Posted: October 27th, 2022

Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment and Section B: Proposal/Problem Statement and Literature Review

In order to formulate your evidence-based practice (EBP), you need to assess your organization. In this assignment, you will be responsible for setting the stage for EBP. This assignment is conducted in two parts: an organizational cultural and readiness assessment and the proposal/problem statement and literature review, which you completed in NUR-550.

Section A: Organizational Culture and Readiness Assessment

It is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation. Select an appropriate organizational culture survey tool and use this instrument to assess the organization’s readiness.

1. Develop an analysis of 250 words from the results of the survey, addressing your organization’s readiness level, possible project barriers and facilitators, and how to integrate clinical inquiry, providing strategies that strengthen the organization’s weaker areas.
2. Make sure to include the rationale for the survey category scores that were significantly high and low, incorporating details or examples. Explain how to integrate clinical inquiry into the organization.
3. Submit a summary of your results. The actual survey results do not need to be included.

Section B: Proposal/Problem Statement and Literature Review

In NUR-550, you developed a PICOT statement and literature review for a population quality initiative. In 500-750 words, include the following:

1. Refine your PICOT into a proposal or problem statement.
2. Provide a summary of the research you conducted to support your PICOT, including subjects, methods, key findings, and limitations.

General Guidelines:

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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. Refer to the

LopesWrite Technical Support articles

for assistance.

Running head: BENCHMARK ASSIGNMENT

1

BENCHMARK ASSIGNMENT 2

Benchmark Assignment

Name

Institutional Affiliation

Description of the Population and Health Concerns

Research has shown that patients in hospitals have high chances of contracting Hospital Acquired Conditions (HACs) since they have a weak immune system (Adegboye et al., 2018). Moreover, most patients are lacking in the information that their medical status can worsen since each sick person is detected with a different disorder caused by a diverse bacterium that can be communicated from an ill-person to another. Instead, many patients are confident of refining and reunifying with household as well as loved ones or getting back to their daily activities after getting suitable medical services.

The hands of medical service providers are populated by pathogens like multi-drug, clostridium edificial, and M.R.S.A. Furthermore, there are numerous epithelial cells often shed by the skin and have feasible bacteria that can pollute medical apparatus in a patient’s direct setting. Within the medical facility, the surgical division, perilous care division, I.C.U, as well as the disaster department, are recognized to have such great rates of hand corruption. Hands are polluted when: a patient’s whole skin gets in touch with another person or object.

Adegboye et al. (2018) define HACs as contagions that mature within 48 hours after admittance in a healthcare surrounding or within 30 days upon receiving care. Hospital-Acquired diseases are of community health implication because they donate to deaths, illnesses, amplified costs of care, lengthy admissions as well as posing danger to the security of patients. Wrong actions of hand cleanliness amongst medicinal staff are a chief contributor to extraordinary cases of HACs (King et al. 2016). Also denoted to as nosocomial contaminations, HACs have apprehended the consideration of key stakeholders in the healthiness sector, healthcare workers, legislators, the central and public governments, not due to its significant illness, impermanence, and increased healthcare costs, but because it is an avoidable health issue.

Impact on Population Health Management

Available data given by CDC show that more than 2 million patients get bedridden annually and contract diseases often acquired within healthcare facilities (Adegboye et al., 2018). Out of the 2million, a projected 10,000 die from nosocomial diseases. Thus, to offer high-quality medical services that assure the protection of patients in resource-rich as well as settings with little resources, it is significant to avert these illnesses. More precisely, in the U.S, 136 patients get extremely ill due to HACs. This compares to 1.7 million cases yearly leading to extra costs of between US$ 4.0–5.0 billion and a projected 90 000 deaths (Haverstick et al., 2017).

Presently, available data from previous research recruits many factors to elucidate why HACs are progressing at a disturbing rate in the current century. First are clinical and medicinal measures that go beyond the natural defensive barriers of the body, secondly, there is a steady upsurge in the number of vile patients admitted in hospices and healthcare workers moving from one patient to another while giving care thereby generating a channel for pathogen transmitting (Haverstick et al., 2017). Moreover, though many healthcare facilities have sanitation procedures explaining the process of sterilizing medical apparatus, their execution is not well done hence making them unproductive. This clarifies the necessity for the management of healthcare institutes to guarantee good hygiene procedures as well as ensuring that such procedures are respected hence preventing HACs. Healthcare institutions with inadequate assets such as water increase the danger of HACs. Consequently, health amenities should have a satisfactory supply of freshwater to decrease this risk.

Solution Overview

There is a huge advancement in healthcare in chase of the ability to comprehend the pathology of infectious illnesses as well as, how multi-drug resilient communicable sicknesses are contracted between patients in hospitals. There is evidence supporting the claim that the hands of medical services providers are the chief source of HACs censoriously ill patients (Fox et al., 2015). These findings further promote the urge to do more research studies on the prevention of HACs in hospitals through observation of rudimentary hygiene values.

In many healthcare facilities, washing hands is the greatest essential and efficient mechanism through which infections are controlled hence preventing pathogen transmission from an individual to another. According to World Health Organization’s findings, hand-washing especially with water and soap has a scientifically proven basis hence the most suitable mediation that lessens the costs of transmission of pathogens as well as the levels of HACs (Haverstick et al., 2017).

Clinical Question/PICOT Statement

Amongst the bed-ridden patients from 18 years of age and above (P), how does handwashing with soap and running water (I) equate to the use of hand disinfectants(C), aid the reduction of incidences of HACs (O) within a period3 months (T)?

Health Equity

The revised guiding principles as well as policies produced by the C.D.C explained steps to be followed in hand-washing activities within healthcare facilities. The authority requires all health institutions to fully observe the guidelines. The rules powerfully commend that medical service workers should use hand scrubs coupled with alcohol-based disinfectants to fumigate their hands before and after handling the patient. The medical service providers should consequently use clean running water and detergent to clean their hands after offering the services. The policies are important in ensuring safety for both health workers and their patients.

References

Adegboye, M. B., Zakari, S., Ahmed, B. A., & Olufemi, G. H. (2018). Knowledge, awareness, and practice of infection control by health care workers in the intensive care units of a tertiary hospital in Nigeria. African health sciences, 18(1), 72-78.

Fox, C., Wavra, T., Drake, D. A., Mulligan, D., Bennett, Y. P., Nelson, C., … & Bader, M. K. (2015). Use of a patient hand hygiene protocol to reduce hospital-acquired infections and improve nurses’ hand washing. American Journal of Critical Care, 24(3), 216-224.

Haverstick, S., Goodrich, C., Freeman, R., James, S., Kullar, R., & Ahrens, M. (2017). Patients’ handwashing and reducing hospital-acquired infection. Critical care nurse, 37(3), e1-e8.

King, D., Vlaev, I., Everett-Thomas, R., Fitzpatrick, M., Darzi, A., & Birnbach, D. J. (2016). “Priming” hand hygiene compliance in clinical environments. Health Psychology, 35(1), 96. Benchmark – Part A: Population Health Research and PICOT Statement