EBP: Handwashing Intervention

Evidence-Based Practice Project- Handwashing Intervention
Student’s Name
Institution
Abstract
Evidence-based practice (EBP) has the potential to improve patient outcomes and attain the desired benefits for different stakeholders in the healthcare sector. This project proposes a handwashing intervention to reduce hospital-acquired infections (HAIs) in the Intermediate Step Down Unit at John Hopkins Hospital in Baltimore, Maryland. An organizational assessment of the hospital showed that it is ready for change. The project seeks to answer the PICOT question: does handwashing as compared to non-hand washing and hand sanitizer utilization amongst health care workers and patients reduce HAIs amongst patients during their admissions in the hospital? A literature search provided relevant and valid evidence to suggest that a handwashing intervention in the organization can reduce HAIs. The intervention involves a three-step handwashing procedure which is simpler compared to WHO’s 6-step guideline. The implementation will be carried out for three months with Rogers' diffusion of innovation theory being used as the change model. It is expected that a significant reduction of HAI rates will be observed in the Intermediate Step Down Unit after the implementation of the project.
Table of Contents TOC \o "1-3" \h \z \u Abstract PAGEREF _Toc23772469 \h 2Section A: Organizational Culture and Readiness Assessment PAGEREF _Toc23772470 \h 5Section B: Problem Description PAGEREF _Toc23772471 \h 6PICOT PAGEREF _Toc23772472 \h 6Background of the problem PAGEREF _Toc23772473 \h 7Rationale for Nursing PAGEREF _Toc23772474 \h 8Stakeholders PAGEREF _Toc23772475 \h 8Section C: Literature Support PAGEREF _Toc23772476 \h 9Section D: Solution Description PAGEREF _Toc23772477 \h 13Proposed Solution PAGEREF _Toc23772478 \h 13Organization Culture PAGEREF _Toc23772479 \h 14Expected Outcomes PAGEREF _Toc23772480 \h 14Methods to Achieve Outcomes PAGEREF _Toc23772481 \h 15Outcome Impact PAGEREF _Toc23772482 \h 15Section E: Model of Change PAGEREF _Toc23772483 \h 16Stages PAGEREF _Toc23772484 \h 16Categories PAGEREF _Toc23772485 \h 17Section F: Implementation Plan PAGEREF _Toc23772486 \h 18Setting PAGEREF _Toc23772487 \h 18Timeline PAGEREF _Toc23772488 \h 18Resources PAGEREF _Toc23772489 \h 19Methods and instruments PAGEREF _Toc23772490 \h 19Intervention delivery PAGEREF _Toc23772491 \h 20Data collection PAGEREF _Toc23772492 \h 20Feasibility PAGEREF _Toc23772493 \h 21Post-implementation PAGEREF _Toc23772494 \h 21Section G: Evaluation of Process PAGEREF _Toc23772495 \h 21Rationale for Methods PAGEREF _Toc23772496 \h 21Outcome measures and project objectives PAGEREF _Toc23772497 \h 22Measurement and evaluation of outcome PAGEREF _Toc23772498 \h 22Negative results strategies PAGEREF _Toc23772499 \h 23Implications for practice PAGEREF _Toc23772500 \h 23References PAGEREF _Toc23772501 \h 25Appendices PAGEREF _Toc23772502 \h 28Appendix A: Critical Appraisal Checklist PAGEREF _Toc23772503 \h 28Appendix B: Evaluation Table PAGEREF _Toc23772504 \h 29Appendix C: Conceptual Model PAGEREF _Toc23772505 \h 31Appendix D: Timeline PAGEREF _Toc23772506 \h 32Appendix E: Resource List PAGEREF _Toc23772507 \h 33Appendix F: Proposal Instruments PAGEREF _Toc23772508 \h...