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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Lori Hendrickx


environmental cleaning, operating rooms, terminal room cleaning, adenosine triphosphate, ATP, surgical site infections


Background: Terminal cleaning plays a large role in providing a safe environment for patients and staff. Staff education about proper terminal cleaning practices has shown to potentially improve terminal cleaning practices and operating room cleanliness.
Design: Quasi-experimental; Pre-test post-test.
Setting: Operating rooms in a Midwest hospital.
Methods: An ATP monitoring system was used to assess 10 high-touch surfaces in five operating rooms pre and post educational intervention.
Results: ATP on all of the 10 high touch surfaces was compared pre and post educational intervention. A dependent t-test was used to evaluate data. A p-value of 0.008 was found which was statistically significant.
Conclusion: Educational intervention with operating room staff was proven effective in improving terminal room cleanliness.

Library of Congress Subject Headings

Operating rooms - Cleaning
Adenosine triphosphate


Includes bibliographical references (pages 30-32)



Number of Pages



South Dakota State University


In Copyright - Educational Use Permitted