Clinical Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
Luca GuardamagnaLaboratory for Rehabilitation and Orthopedic Surgery (LAROS), Institute of Care "Città di Pavia" Department of Clinical Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.ORCID https://orcid.org/0000-0002-0738-9712
Marco ProvenzanoLaboratory for Rehabilitation and Orthopedic Surgery (LAROS), Institute of Care "Città di Pavia" Department of Clinical Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy.
Davide Di NapoliIstituti Clinici di Pavia e Vigevano S.p.A., Pavia, Italy.
Mirco ArdondiHome Care Service, Central-Northern District, AUSL di Ferrara, Ferrara, Italy.ORCID https://orcid.org/0009-0007-2901-1087
Arianna MagonDepartment of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy.ORCID https://orcid.org/0000-0003-0440-6940
Cristina ArrigoniDepartment of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy.ORCID https://orcid.org/0000-0002-1168-8627

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study examined the barriers and facilitators influencing patient adherence to home-based Staphylococcus aureus decolonisation protocols in individuals undergoing arthroplasty.

designPhenomenological qualitative study.

methodsEthical approval was granted by the Territorial Ethics Committee Lombardia 6 on June 25, 2024 (Protocol No. 0035970/24). Data were collected through semi-structured interviews and analysed using thematic analysis to identify recurring themes, categorised into domains related to patient experiences and perceptions. The study was conducted in a private accredited hospital in Northern Italy. A convenience sampling method was used to recruit patients who tested positive for Staphylococcus aureus during the preoperative phase and underwent arthroplasty between January 2024 and May 2025. Participants were adults, provided informed consent and spoke fluent Italian.

resultsTwenty participants (mean age = 58.3; 60% male; 65% undergoing hip arthroplasty and 35% knee arthroplasty) were interviewed. The analysis identified seven distinct themes, synthesised into three primary domains: psychological barriers, facilitators to adherence and organisational barriers. PATIENT OR PUBLIC CONTRIBUTION: Patients contributed as participants by sharing their experiences of the home-based decolonisation process during individual interviews. Their insights directly informed the identification of barriers and facilitators to adherence.

Indexed as

Home Care ServicesStaphylococcal InfectionsStaphylococcus aureusAgedFemaleHumansItalyMaleMiddle AgedPatient ComplianceQualitative Research

Identifiers

PMID41891931
PMCPMC13140572

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.