Evidence-Based Capstone Project, Part 6: Disseminating Results
Evidence-Based Capstone Project, Part 6: Disseminating Results
Evidence-Based Capstone Project, Part 6: Disseminating Results
The dissemination of EBP results serves multiple important roles. Sharing results makes the case for your decisions. It also adds to the body of knowledge, which creates opportunities for future practitioners. By presenting results, you also become an advocate for EBP, creating a culture within your organization or beyond that informs, educates, and promotes the effective use of EBP.
To Prepare:
- Review the final PowerPoint presentation you submitted in Module 5, and make any necessary changes based on the feedback you have received and on lessons you have learned throughout the course. Evidence-Based Capstone Project, Part 6: Disseminating Results
- Consider the best method of disseminating the results of your presentation to an audience.
To Complete:
Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project.
- Be sure to incorporate any feedback or changes from your presentation submission in Module 5.
- Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy
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module5.pptx
Recommending an Evidence-Based Change
Student’s Name
Institutional Affiliation
Course
Instructor
Due Date
Description of My Healthcare Organization
Ethical culture where quality of care is valued
Emphasis on efficiency and effectiveness of patient care processes
Keen on effective communication and coordination
Focus on applying technology and care models to increase care quality
Highly prioritizes training and skill-improvement
Embraces effective evidence-based healthcare models. Evidence-Based Capstone Project, Part 6: Disseminating Results
My organization is a geriatric hospital that caters for the healthcare needs of senior citizens. The administration has established an ethical culture where the quality of care is valued greatly, and employees are encouraged to work and conduct themselves in morally and professionally appropriate ways. Emphasis have been put on upholding effectiveness and efficiency of patient care processes and services to increase patient safety. Additionally, the administration is keen on effective communication and coordination among healthcare teams especially when providing healthcare services. The organization focuses on applying effective technologies and healthcare models to increase the quality of patient care services and treatment outcomes. Furthermore, the HR department highly prioritizes training and skill-improvement so that employees can improve their personal and professional competencies to increase the quality of patient care. The organization has a culture of embracing effective research-based and evidence-based healthcare models to further increase the quality of patient care services. Evidence-Based Capstone Project, Part 6: Disseminating Results
2
Need for Change
Rise in the number of hospital acquired infections (HAI)
Low observance of hand sanitization by employees
Low employee competencies on hand sanitization practices
Hand sanitization is not observed well in all departments
Physicians, nurses, and other stakeholders are affected
The COVID-19 outbreak calls for a better observance of hand hygiene
It is important for our organization to change its culture on hand hygiene practices since there has been a rise in cases of HAI in the past 8 months, and hand hygiene can significantly reduce the issue. There has been low observance of hand sanitization by employees including nurses who interact with employees directly, which contributes to HAI not only in our hospital but also in many healthcare facilities worldwide (Akuoko, 2019). Low employee competencies and knowledge on hand sanitization practices is responsible for low employee observance of hand hygiene practices. Hand sanitization is not observed well in all departments of the hospital including in wards and waiting rooms. Physicians, nurses, and other employees and stakeholders such as suppliers, and clients do not observe hand hygiene practices as required, which further complicates the issue. Furthermore, the current COVID-19 outbreak also calls for a better observance of hand hygiene practices.
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Risks Associated with Change Implementation
Resistance by stubborn employees
Confusion and fatigue
Ineffective and inefficient leadership support
Disruption of other activities. Evidence-Based Capstone Project, Part 6: Disseminating Results
Low observance by employees
Forcing change
The risks associated with change implementation include resistance to change by stubborn employees who are either conservative or ignorant of the importance of making changes to faulty systems. Confusion and fatigue can occur among employees because they are not used to the new requirements implying that they may need more time to adjust appropriately to the new changes (Vokes et al., 2018). Additionally, ineffective and inefficient leadership can jeopardize successful change implementation since unsupportive leadership would not provide guidance and motivation crucial for employee appreciation of the changes and the processes leading to the change (Vokes et al., 2018). Other normal activities can be disrupted especially when employees are still trying to adjust to the new approach introduced by the change. Employees can also fail to observe the change are required due to negligence or poor leadership support during and after the implementation especially when the change is forced (Vokes et al., 2018). Forcing changes lowers employee motivation for embracing the changes hence employees are likely to resist the changes.
4
Use of Alcohol-Based Hand Sanitizers
Alcohol-based hand sanitizers (ABHS) destroy a wide range of pathogens
Alcohol-based hand sanitizers significantly reduce bacterial colonies on the hands
Alcohol-based hand sanitizers are more effective than handwashing
Healthcare workers can walk with portable packages of ABHS
Alcohol-based hand sanitizers can be places in strategic locations
The use of AHBS can significantly improve hand hygiene in the hospital. Alcohol-based hand sanitizers effectively destroy a wide spectrum of bacteria and other pathogens. They significantly reduce bacterial colonies on the hands when used frequently and appropriately for example after touching surfaces that have not been contaminated for more than an hour (Akuoko, 2019). They are also more effective than handwashing with soap in destroying pathogens not only because of the wide coverage of the pathogens destroyed but also because there are no handwashing resources in all departments, which reduces the rate and frequency of hand sanitization. Healthcare workers can walk with portable packages of hand sanitizers in their pockets to sanitize their hands each time before handling patients or handling them medicines (Assefa et al., 2020). Alcohol-based sanitizers can be placed in strategic locations in the hospital such as in wards and waiting rooms. Evidence-Based Capstone Project, Part 6: Disseminating Results
5
Plan for Knowledge Transfer
Training on hand sanitization practices
Role-modelling and supervision
Making hand sanitization guidance information available in print and digital forms
Arrangement of periodic meetings and seminars on ABHS
Encouraging all stakeholders to conduct personal and group work research on ABHS
Knowledge transfer will be conducted through employee training and education on hand sanitization practices in regard to ABHS including the frequency, duration, and the manner in which hand sanitization is supposed to be done. The administration will provide leadership and role-modelling support through supervision and monitoring to ensure that employees understand and adhere to hand hygiene practices. Additionally, hand sanitization guidelines and support information will be made available and accessible in digital and print forms for all stakeholders. And the administration will organize periodic meetings, workshops and seminars on ABHS. All stakeholders will be encouraged to conduct personal and group work research on ABHS to increase their hand hygiene competencies.
6
Organizational Adoption and Implementation
Provision of support and motivation
Placement of ABHS in strategic locations in the hospital
Demonstration of how hand sanitizers can be carried in the pockets
Placement of posters and guidelines on notice boards
Rewarding employees to embrace the new changes
The adoption and implementation will be initiated through administrative provision of support and motivation needed to boost their understanding and acceptance of the new change. The ABHS user guidelines will be placed in strategic locations such as in notice boards, wards, and waiting rooms since doing so would increase stakeholders access to the crucial information (Munoz-Figueroa & Ojo, 2018). The hospital’s administration will also provide apropiarte leadership support to to initiate demonstrations regarding the use ABHS, and carrying it in the pockets especially in convenient portable bottles. Posters and brochures will be printed and placed in strategic locations accesible to all stakeholders, and employees will be rewarded so that they can embrace the new changes.
7
Measurable Outcomes
High frequency of ABHS use by all stakeholders
Reduction in HAI
High quality of Care and patient care outcomes
Reduction in the rate of spread of diseases
Increase in hand hygiene practices
The measurable outcomes after the recommendation’s implementation include high frequency of use of ABHS by all stakeholders including physicians, nurses, and other employees and suppliers. Reduction in the number of HAI, and improved healthcare outcomes and quality of care will also indicate positive outcomes of the program. The reduction in the rate of spread of infectious diseases, and increase in hand hygiene practices will also indicate that the change has been embraced by healthcare workers and other stakeholders.
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Lessons Learned
Alcohol-based hand sanitizers are better than handwashing
Alcohol-based sanitizers can significantly reduce HAI
Lack of knowledge on the use of ABHS is a common problem
Alcohol-based hand sanitizers can be carried in portable containers
The lessons learned from the critical appraisal of the evidence-based articles include that proof that ABHS are better than handwashing with soap in killing germs in that they kill a wide spectrum of pathogens (Lagaya-Aranas, 2016). Alcohol-based hand sanitizers can significantly reduce HAI especially if the guideline for their use are followed accordingly (Munoz-Figueroa & Ojo, 2018). Furthermore, Lack of knowledge on the use of ABHS is a common problema that reduce higiene standards among healthcare workers in healthare facilities hence it is crucial for leadership to provide training and support to increase ABHS awareness among healthcare workers (Assefa et al., 2020). Additionally, ABHS can be carried in portable containers and carried by healthcare workers for use when need arises (Akuoko, 2019).
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What I Learned from Completing the Critical Appraisal Tool
Research studies are classified under different levels of evidence
Alcohol-based hand sanitizers are better than handwashing
Organizational culture and support is crucial for increasing employee hand hygiene practices
Hand sanitization practices are crucial for prevention of HAI
After completion of the critical appraisal tool worksheet template, I learned that research studies fall in different levels of evidence depending on their reliability, methodology, and designs used by the researchers. Meta-analyses are more accurate and reliable than cross-sectional studies since the latter applies designs that do not discuss previous related studies. Alcohol-based hand sanitizers, are better than handwashing with soap in sanitizing the hands since ABHS destroys a wider range of pathogens than handwashing with soap (Lagaya-Aranas, 2016). Additionally, I learned that organizational culture and support is crucial for increasing employee hand hygiene practices, and hand sanitization practices are crucial for prevention of HAI.
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References
Akuoko, C. P. (2019). Bacterial Reduction of Hand Contamination: Hand Rubbing with Alcohol-Based Solution or Hand Washing with Soap and Water. J. Health Med. Nurs, 67, 67-09.
Assefa, D., Melaku, T., Bayisa, B., & Alemu, S. (2020). COVID-19 Pandemic and its Implication on Hand Hygiene Status by Alcohol-based Hand Sanitizers Among Healthcare Workers in Jimma University Medical Center, Ethiopia. DOI: https://doi.org/10.21203/rs.3.rs-51049/v1
Lagaya-Aranas, L. M. O. (2016). Randomized controlled trial comparing the efficacy of 70% isopropyl alcohol hand rub ver standard hand washing for hand hygiene healthcare workers. RCT.
Munoz-Figueroa, G. P., & Ojo, O. (2018). The effectiveness of alcohol-based gel for hand sanitising in infection control. British Journal of Nursing, 27(7), 382-388.
Vokes, R. A., Bearman, G., & Bazzoli, G. J. (2018). Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change. Current infectious disease reports, 20(9), 35.