Describe the current problem or opportunity for change.

Describe the current problem or opportunity for change.

Describe the current problem or opportunity for change. 150 150 Nyagu

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

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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)
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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

https://www-sciencedirect-com.ezp.waldenulibrary.org/science/article/pii/S0260691718300492?via%3Dihub

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