NUR-590 Evidence-Based Practice Project Presentation NUR-590 Evidence-Based Practice Project Presentation

NUR-590 Evidence-Based Practice Project Presentation NUR-590 Evidence-Based Practice Project Presentation

Introduction and Objectives

Patient safety and need to reduce hospital acquired infections (HAIs)

Hand hygiene Measure among Healthcare Workers in Pediatric settings

Integration of EBP interventions into Care Practice

Purpose of the Presentation

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.

According to Thomas (2018), organizational culture is defined as the various beliefs, values, assumptions, and interactive strategies contributing to an organization’s unique social and psychological environment. Positive working culture is developed when employees and employees share aligned values with each other and the organization. To ensure the success of organizational culture, the first step is for all employees and employers to clearly understand the organization’s values and the belief of the organization. Barriers caused by an organizational culture can cause nursing leaders to feel powerless, and one of those barriers is a negative environment. For example, having a facility or hospital poorly managed by administration personnel or having an administration team that does not communicate with front-line staff creates low workplace morale. When there is a negative environment created around front-line staff, there is a lack of production, increased call-outs, and high turnover rates. “Authority Is maintained centrally, reducing the effectiveness of front-line staff” (Jackson et al., 2021). Employees begin to feel excluded start to feel that the facility or hospital is not ensuring their beliefs and values stay aligned in the best interest of the patients.

EBP & PICOT Statement for EBP Project

Purpose of EBP

Optimize

Provide

Encourage

Enhance

Decrease

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)?

Organizational Culture & Readiness

Culture & Support for Change Level

Decentralized and Hierarchy-based model

Patient-centered mission

Focus on Health promotion and Saving Lives

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 implementatio