NUR-590 Topic 5: Evidence-Based Practice Implementation
Implementing any change in a healthcare organization or facility entails several aspects, the most important of which is developing an implementation plan as part of any evidence-based practice (EBP) project proposal. The actualization of the ideas developed in the proposal is what implementation entails. EBP projects are divided into distinct steps (Boehm et al., 2020). The implementation strategy will concentrate on hand hygiene measures among pediatric healthcare workers in order to reduce hospital acquired infections (HAIs). The implementation plan will include the project’s setting, time, resources, methods and instruments, delivery process intervention, and data collection plan. The plan also addresses the management of barriers, facilitators, and challenges, as well as the plan’s feasibility.
Setting and Access to Potential Subjects
The implementation framework of any EBP project includes establishment of a motive for change, development of specific goals, attaining leadership support, creating a leadership teams and engagement of clinical support. In this case, the project setting will be a pediatric hospital where nurse practitioners and clinical nurse leaders involved in service delivery to the patient population will be the main subjects taking part in the proposed project. The selected participants should have served in this unit for the last 12 months. The project will select 20 healthcare staff to be involved in the implementation process.
The second component of this project is obtaining consent or approval for the project from the participants and the institutional review board. Participants’ consent will be required because it will demonstrate their willingness to participate in the project without undue influence. The review board will approve the project and ensure that all ethical requirements are met in order to protect the subjects. The consent will state that the main goal of the project is to reduce the rate of HAI within six months by improving hand hygiene measures, specifically the use of alcohol-based hand sanitizers or rubs in addition to soap and water handwashing. Participants will sign the consent form after learning about the project and its overall benefits to the population.
The EBP project will be implemented over a six-month period. Each month, various activities will be carried out to ensure that all components of the proposal are effectively implemented. The first two weeks of the program will include the formation of a multidisciplinary team. The last two weeks of the first month will be dedicated to gathering the necessary resources and expertise for the implementation process. The training of nursing staff will take two to three weeks in the second month to ensure that the participants have sufficient knowledge and skills based on existing resources to implement hand hygiene measures aimed at reducing HAIs.
The first week of the third month will involve identification of any possible barriers that may influence or interfere with the implementation. The duration will also be used to increase stakeholder engagement, participation and collection of their input and views to be incorporated in the final implementation activities (Luciano et al., 2019). The remain three and half months will involve the actual implementation. However, in the fifth month, the project team will review the implementation to ascertain if there will be need to have any modifications to the project. The implication is that the implementation process will be successful if the five months will be used as expected in the timelines proposed for the plan.
Also Check Out: NUR 590 Evidence Based Practice Project Week 3 Discussion
Studies show that success of any evidence-based project primarily rely on the availability of the needed resources (DeNisco, 2019; Luciano et al., 2019). The implementation of this project require human resources that will comprise of competent trainers who will impart the project team with necessary knowledge and skills. The most appropriate resource for this EBP project include nurse practitioners and clinical nurse leaders. Engagement of nurse practitioners and clinical nurse leaders with the requisite skills improves the success of quality improvement projects. In addition to the human resources, the project will also require financial resources to fund the implementation. the financial resources will be deployed to compensate the trainers and buy required stationeries like the training manuals. These resources will also be instrumental in overall implementation as they will be used to buy equipment like hand-rubs for demonstration. The resources will also include travel expenses for the project manager and the team. Changes needed in the implementation of the solution will include more education and awareness among caregivers since most of the pediatric patients may not comprehend the protocols that will be proposed to reduce hospital acquired infections.
Qualitative or Quantitative Design in Data Collection and Effectiveness
The data collection design chosen for the evidence-based practice project proposal is qualitative. The qualitative approach is used to understand participants’ thoughts, concepts, and experiences through techniques such as interviews, focus groups, observations, and a review of existing literature (Rebekah & Ravindran, 2018). The qualitative research design will be effective in the project proposal because it will entail gathering opinions from healthcare workers about the need to improve hand hygiene measures to prevent and reduce the occurrence of hospital acquired infections, particularly in pediatric settings, using a variety of methods (Vandermause et al., 2017). The proposal for an evidence-based practice project on hand hygiene measures among healthcare workers to reduce and prevent hospital acquired infections (HAIs) in pediatric settings will educate stakeholders on the importance of handwashing protocols. The EBP project proposal is effective because it will ensure that healthcare workers in the selected settings adhere to hand hygiene measures for effective care delivery while also reducing the prevalence of infections, which have a negative impact on patient outcomes and quality care delivery.
In order to monitor the implementation process, various methods and instruments will be used. To begin, in the implementation process, an audit tool and a satisfaction survey will be used. The project team will conduct a satisfaction survey to assess the efficacy of the measures implemented to reduce the high prevalence of hospital acquired infections in the pediatric unit. To complete the auditing process, the audit framework will be deployed. The tool will improve data auditing on specific hand hygiene interventions and their outcomes (Vandermause et al., 2017). In addition, questionnaires will be used to collect the necessary data from the participating nurse. Questionnaires are effective data collection tools, and nurse leaders and practitioners will complete them to provide information about the efficacy of hand hygiene measures that can reduce the occurrence of HAIs in the pediatric patient population. The data will guide the project implementation team throughout the process to ensure successful outcomes. The use of auditing tools and satisfaction surveys, in addition to the use of questionnaires, will be critical in achieving the expected project goals.
Delivery of the Intervention
The delivery process for the intervention will involve project team members that comprise of nurse leaders and practitioners. The nurses and practitioners will develop and execute necessary protocols like setting hand sanitizer stations at different points of the care delivery process (Luciano et al., 2019). These points will include the nursing stations and having points in pediatric wards as well as other key points to enhance hand hygiene measures. The participants will require training to enable them perform their respective duties well. Training will consist of giving information to nurse leaders about the components of the proposed so that they can effectively supervise the nurse practitioners to ensure that they carry out their mandate as expected. The practitioners will also require training to implement the proposed measures as planned to meet the set project goals.