Hand Hygiene Capstone Proposal Project

Hand Hygiene Capstone Proposal Project ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Hand Hygiene Capstone Proposal Project In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice. Hand Hygiene Capstone Proposal Project Develop a 1,250-1,500 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal: Background Clinical problem statement. Purpose of the change proposal in relation to providing patient care in the changing health care system. PICOT question. Literature search strategy employed. Evaluation of the literature. Applicable change or nursing theory utilized. Proposed implementation plan with outcome measures. Discussion of how evidence-based practice was used in creating the intervention plan. Plan for evaluating the proposed nursing intervention. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome. Appendix section, if tables, graphs, surveys, educational materials, etc. are created. Review the feedback from your instructor on the Topic 3 assignment, PICOT Question Paper, and Topic 6 assignment, Literature Review. Use this feedback to make appropriate revisions to these before submitting. Prepare this assignment according to the guidelines found in the APA Style Guide. attachment_1 attachme Hand Hygiene Introduction Handwashing is undoubtedly critical for population health and infection control. The current coronavirus pandemic has raised increased awareness of the seemingly simple yet invaluable personal hygiene process. Proper hand hygiene, however, remains a challenge for many people owing to, among other issues, knowledge and awareness of the proper way to wash hands with soap and running water. Current literature has focused on hand hygiene and public education and awareness on the question. The PICOT question focuses on the effectiveness of community education on handwashing with soap in reducing rates of infection. Comparison of Research Questions Research questions about handwashing and its effectiveness revolve around compliance and factors associated with it. Ay et al. (2019) identified poor hand hygiene levels in a teaching hospital and hence their research question was on the factors leading to poor hygiene compliance. Similarly, the study by Akyol (2007) sought to determine factors affecting nurses’ compliance with hand hygiene. The research question was very similar to Kirzner et al. (2010) who sought to understand the behaviors that affected nurses’ adherence to hand hygiene routines. Zomer et al. (2013), similarly, sought to understand the extent of compliance with hand hygiene in children day care centers hence their research question was on whether or not adherence was up to standards. On the other hand, researchers have also evaluated the effectiveness of hand-washing to reduce infections and illnesses. Salama et al. (2015) explored the research question on the rates of hand hygiene adherence and its effects on nosocomial infection rates in ICU settings. While Salama et al. sought to determine effectiveness, Neo et al. (2016) questioned the available strategies for hand hygiene and their effectiveness in reducing infections. The study’s research question is similar to Song et al. (2013) whose research question asked which strategies are effective in acquiring compliance with hand hygiene compliance. Lastly, Sax et al. (2009) study is unique in that it does not ask a research question but rather provides guidelines on hand hygiene. Comparison of Sample Populations The ICU study used a sample of 25 physicians and non-physician staff working in medical and surgical ICU units (Ay et al., 2019). This sample was limited to the ICU. A more general sample was used by Kirzner et al. (2010) who selected 153 health care workers, representative of all patient care jobs. Similarly, Salama et al. (2015) selected a general healthcare workers sample for the study. Song et al. (2013) focused on a sample of staff from different leadership positions in children healthcare department. This focus on children is also reflected in Zomer et al. (2013). However, Zomer et al. (2013) focused on sample population of workers in day care institutions hence deviating from the sample population of healthcare workers as in previous studies. Nevertheless, the sample populations studied in current literature mostly includes healthcare attendants and there is a gap in research on community handwashing involving the public in general. Hand Hygiene Capstone Proposal Project Comparison of Limitations of the Study Comparison of study limitations will produce an overview of current challenges in understanding effectiveness of handwashing in the community. There are several limitations seen commonly in the current literature. The first limitation is that due to qualitative nature of many studies, generalization to the general public is also a challenge (Ay et al., 2019; Kirzner et al., 2010). Similarly, most of the studies are limited to a small sample of healthcare workers in a single organization (Salama et al., 2015; Zomer et al., 2013). Findings in such organizations cannot be generalized to the general healthcare worker population due to the lack of reliability. Moreover, the current studies mainly focus on healthcare workers’ hand hygiene and fail to look at general public hygiene and its effects on public health. This is a gap in current literature that the PICOT question seeks to address. Additionally, the study designs present potential for bias due to observational approach (Zomer et al., 2013) other individual study failures included aspects such as failure to observe the rate of glove use during routine hand hygiene observation periods (Salama et al., 2013). The most pronounced limitations in the current literature include the sample selected for studies and the risk of biases in observational studies. Conclusion Current literature presents a gap in research regarding the effectiveness of handwashing in reducing infections for the general population. Most of the research focuses on healthcare workers adherence to hand hygiene and shows that factors such as health workers’ attitudes and availability of facilities affect compliance. The gap in research can be addressed through community health assessments using health promotion programs. It is recommended that further research be conducted using a sample community population to determine compliance and adherence to handwashing. Hand hygiene is a public health concern and the current research will determine the effectiveness of health promotion in boosting compliance with hand hygiene routines. References Akyol, A. D. (2007). Hand hygiene among nurses in Turkey: opinions and practices. Journal of Clinical Nursing , 16 (3), 431-437. https://doi.org/10.1111/j.1365-2702.2005.01543.x Ay, P., Teker, A. G., Hidiroglu, S., Tepe, P., Surmen, A., Sili, U., … & Karavus, M. (2019). A qualitative study of hand hygiene compliance among health care workers in intensive care units. The Journal of Infection in Developing Countries , 13 (02), 111-117. https://doi.org/10.3855/jidc.10926 Kirzner, D., Jang, T. H., Wu, S., Moore, C., Youssef, G., Tong, A., … & McGeer, A. (2010). Focus group study of hand hygiene practice among healthcare workers in a teaching hospital in Toronto, Canada. Infection Control & Hospital Epidemiology , 31 (2), 144-150. https://doi.org/10.1086/649792 Neo, J. R. J., Sagha-Zadeh, R., Vielemeyer, O., & Franklin, E. (2016). Evidence-based practices to increase hand hygiene compliance in health care facilities: an integrated review. American Journal of Infection Control , 44 (6), 691-704. http://dx.doi.org/10.1016/j.ajic.2015.11.034 Salama, M. F., Jamal, W. Y., Al Mousa, H., Al-AbdulGhani, K. A., & Rotimi, V. O. (2013). The effect of hand hygiene compliance on hospital-acquired infections in an ICU setting in a Kuwaiti teaching hospital. Journal of Infection and Public Health , 6 (1), 27-34. https://doi.org/10.1016/j.jiph.2012.09.014 Sax, H., Allegranzi, B., Chraïti, M. N., Boyce, J., Larson, E., & Pittet, D. (2009). The World Health Organization hand hygiene observation method. American Journal of Infection Control , 37 (10), 827-834. https://doi.org/10.1016/j.ajic.2009.07.003 Song, X., Stockwell, D. C., Floyd, T., Short, B. L., & Singh, N. (2013). Improving hand hygiene compliance in health care workers: strategies and impact on patient outcomes. American Journal of Infection Control , 41 (10), e101-e105. http://dx.doi.org/10.1016/j.ajic.2013.01.031 Zomer, T. P., Erasmus, V., van Beeck, E. F., Tjon-A-Tsien, A., Richardus, J. H., & Voeten, H. A. (2013). Hand hygiene compliance and environmental determinants in child day care centers: an observational study. American Journal of Infection Control , 41 (6), 497-502. https://core.ac.uk/download/pdf/43309431.pdf#page=19 Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10