NURS_6052_week_9 Assignment: EBP, Part 5: Recommending an EBP Change
NURS_6052_week_9 Assignment: EBP, Part 5: Recommending an EBP Change
Evidence-Based Decision Making-Handwashing To Reduce HAIs
Name
Institution
ORDER A PLAGIARISM-FREE PAPER HERE
Course Name
Date
Description Of Healthcare Organization
A regional-based hospital of a 400 bed capacity
The hospital serves an estimated population of 200,000 people
The healthcare workforce majorly comprises of nurses
NURS_6052_week_9 Assignment: EBP, Part 5: Recommending an EBP Change
Healthcare staffs are dedicated and passionate
The organization has embraced a culture of multidisciplinary collaboration
For the purpose of this EBP project, the healthcare organization of choice is regional-based hospital of a 400 bed capacity which serves an estimated population of 200,000 people (children, elderly and adults). The hospital’s healthcare workforce primarily comprises of nurses although there are other healthcare providers such as physicians, dieticians, cardiologists, nurse practitioners and specialists. The nurses are passionate and dedicated and guided by professional values and ethics which increase their likelihood to be engaged in EBP research. The hospital has a library with a wide-range of resources to research from.
Problem Description
üHAIs comprise 30% of the hospitals diagnoses among hospitalized patients
üHigh incidences of HAIs are as a result of poor hand hygiene practices
üPatients experience prolonged admissions and poor health outcomes
üHigh incidences of HAIs impact negatively on the hospitals financial performance
üIt also has a negative impact on rates of patient satisfaction, staff satisfaction and patient health outcomes
Hospital Acquired Infections were noted to contribute to 30% of diagnoses among patients who were hospitalized. The high incidences were attributed to poor hand hygiene practices and lack of hygiene protocols. As a result, most patients faced prolonged admissions with additional medical costs and poor health outcomes. These effects proved to impact negatively on the hospital’s financial performance and reputation. It also lowered the …
Assignment: Evidence-Based Project, Part 5: Recommending an Evidence-Based Practice Change
The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.
In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.
To Prepare:
- Reflect on the four peer-reviewed articles you critically appraised in Module 4.
- Reflect on your current healthcare organization and think about potential opportunities for evidence-based change.
The Assignment: (Evidence-Based Project)
Part 5: Recommending an Evidence-Based Practice Change
Create an 8- to 9-slide PowerPoint presentation in which you do the following:
- Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
- Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
- Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
- Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
- Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
- Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
- Add a lessons learned section that includes the following:
- A summary of the critical appraisal of the peer-reviewed articles you previously submitted
- An explanation about what you learned from completing the evaluation table (1 slide)
- An explanation about what you learned from completing the levels of evidence table (1 slide)
- An explanation about what you learned from completing the outcomes synthesis table (1 slide)
ORDER A PLAGIARISM-FREE PAPER HERE
Topic: Preventing Healthcare-Associated Infection ( HAIs) in my workplace
Below are 4 journals to support a change in practice in my workplace
Article 1- Ford, C., & Park, L. J. (2018) –Level 7
Article 2- Hovi, T., Ollgren, J., & Savolainen-Kopra, C. (2017)-Level 2
Article 3 – Kingston, L. M., O, C. N. H., & Dunne, C. P. (2018)-Level 4
Article 4- Halm, M., & Sandau, K. (2018)-Level 1
Ford, C., & Park, L. J. (2018). Hand hygiene and handwashing: key to preventing the transfer of pathogens. British Journal of Nursing, 27(20), 1164–1166. https://doi-org.ezp.waldenulibrary.org/10.12968/bjon.2018.27.20.1164
Hovi, T., Ollgren, J., & Savolainen-Kopra, C. (2017). Intensified hand-hygiene campaign including soap-and-water wash may prevent acute infections in office workers, as shown by a recognized-exposure -adjusted analysis of a randomized trial. BMC Infectious Diseases, 17, 1–9. https://doi-org.ezp.waldenulibrary.org/10.1186/s12879-016-2157-z
Kingston, L. M., O, C. N. H., & Dunne, C. P. (2018). A comparative study of hand hygiene and alcohol-based hand rub use among Irish nursing and medical students. Nurse Education Today, 63, 112–118. https://doi-org.ezp.waldenulibrary.org/10.1016/j.nedt.2018.01.022
Halm, M., & Sandau, K. (2018). Skin Impact of Alcohol-Based Hand Rubs Vs Handwashing. American Journal of Critical Care, 27(4), 334–337. https://doi-org.ezp.waldenulibrary.org/10.4037/ajcc2018727
Below are the research databases I used to conduct my research
Walden University Library. (n.d.-b). Evidence -based practice research: CINAHL Search help.
Retrieved September 6, 2019, from
https://academicguides.waldenu.edu/library/healthevidence/medlinesearchhelp
Library of Congress. (n.d.). Search /browse help-Boolean Operators and nesting
Retrieved September 19, 2018, from,
https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchKeyword.html
Walden Library. (n.d.) PubMed: Getting Started. Retrieved September 19, 2019 from,https://www-ncbi-nlm-nih-gov.ezp.waldenulibrary.org/pubmed/?otool=mnwullib
Evidence-Based Decision Making-Handwashing To Reduce HAIs
Name
Institution
Course Name
Date
Description Of Healthcare Organization
A regional-based hospital of a 400 bed capacity
The hospital serves an estimated population of 200,000 people
The healthcare workforce majorly comprises of nurses
Healthcare staffs are dedicated and passionate
The organization has embraced a culture of multidisciplinary collaboration
For the purpose of this EBP project, the healthcare organization of choice is regional-based hospital of a 400 bed capacity which serves an estimated population of 200,000 people (children, elderly and adults). The hospital’s healthcare workforce primarily comprises of nurses although there are other healthcare providers such as physicians, dieticians, cardiologists, nurse practitioners and specialists. The nurses are passionate and dedicated and guided by professional values and ethics which increase their likelihood to be engaged in EBP research. The hospital has a library with a wide-range of resources to research from.
Problem Description
üHAIs comprise 30% of the hospitals diagnoses among hospitalized patients
üHigh incidences of HAIs are as a result of poor hand hygiene practices
üPatients experience prolonged admissions and poor health outcomes
üHigh incidences of HAIs impact negatively on the hospitals financial performance NURS_6052_week_9 Assignment: EBP, Part 5: Recommending an EBP Change
üIt also has a negative impact on rates of patient satisfaction, staff satisfaction and patient health outcomes
Hospital Acquired Infections were noted to contribute to 30% of diagnoses among patients who were hospitalized. The high incidences were attributed to poor hand hygiene practices and lack of hygiene protocols. As a result, most patients faced prolonged admissions with additional medical costs and poor health outcomes. These effects proved to impact negatively on the hospital’s financial performance and reputation. It also lowered the staff and patient satisfaction rates.
Proposed Evidence-based Idea
üThe hospital has selected handwashing with soap and water to reduce HAIs
üA proposed alternative is the use of alcohol-based handrubs
üHandwashing promotes hand hygiene
üIt also reduces the acquisition rates of pathogens on the hands
üHandwashing will help to prevent and reduce the incidences of HAIs
The organization has decided on handwashing using soap and water to reduce the rates and incidences of HAIs. An alternative that has also demonstrated efficacy is the use of alcohol-based handrubs. Handwashing has proven to promote hand hygiene by reducing the rates of acquiring pathogens on hands thus reducing and preventing the rates and incidences of HAIs in the organization. NURS_6052_week_9 Assignment: EBP, Part 5: Recommending an EBP Change
Plan For Knowledge Transfer
üStakeholders’ knowledge on hand hygiene using a survey will be assessed
üThe survey results will be reviewed to identify information gaps
üTraining plans will be planned based on the identified knowledge and information gaps
üTraining will be modified to address organizational and patient needs
üAn actual training will be conducted and feedback obtained
üAn infection control committee will be implemented to oversee the implementation process
The first step when planning for knowledge transfer will be to assess for the needs in training by assessing stakeholders’ knowledge on hand hygiene and hand washing and how it prevents HAIs through a short survey. The findings will help to identify potential information and knowledge gaps and help to facilitate plans for training. The training will be modified to address patients and organizational needs to achieve specific goals. The implementation of the knowledge shared and adoption of a hygiene protocol will be overseen by an infection control committee that will thereafter be established. NURS_6052_week_9 Assignment: EBP, Part 5: Recommending an EBP Change
Measurable Outcomes
üIncident reports from the inpatient setting of patients diagnosed with HAIs
üPatient’s length of stay in hospital
üThe hospital’s financial performance
üMortality and morbidity rates
üPatient experience of care
After implementing the proposed intervention, expected outcomes should be able to be measured by the infection control committee. As a result, it will be able to establish whether the organization has achieved its goals or not. The most relevant measurable outcomes are: incident reports of inpatients diagnosed with HAIs, patients’ experience of care, morbidity and mortality rates, financial performance and length of patient’s stay in hospital. NURS_6052_week_9 Assignment: EBP, Part 5: Recommending an EBP Change
Lessons Learned: Critical Appraisal Summary Of Peer-reviewed Articles
üFour peer-reviewed articles were appraised
üThe articles were published between the years 2017-2018
üAll articles supported handwashing with soap and water to prevent HAIs
üThe articles had different study designs
üThe articles evidence levels ranged from Level I–Level VII
All the articles that were appraised supported the hand hygiene practice of washing hands using soap and water to prevent HAIs. These articles were published between the years 2017-2018 and had totally different study designs with evidence levels ranging from level I-level VII. NURS_6052_week_9 Assignment: EBP, Part 5: Recommending an EBP Change
Lessons Learned: Evaluation Table
üThe conceptual framework used was not explained in all articles
üBased on every researcher’s objectives and aims, various study designs were used
üData collection methods involved the use of semi-structured surveys and interviews
üStudy populations in each article were different and included nurses, general practitioners
üThe study setting was determined by the objective, design and data collection method of a study
üData analysis was done using framework analysis, statistical analysis and thematic analysis.
The conceptual framework used was not explained in all articles. Based on every researcher’s objectives and aims, various study designs were used. Data collection methods involved the use of semi-structured surveys and interviews. Study populations in each article were different and included nurses, general practitioners. The study setting was determined by the objective, design and data collection method of a study. Lastly, data analysis was done using framework analysis, statistical analysis and thematic analysis. NURS_6052_week_9 Assignment: EBP, Part 5: Recommending an EBP Change
Lessons Learned: Outcome Synthesis Table
üThe participants in each of the studies varied in terms of professional background
üThe characteristics of study participants was determined by a study’s objective and purpose
üThe outcomes included participants directly and indirectly involved and expected change
üHealthcare providers should embrace hand hygiene practices to reduce/prevent HAIs
üNurses should be educated on hand hygiene practices to promote patient safety
The participants in each of the studies varied in terms of professional background. The characteristics of study participants were determined by a study’s objective and purpose. The outcomes included participants directly and indirectly involved and expected change. Healthcare providers should embrace hand hygiene practices to reduce/prevent HAIs. Nurses should be educated on hand hygiene practices to promote patient safety. NURS_6052_week_9 Assignment: EBP, Part 5: Recommending an EBP Change
Lessons Learned: Levels Of Evidence Table
üThe methodological quality determined the level of evidence assigned to each study
üThe evidence level given to each study informed the recommended grade and strength
üThe highest evidence level was Level I
üThe lowest evidence level was level VII
ü All the studies were reliable, valid and the results were generally applicable to large population settings
The methodological quality determined the level of evidence assigned to each study. The evidence level given to each study informed the recommended grade and strength .The highest evidence level was Level I and the lowest evidence level was level VII. All the studies were reliable, valid and the results were generally applicable to large population settings.
References
üFord, C., & Park, L. J. (2018). Hand hygiene and handwashing: key to preventing the transfer of pathogens. British Journal of Nursing, 27(20), 1164–1166.
üHovi, T., Ollgren, J., & Savolainen-Kopra, C. (2017). Intensified hand-hygiene campaign including soap-and-water wash may prevent acute infections in office workers, as shown by a recognized-exposure -adjusted analysis of a randomized trial. BMC Infectious Diseases, 17, 1–9.
üHalm, M., & Sandau, K. (2018). Skin Impact of Alcohol-Based Hand Rubs Vs Handwashing. American Journal of Critical Care, 27(4), 334–337.
üKingston, L. M., O, C. N. H., & Dunne, C. P. (2018). A comparative study of hand hygiene and alcohol-based hand rub use among Irish nursing and medical students. Nurse Education Today, 63, 112–118. NURS_6052_week_9 Assignment: EBP, Part 5: Recommending an EBP Change
