Create a professional presentation of your evidence-based intervention and change proposal to be disseminated to an interprofessional audience of leaders and stakeholders. Include the intervention, evidence-based literature, objectives, resources needed, anticipated measurable outcomes, and how the intervention would be evaluated. Submit the presentation in LoudCloud for feedback from the instructor.
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.
PICOT Question Paper
Kevin Thom
GCU NRS-493
9-5-21
PICOT Question Paper
Introduction
The hospital environment is one of the riskiest workplaces that need keen attention and determination to promote safety. Hospital-acquired infections are serious health concerns among inpatients. These infectious do not only have negative impacts on patients, but also on the healthcare professionals, and the facility (Monegro et al., 2020). As stated in the previous section, proper and frequent hand washing is an effective way of addressing the increasing incidences of hospital-acquired infections (HAIs) among the hospitalized patients. This paper will present a PICOT question and discuss its relation to the evidence-based solution, nursing intervention, patient care, healthcare agency, and nursing practice.
PICOT Question
In healthcare providers (P), does staff education and clinical supervision (1), compared to no intervention (C) improves proper and frequent handwashing practices (O) in three months (T)?
The population for this study includes nurses and physicians. The intervention is staff education and clinical supervision. This intervention compares to when there is no intervention at all. The expected outcome is improvement in terms of frequency and effectiveness of handwashing practices. This study is expected to take three months. The PICOT problem is the lack of proper and frequent handwashing among medical professionals.
Evidence-Based Solution
Handwashing by staff (nurses and physicians) is an evidence-based solution to many problems in healthcare. Handwashing prevents hospital-acquired infections to both the patients and the healthcare providers (Hillier, 2020). Nurses and other healthcare providers must ensure patients’ safety and wellbeing by washing their hands before and after handing a patient. practicing handwashing using clean water and soap is highly recommended for both healthcare professionals and patients. It is the most basic form of infection control in a healthcare setting. According to Hillier (2020), in cases of actual or suspected norovirus, healthcare staff should follow local policy and washing their hands with soap and water, as recommended. Proper handwashing protocols must be followed.
Nursing Intervention
Nursing interventions for this capstone project include staff education and clinical supervision to ensure all staff members (nurses and physicians) wash their hands properly and frequently. First nurses and physicians will be educated regarding the importance of washing hands frequently as well as how to wash hands properly (Gwarzo, 2018). The capstone project aims to ensure that staff washes their hands thoroughly and frequently as recommended to prevent the spread of infections among patients. The capstone project also entails installing specific leaders to ensure all healthcare providers are compliant with the handwashing guidelines (Gwarzo, 2018). Education comes first because one cannot reinforce what people lack knowledge about.
Patient Care
This PICOT question also promotes patient care in one way or the other. Washing hands improves patient’s safety and wellbeing. It prevents hospital-acquired infections that would otherwise lead to detrimental effects on the patients. The infections undermine the quality of care offered to patients as well as putting them at risk of acquiring more infections (Zaha et al., 2019). The hospital-acquired infections that are transmitted through contaminated hands during care delivery as a result of lack of handwashing will reduce. Also, when such infection reduces, the use of antibiotics decreases which in turn reduces the chances of antibiotic resistance (Zaha et al., 2019). Therefore, this PICOT question promotes patient care.
Health Care Agency
This PICOT question relates to the healthcare agencies in the sense that these agencies often ensure patients’ safety and wellbeing. For example, public health agencies are government bodies that derive their authority from state and local laws. They aim to improve health and prevent illness and injury. These agencies ensure proper hygiene is maintained to prevent hospital-acquired infections (Damayanti, 2020). Clinics and hospitals are healthcare agencies that play an important role in promoting hand hygiene. The hospital should educate its staff and reinforce handwashing guidelines to ensure handwashing practices are improved (Damayanti, 2020). The hospital will be accountable when the hand hygiene guidelines are not maintained.
Nursing Practice
The PICOT question relates to nursing practice in that nurses should take the responsibility of ensuring quality patient care. Nurses should follow all the guidelines required for handwashing before and after attending to a patient (Conroy et al., 2021). Nurse shortages may compromise hygiene due to work overload. Nurses are the only healthcare providers who are ever in constant contact with patients (Conroy et al., 2021). They must be in the frontline to promote hand hygiene.
Conclusion
Hospital-acquired infections have negative impacts on patients, but also on the healthcare professionals, and the facility. Proper and frequent hand washing is an effective way of addressing the increasing incidences of hospital-acquired infections (HAIs). The PICOT question is: In healthcare providers (P), does staff education and clinical supervision (1), compared to no intervention (C), improves proper and frequent handwashing practices (O) in three months (T)?. This paper has discussed how the PICOT question relates to the evidence-based solution, nursing intervention, patient care, healthcare agency, and nursing practice.
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References
Conroy, T., Feo, R., Alderman, J., & Kitson, A. (2021). Building nursing practice: The fundamentals of care framework. In Potter & Perry’s Fundamentals of Nursing: Australia and New Zealand 6th Edition (pp. 19-33). Elsevier Australia.
Damayanti, V. (2020). The Effectiveness of Hand Washing Training Based on Kirkpatrick’s Theory on Nurses. European Journal of Molecular & Clinical Medicine, 7(5), 392-397. https://ejmcm.com/article_2880.html
Gwarzo, G. D. (2018). Hand hygiene practice among healthcare workers in a public hospital in North-Western Nigeria. Nigerian Journal of Basic and Clinical Sciences, 15(2), 109. https://doi.org/10.4103/njbcs.njbcs_40_17
Hillier, M. D. (2020). Using effective hand hygiene practice to prevent and control infection. Nurs Stand, 35(5), 45-50. https://www.mghpcs.org/MunnCenter/Documents/weekly/apr-29/Hand-Hygiene-Practice.pdf
Monegro, A. F., Muppidi, V., & Regunath, H. (2020). Hospital acquired infections. Statpearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK441857/
Zaha, D. C., Kiss, R., Hegedűs, C., Gesztelyi, R., Bombicz, M., Muresan, M., … & Micle, O. (2019). Recent advances in investigation, prevention, and management of healthcare-associated infections (HAIs): resistant multidrug strain colonization and its risk factors in an intensive care unit of a University Hospital. BioMed research international, 2019. https://doi.org/10.1155/2019/2510875