NUR 590 EBP Project Proposal Presentation
NUR 590 EBP Project Proposal Presentation
The wellness of a population’s health using improved patient safety protocols implores healthcare workers (HCWs) especially nurses, to develop evidence-based practice interventions to reduce and prevent occurrence of adverse events like hospital acquired infections (HAIs) and medication administration errors (MAEs) among others. These adverse events lead to poor patient outcomes, increase the overall cost of care and disease burden, and lowers the quality of care delivered by healthcare professionals. Hospital acquired infections are some of the leading healthcare concerns that affect patient safety and quality of care. Many patients suffer from these infections that result into lengthened stays in hospitals, increased cost of care, and in extreme circumstances death.
Share Common Themes on HAIs and use of Hand Hygiene Measures
Application of evidence-based Practice Interventions
HAIs as public health Concern
Stakeholders’ Role is essential in Mitigating HAIs
Need for More Studies to assess the effectiveness of hand hygiene Measures on Infection Control
Nurse practitioners and other healthcare professionals transmit infections to patients through poor hand hygiene measures and protocols (Alotaibi & Federico, 2017). As such, nurses and other providers should leverage evidence-based practice (EBP) interventions to reduce and prevent the occurrence of hospital acquired infections and guarantee quality care. The use of evidence-based practice interventions allows these providers to offer better services through increased quality, increased engagement of patients and their preferences, and leveraging clinical experience and expertise. The purpose of this evidence-based practice project proposal paper is to discuss how nurses in pediatric settings can integrate hand hygiene measures and protocols to reduce and prevent the occurrence of hospital acquired infections. These measures and protocols include handwashing using soap and water alongside hand sanitizers compared to handwashing with water and soap alone.
Problem Statement
Hospital acquired infections or nosocomial infections are newly acquired infections that patients contract during their stay in hospital settings or facilities. The transmission of the nosocomial infections happens through healthcare workers, patients, hospital equipment like catheters and interventional procedures that include catheterization. Studies demonstrate that healthcare workers who include nurse practitioners infect patients when they fail to adhere to effective hand hygiene measures like handwashing with soap or using alcohol-based sanitizers and hand rubs when handling and interacting with patient in the care process (Liana 2021). The use of evidence-based practice interventions using PICOT question is important in assisting nurses to implement better practices to reduce the susceptibility of patients acquiring nosocomial infections that have adverse effects on overall care delivery and quality. These infections lead to increased length of stay in hospitals, a rise in cost of healthcare and cause deaths, especially in critical care settings like pediatric units (Setty et al., 2019). Hand hygiene measures that include handwashing with soap and water alongside sanitizer will improve patient safety among healthcare workers. The implication is that healthcare workers will adhere to these measures in pediatric settings to reduce hospital acquired infections within six months’ period and improve quality outcomes.
PICOT Statement
Population- Healthcare workers in pediatric settings
Intervention-Hand Hygiene using handwashing with soap and water and sanitizer
Comparison-Handwashing with soap and water alone
Outcome- Reduced Hospital acquired infections
Time- in Six months
Refined PICOT Question
The refined PICOT question for the EBP project is “Among healthcare workers in pediatric setting (P), does hand hygiene practices that include handwashing with soap and water alongside hand sanitizer (I) compared to handwashing with soap and water alone (C) reduce hospital acquired infections (O) within six months (T)?”
Organizational Culture and Readiness
The culture of an organization is essential in implementing changes and it impacts its overall vision, mission and values and employees’ perception in embracing new ways of executing tasks. A culture entails employees with strong norms and values, management and approaches to overall way of doing things. A culture that involves employees, possesses strong values and norms, and encourages an open-door policy with decentralized approach is important in achieving set change objectives in an organization (Real et al., 2017). To effectively implement this EBP project proposal, pediatric healthcare settings and practitioners should use a decentralized organizational and leadership structure. The model is effective in enhancing motivation of subordinates and enhancing growth and increased diversification. Decentralization in healthcare organizations leads to better communication and adoption of innovative practices, ideas and strategies to improve quality of care. Through decentralization, the management leads a transformational approach to enhance agility and respond to new and best practices in care delivery.
The implementation of this EBP project proposal requires organizational culture that focuses on patient-centered care delivery. Through being patient-centered, an organization can support change programs to improve patient safety, quality and access while minimizing the occurrence of hospital acquired infections (HAIs). Increasing patient engagement and promoting inter-professional collaboration leads to a competitive advantage for healthcare organizations.
The evaluation of an organization’s readiness for change based on its culture is essential in implementing evidence-based practice projects. Readiness demonstrates the level to which organizational members are prepared to implement and embrace change, behaviorally and psychologically. Dearing (2018) opines that readiness is a psychological state of the mind that shows commitment to certain course of actions. As such, this EBP project proposal will leverage the Organizational Capacity Assessment Tool developed by the United Nations Development Program (UNDP) that assesses an organization’s readiness in promoting and enhancing the use of global health interventions. Through the tool, organizations identify substantive capacities and strengths that are present and the required one to attain their set objective. In this case, pediatric settings that aim to implement this EBP recommendations should demonstrate exemplary capacities in their attributes, have a superb and influential culture based on their missions, purposes and better values (De la Perrelle et al.., 2020). The capacity assessment tool looks at the various capabilities that include human resources, processes, financial resources, and systems as critical components of readiness for change implementation. Ready organizations possess sufficient strengths that include having the best skills, effective communication and adequate resources, availability of sufficient nurse workforce and effective engagement of their stakeholders.
The organizational readiness also evaluates the process and systems that require improvement to effectively implement the requisite changes (Vax et al., 2021). For instance, the improvement that pediatric care settings require include their patient handling process, the need for healthcare workers to adhere to hand hygiene measures and protocols, and delivery of patient-centered quality care. The organization will need quality improvement and collaborative approaches to enhance implementation. These organizations will also require quality data assessment tools for better and accurate analysis of their respective data (Dearing, 2018). The readiness will also include engagement of stakeholders and integration of information and communication technologies to ensure that all components to implement the project proposal are present. Using selected technologies, the project team and practitioners will pursue outcomes based on patient needs through enhanced alerts, reminders, and notifications on the need to comply with set hand hygiene protocols and measures that include effective handwashing and use of hand sanitizers to reduce hospital acquired infections in the pediatric settings.
Literature Review
Several studies and existing literature supports the incorporation of hand hygiene improvement measures to reduce hospital acquired infections. In their study, Ni et al. (2020) demonstrates that implementation of hand hygiene measures leads to a reduction in hospital acquired infections transmitted by healthcare workers. Using a qualitative design, the authors discuss the outcomes of a research in a large teaching hospital in China about the incorporation of hand hygiene measures to prevent infections and improve patient safety. The authors demonstrate that using handwashing has the potential to reduce HAIs in different care settings, including pediatric units. The article is emphatic that healthcare workers should embrace these interventions as best practices to enhance quality of care and patient outcomes. The study by Setty et al. (2019) implores organizations and healthcare providers to establish hand hygiene measures as one of the evidence-based practices in care management. Using a narrative approach, the authors implore on healthcare workers to disseminate best information to manage and reduce the ever-rising cases of medication errors and adverse events that lead to longer stays in healthcare facilities and increased cost of medication.
Nurses as part of the healthcare workforce should embrace hand hygiene measures to reduce infections and guarantee patient safety and quality care as well as better outcomes. However, many do not embrace these measures. Therefore, it is essential for health organizations and other stakeholders to make the hand hygiene interventions more attractive to nurses since they are frontline care providers and interact more with patients than any other health and medical professionals. Zhao et al. (2017) emphasize the need to make hand hygiene interventions more attractive to nurses and other healthcare workers for effective integration. The study demonstrates that with requisite training and awareness, nurses can implement better practices and make informed choices and decisions on the incorporation of hand hygiene measures to enhance patient safety.
In her study, Liana (2019) explores the effectiveness of hand hygiene practices with the aim of reducing hospital acquired infections. The author notes that all patients hospitalized are at risk of contracting nosocomial infections with certain categories being at the greater risk than others. The study observes that children, the elderly and individuals with compromised immunity are more likely to get an infection while in hospitals. Longer stays in hospitals, use of indwelling catheters, overuse of antibiotics, and the failure by healthcare workers to wash their hands increase the risk for getting nosocomial infections. According to Centers for Disease Control and Prevention (CDC) hospital acquired infections (HAIs) account for close to 1.7 million infections with close to 100,000 individuals dying each year due to associated complications (Liana, 2019). The implication is that healthcare workers should practice proper hand hygiene based on the World Health Organization’s recommendations. These include before touching a patient, after touching them patient, after getting into contact with inanimate surfaces and objects in the patient’s environment, and after having exposure to bodily fluids. They should also have proper hand hygiene before cleaning and aseptic procedures.
Hand hygiene lowers the transmission of pathogens in healthcare settings and healthcare providers need to encourage patients, their families and visitors to regularly decontaminate their hands to reduce infections. The implication is that establishment of proper hand hygiene measures and protocols help reduce nosocomial infections. The study by Staniford et al. (2020) is a systematic review of literature on hand hygiene and environmental disinfection strategies that enhances hygiene standards in pediatric settings. The study emphasizes the need for healthcare workers to change their behaviors with the aim of embracing best practices in handwashing like using soap and water as well as alcohol-based products. nurse practitioners and other healthcare workers should have positive attitude toward hand hygiene measures, have information on protocols and procedures to integrate these interventions with the aim of enhancing patient safety.
In their study, Hillier et al. (2020) explore correct procedures needed for effective hand hygiene. The authors emphasize the significance of nurses possessing relevant knowledge and understanding about evidence-based guidelines like increased use of sanitizers alongside handwashing with hands and water. The authors are categorical that healthcare workers need sufficient knowledge, information and awareness to enhance and integrate the use of these interventions to reduce hospital acquired infections. Using hand hygiene measures, healthcare workers can control and stop the spread of emerging and re-emerging disease’ epidemics and pandemics like the Coronavirus disease of 2019 (COVID-19) in different healthcare settings. The study implores these providers to leverage evidence-based interventions in their care practice and settings to mitigate infections’ transmission.
Clean hands protect individuals from serious infections when they are hospitalized in any facility. The Center for Disease Control and Prevention (CDC) asserts that hand hygiene is the best way to prevent infection. However, many healthcare workers are hesitant to clean their hand leading to healthcare associated infections. In their study Akanji et al. (2017) emphasize the need to institutionalize formal hand hygiene education and feedback compliance among nurses to mitigate and prevent hospital acquired infections. The study shows the need to increase engagement of nurses and other healthcare workers to offer feedback on the most effective interventions to improve patient safety through reduce rate of nosocomial infections. The implication is that organizations and healthcare providers should develop and implement evidence-based practice interventions to reduce different types of infections associated with healthcare settings like central line-associated bloodstream infections that are among the leading types of HAIs.
The study by Azar et al. (2017) shows the need to use agile implementation model to mitigate HAIs among healthcare workers to reduce nosocomial infections. The authors are categorical that nurses and other healthcare workers can deploy various interventions to prevent and reduce the possibility of infections like central line associated bloodstream infections (CLABIs) and catheter-line associated urinary tract infections (CAUTIs) as well as ventilator-associated pneumonia. These studies show that hospital acquired infections are a major healthcare challenge that requires effective evidence-based interventions and best practices as demonstrated in this research proposal. Healthcare workers in pediatric settings have an obligation to reduce and prevent these infections through effective hand hygiene protocols and measures that include handwashing with soap and water as well as using sanitizer.
Assessment Description
The dissemination of an evidence-based practice project proposal is a critical component of the final project. Distributing your project to a local association or clinical site/practice informs key stakeholders about 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:
- Introduction (include PICOT statement)
- Organizational Culture and Readiness
- Problem Statement and Literature Review
- Change Model, or Framework
- Implementation Plan
- Evaluation Plan
- 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.
Resources
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Advanced Nursing Research: From Theory to Practice
Read Chapters 22 and 23 in Advanced Nursing Research: From Theory to Practice.
View Resource
Innovations in Research Dissemination: Research Participants Sharing Stories at a Conference
Read “Innovations in Research Dissemination: Research Participants Sharing Stories at a Conference,” by Douglas, Jackson, Woods,
… Read More
https://lopes.idm.oclc.org/login?url=https://www-proquest-com.lopes.idm.oclc.org/scholarly-journals/innovations-research-dissemination-participants/docview/2327516899/se-2?accountid=7374
Loom
Loom is a free video recording tool that allows you send messages through shareable videos. For assistance on installing the softwa
… Read More
https://support.gcu.edu/hc/en-us/articles/115015942807-Third-Party-Contact-Information
Advanced Practice Nursing: Essential Knowledge for the Profession
Review Chapter 20 in Advanced Practice Nursing: Essential Knowledge for the Profession.
View Resource
Writing an Abstract for a Poster or Oral Presentation
Read “Writing an Abstract for a Poster or Oral Presentation,” by Bodin and McDaniel, from Alabama Nurse (2019).
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=136923973&site=ehost-live&scope=site
Engagement of Community Stakeholders to Develop a Framework to Guide Research Dissemination to Communities
Read “Engagement of Community Stakeholders to Develop a Framework to Guide Research Dissemination to Communities,” by Cunningham-
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https://lopes.idm.oclc.org/login?url=https://www-proquest-com.lopes.idm.oclc.org/scholarly-journals/engagement-community-stakeholders-develop/docview/2443277489/se-2?accountid=7374
Poster Presentations: A Great Way to Share Your Evidence-Based Knowledge
Read “Poster Presentations: A Great Way to Share Your Evidence-Based Knowledge,” by Sawaya, from International Journal of Chi
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https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123698144&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost
Using Storylines for Bilingual Dissemination of a Grounded Theory
Read “Using Storylines for Bilingual Dissemination of a Grounded Theory,” by Ligita, Francis, Wicking, Harvey, and Nurjannah, fro
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Avoid Common Mistakes When Presenting Your Research, Evidence-Based Practice, or Quality Improvement Projects
Read “Avoid Common Mistakes When Presenting Your Research, Evidence-Based Practice, or Quality Improvement Projects,” by Siedleck
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Evidence-Based Practice Project Proposal Presentation – Rubric
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Introduction
6 points
Criteria Description
Introduction
- 5: Excellent
6 points
The introduction is succinct, captures the attention of the audience, clearly identifies PICOT statement and the fundamental aspects of the evidence-based practice project proposal that will be the main talking points and for the presentation.
- 4: Good
5.52 points
The introduction is adequate. The PICOT statement and the fundamental aspects of the evidence-based practice project proposal that will be the main talking points and PICOT statement for the presentation are discussed.
- 3: Satisfactory
5.28 points
The introduction omits key aspects of the PICOT and fundamental aspects of the evidence-based practice project proposal that will be the main talking points and PICOT statement for the presentation.
- 2: Less Than Satisfactory
4.8 points
The introduction generally presents the PICOT statement and most of the fundamental aspects of the evidence-based practice project proposal that will be the main talking points and for the presentation.
- 1: Unsatisfactory
0 points
An introduction is not included.
Organizational and Cultural Readiness
12 points
Criteria Description
Organizational and Cultural Readiness
- 5: Excellent
12 points
The organizational culture and readiness are thoroughly discussed and provide insight into the organization challenges.
- 4: Good
11.04 points
The discussion on the organizational culture and readiness is incomplete.
- 3: Satisfactory
10.56 points
The organizational culture and readiness are adequately discussed and provide the necessary insight into the organization challenges.
- 2: Less Than Satisfactory
9.6 points
The discussion on the organizational culture and readiness is not included.
- 1: Unsatisfactory
0 points
The organizational culture and readiness are generally discussed and provide insight into some of the challenges faced by the organization.
Problem Statement and Literature Review
18 points
Criteria Description
Problem Statement and Literature Review
- 5: Excellent
18 points
The problem describes the issue using evidence-based support from the literature review to rationalize and justify the problem. The research from the literature review is current, relevant, and used to provide adequate rationale and support throughout.
- 4: Good
16.56 points
The problem statement summarizes the issue and uses evidence-based support from some of the literature review to rationalize and justify the problem. The research from the literature review provides general support overall.
- 3: Satisfactory
15.84 points
The problem statement is consistent throughout the presentation and concisely describes the issue using strong evidence-based support from the literature review to rationalize and justify the problem. The research from the literature review is current, relevant, and used to provide excellent rationale and support throughout.
- 2: Less Than Satisfactory
14.4 points
The problem statement outlines the issue. Support from the research from the literature review is inconsistent.
- 1: Unsatisfactory
0 points
The problem statement is not clearly stated. Research from the literature review is not included.
Change Model or Framework
12 points
Criteria Description
Change Model or Framework
- 5: Excellent
12 points
The selected model or framework and its application to the proposed implementation are thoroughly described.
- 4: Good
11.04 points
The selected model or framework and its application to the proposed implementation are adequately described.
- 3: Satisfactory
10.56 points
The selected model or framework and its application to the proposed implementation are generally described.
- 2: Less Than Satisfactory
9.6 points
The selected model or framework is and its application to the proposed implementation are only partially described.
- 1: Unsatisfactory
0 points
The selected model or framework and its application to the proposed implementation are not described.
Implementation Plan
12 points
Criteria Description
Implementation Plan
- 5: Excellent
12 points
The implementation plan is thoroughly described and provides the details for the various aspects.
- 4: Good
11.04 points
The implementation plan is generally described and provides an overall outline for the various aspects.
- 3: Satisfactory
10.56 points
The implementation plan is adequately described and provides the details for the various aspects.
- 2: Less Than Satisfactory
9.6 points
The implementation plan is not described.
- 1: Unsatisfactory
0 points
The implementation plan is only partially described.
Evaluation Plan
12 points
Criteria Description
Evaluation Plan
- 5: Excellent
12 points
The evaluation plan is thoroughly described and provides the details for the various aspects.
- 4: Good
11.04 points
The evaluation plan is adequately described and provides key information for the various aspects.
- 3: Satisfactory
10.56 points
The evaluation plan is outlined and provides general information for most aspects.
- 2: Less Than Satisfactory
9.6 points
The evaluation plan is only partially described.
- 1: Unsatisfactory
0 points
The evaluation plan is not described.
Conclusion
6 points
Criteria Description
Conclusion
- 5: Excellent
6 points
The conclusion is short, clear and summarizes the key points of the presentation in a powerful and memorable way.
- 4: Good
5.52 points
The conclusion summarizes the key points of the presentation in a concise manner.
- 3: Satisfactory
5.28 points
The conclusion outlines the broad aspects of the presentation.
- 2: Less Than Satisfactory
4.8 points
The conclusion mentions some aspects of the presentation, but there are some key aspects missing.
- 1: Unsatisfactory
0 points
A conclusion is not presented.
Research
6 points
Criteria Description
Research
- 5: Excellent
6 points
Research is supportive of the rationale presented. Sources are distinctive. Addresses all of the issues stated in the assignment criteria.
- 4: Good
5.52 points
Research is timely and relevant, and addresses all of the issues stated in the assignment criteria.
- 3: Satisfactory
5.28 points
No outside sources were used to support the assignment.
- 2: Less Than Satisfactory
4.8 points
Research is adequate. Sources are standard in relevance, quality of outside sources, or timeliness.
- 1: Unsatisfactory
0 points
Few outside sources were used to support the assignment. Limited research is apparent.
Presentation
12 points
Criteria Description
Presentation PowerPoint, speaker notes, Loom voice over or video.
- 5: Excellent
12 points
The submission is presented effectively, and all of the required elements creatively contribute to the presentation of the concepts.
- 4: Good
11.04 points
The submission is presented effectively and contains all of the required elements.
- 3: Satisfactory
10.56 points
The submission contains minor inconsistencies that are not overly distracting. Presentation contains a majority of the required elements.
- 2: Less Than Satisfactory
9.6 points
The submission is ineffective, contains multiple inconsistencies, or is missing a few of the required elements.
- 1: Unsatisfactory
0 points
The submission is incoherent, contains major inconsistencies, is not presented effectively, or is missing a substantial amount of the required elements.
Aesthetic Quality
6 points
Criteria Description
Aesthetic Quality
- 5: Excellent
6 points
Design is cluttered. Materials detract from the content or the purpose of presentation is low quality.
- 4: Good
5.52 points
Design is appropriate and integrates a variety of objects, charts, and graphs to amplify the message.
- 3: Satisfactory
5.28 points
Design is clean. Skillful handling of text and visuals creates a distinctive and effective presentation. Overall, effective and functional audio, text, or visuals are evident.
- 2: Less Than Satisfactory
4.8 points
Design is fairly clean, with a few exceptions. Materials add to, not detract from the presentation. Materials used were quality products and easy to see or hear.
- 1: Unsatisfactory
0 points
Design detracts from purpose. Text and visuals are too simplistic, cluttered, and busy. Little or no creativity or inventiveness is present.
Synthesis
6 points
Criteria Description
Synthesis
- 5: Excellent
6 points
Synthesis integrates ideas but does not adequately form a cohesive whole. Combination of elements at times is confusing.
- 4: Good
5.52 points
Synthesis is unique. Synthesis shows careful planning and attention to how disparate elements fit together. The combination of elements is verified.
- 3: Satisfactory
5.28 points
Synthesis integrates ideas to form a cohesive whole. Combination of elements is logical and justified.
- 2: Less Than Satisfactory
4.8 points
Synthesis integrates ideas inadequately. The combination of elements is not logical.
- 1: Unsatisfactory
0 points
Synthesis does not successfully integrate ideas to form a cohesive whole. The combination of elements is not logical and/or verifiable.
Mechanics of Writing
6 points
Criteria Description
Mechanics of Writing Includes spelling, punctuation, grammar, and language use.
- 5: Excellent
6 points
The writer is clearly in command of standard, written, academic English.
- 4: Good
5.52 points
Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.
- 3: Satisfactory
5.28 points
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.
- 2: Less Than Satisfactory
4.8 points
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.
- 1: Unsatisfactory
0 points
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed.
Documentation of Sources
6 points
Criteria Description
Documentation of Sources Citations, footnotes, references, bibliography, etc., as appropriate to assignment and style.
- 5: Excellent
6 points
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
- 4: Good
5.52 points
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
- 3: Satisfactory
5.28 points
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
- 2: Less Than Satisfactory
4.8 points
Sources are not documented.
- 1: Unsatisfactory
0 points
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
Total 120 points