EVIDENCE-BASED PRACTICE PROJECT PROPOSAL: PRESENTATION NUR 590

Achieving patient safety implores nurses and other healthcare professionals to develop interventions that improve quality care and reduces occurrence of hospital acquired infections (HAIs). The use of evidence-based practice interventions like hand hygiene protocols and measures that include handwashing with soap and water alongside sanitizers can prevent and reduce the prevalence of hospital acquired infections (Zhao et al., 2017). Nurses in pediatric care settings should set high levels of hygiene to minimize the occurrence of HAIs in these settings. The integration of EBP interventions mitigates the increasing prevalence of HAIs and their associated cost burden to patients, their families and the health care system (Akanji et al., 2017). Hospital acquired infections constitute a significant part of the increased mortality and morbidity and poor outcomes among pediatric patients. The purpose of this presentation is to detail the evidence-based practice project proposal on hand hygiene measures involving handwashing with soap and water alongside use of hand sanitizer by healthcare workers, especially nurses, in reducing and preventing the occurrence of hospital acquired infections in pediatric care settings.

Evidence-based practice continues to be a critical component of enhancing care delivery among patients in different settings. The use of EBP entails incorporation of research evidence together with patient preferences and clinician’s care experience. Evidence-based practice aims at optimization of provider and team behavior to support changes in patient conduct to attain quality care, and provides education to reduce the risks of hospital acquired infections and improve different aspects of care provision (Melnyk & Fineout-Overholt, 2019). EBP also encourages the use of resources and services, and improvement in patients and their families’ satisfaction (Zhao et al., 2018). The EBP project will also focus on enhancing patient safety, improving adherence to hand hygiene measures, and improving outcomes and quality management to reduce adverse events. The project also focuses on decreasing the overall cost of infections, length of stay, and readmissions, and ensure that providers can make better care decisions in managing adverse events resulting from HAIs. The PICOT Question for the project is

Among healthcare worker in pediatric settings (P), how does handwashing with soap and water alongside hand sanitizer (I), compared to handwashing with soap and water alone (C), reduce hospital acquired infections (O), with six months (T)?

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Organizational culture is an essential part of implementing change as it mirrors values, mission, and vision and employee perception to adopting new ways of doing things. A decentralized and hierarchical culture where employees get involved in decision-making and has robust values and norms leads to effective implementation of EBP project proposal. The proposed structure enhances employee motivation and diversification. Decentralization improves communication and ensures implementation of new approaches to doing things to enhance quality care (Melnyk & Fineout-Overholt, 2019).  Organizations ready to implement the proposed EBP interventions should focus on patient-centered care and health promotion to save lives in pediatric settings.

The project uses the Organizational Capacity Assessment Tool (OCAT) developed by the United Nations Development Program (UNDP). The tool assesses overall readiness to enhance health interventions in organizations. The tool identifies substantive capacities and strengths that exist and the need for more to attain expected outcomes. Implementing the proposed EBP requires organizations to have capabilities and resources with a superb culture based on their mission, purpose and best values. Threats to readiness include need for resources to implement the project and technologies to reduce HAIs. Teamwork leads to effective flow of information to implement the project and attain expected outcomes.

Organizations that seek to implement the proposed EBP should enhance their patient-handling processes with a focus on improved quality care to reduce infections by better hand hygiene measures and protocols. Data-analysis tool using a collaborative approach will enhance dissemination of evidence to the entire care team. The deployment of Trans-theoretical model will allow the organizations to prepare for change by aligning their interventions with their needs. These include skills’ training and motivation policies to enact changes to focus on solutions (Melnyk & Fineout-Overholt, 2019). The integration of technology is also critical to enhancing organizations’ readiness since it improves gathering of intelligence.

The stakeholders include healthcare professionals in these settings comprising of nurses, physicians and other professionals and the management. External stakeholders comprise of patients and their familiescare (Melnyk & Fineout-Overholt, 2019). Further, the integration of the Project team and management highlights the importance of ensuring that the organization is ready while use of health information technologies like Telehealth leads to better understanding of the underlying issues to enhance patient safety based on existing deployment and their role in enhancing access and quality care.Hospital acquired infections are a concern in healthcare as they impact positive patient outcomes and patient safety. Healthcare workers, especially nurses, transmit infections to patients through poor hand hygiene measures and protocols in their practice environment. Pediatric patients have increased susceptibility to suffering from infections due to their low levels of immunity (Melnyk & Fineout-Overholt, 2019). Imperatively, nurses and other providers must develop interventions to prevent and control the prevalence of nosocomial infections and guarantee quality care by using evidence-based practice interventions like handwashing with soap and water alongside use of hand sanitizer(Khan et al., 2018).

The initiative focuses on enhancing hand hygiene protocols by nurses to help reduce most prevalent infections like central line-associated bloodstream infections, catheter-associated urinary tract infections and ventilator-associated pneumonia and surgical sites infections. The proposed interventions must be effective by ensuring that existing literature consisting of previous research studies support its implementation and expected benefits to the target audience or population. In this case, through a comprehensive search of the literature, one can ascertain if the interventions meets the stakeholders’ goals and aspirations (Zhao et al., 2018). The literature review for the project entails defining and using terms related to hospital acquired infections, healthcare workers and hand hygiene measures. The review also used effective search engines and databases related to the nursing issues to ensure that the generated article represent the problem under study (Khan et al., 2018). The main inclusion criteria included article published within the last five years, articles that capture aspects of the PICOT question and support the EBP based on their findings or recommendations.

The proposed project reviewed different research studies based on the inclusion and exclusion criteria to ascertain support for the interventions to enhance patient safety through hand hygiene measures. Two of the articles used demonstrate the significance of hand hygiene measures among nurses and other healthcare workers in reducing and preventing hospital acquired infections. The articles assert the need to implement evidence-based interventions to prevent infections and improve patient safety (Ni et al., 2020; Setty et al., 2019). Making hand hygiene attractive to nurses and other healthcare workers is essential. Zhao et al. (2017) and Staniford et al. (2020) demonstrate the need for behavioral change and ensuring that nurses accept the modifications to reduce infections. Compliance to hand hygiene measures requires changes in behavior, especially embracing handwashing with soap and water alongside the use of hand sanitizers. The literature articles illustrate that providing sufficient education to nurses and using evidence-based interventions increase the adoption of these measures leading to a reduction of hospital acquired infections in pediatric settings. Use of agile approach is effective in reducing a host of infections that include central line associated bloodstream infections (CLABIs). 

The reviewed articles illustrate similar themes about the effects of HAUs and utilization of Hand Hygiene measures to reduce their prevalence and ensure that patients get quality care. The articles emphasize the use of evidence-based practice (EBP) interventions to reduce hospital acquired infections. All the article show that HAIs have negative effects on patient safety and health and are a public health issue (Staniford et al., 2018). Stakeholders play a critical part in implementation of interventions to reduce HAIs in pediatric setting through giving information and offering educational opportunities to nurses and other health care professionals to enhance their care delivery. The articles suggest the need for more studies to help evaluate the effectiveness of hand hygiene measure to control infections. 

The project selected the Iowa EBP model as its change framework. The Iowa model focuses on the whole healthcare system and its stakeholders that include patients, practitioners, and infrastructure. The model uses a problem-solving approach in EBP implementation and leads staff to question the current nursing practices and if they can enhance care through using current findings. The model is effective for the project as it focuses on promoting quality care using EBP interventions. The initials stage of the model is identification and selection of a health problem while the second stage involved determining if the issue is healthcare organization’s prioritycare (Melnyk & Fineout-Overholt, 2019). The third stage requires reflection about the issue of interest and engaging stakeholders while the fourth stage is to identify availability and merit of the chosen evidence. The fifth stage entails implementation of a pilot change based on the available evidence and its credibility. The sixth stage is to appraise the pilot practice change based on the degree of success and subsequent dissemination of findings to the providers and organizations. 

Assessment Description

The dissemination of an evidence-based practice project proposal is an important part of the final project. Dissemination of your project to a local association or clinical site/practice informs important stakeholders of evidence-based interventions that can improve clinical practice and ultimately patient outcomes.

For this assignment, develop a professional presentation that could be disseminated to a professional group of your peers.

Develop a 12-15 slide PowerPoint detailing your evidence-based practice project proposal. Create speaker notes of 100-250 words for each slide. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the topic Resources for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning and an additional slide for References at the end. Be sure to consider your personal demeanor and tone during the recorded presentation.

Include the following in your presentation:

1. Introduction (include PICOT statement)
2. Organizational Culture and Readiness
3. Problem Statement and Literature Review
4. Change Model, or Framework
5. Implementation Plan
6. Evaluation Plan
7. Conclusion

You are required to cite a minimum of six peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style. 

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.