Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment and Section B: Proposal/Problem Statement and Literature Review
Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment and Section B: Proposal/Problem Statement and Literature Review
Hospital acquired infections are common in most hospital settings particularly in the surgical, critical care unit, intensive care unit and the emergency department. According to the Center for Disease Control and Prevention (CDC) statistics, over 2 million hospitalized patients get hospital-acquired infections when receiving treatment (Adegboye et al., 2018). This necessitates organizational readiness and cultural changes focused on resolving this problem. In my organization, the level of preparedness is evident in the culture whereby an adequate nurse patient ratio is maintained to prevent chain transmission through multiple provider contact. Protocols have also been put in place to ensure high hygiene standards. However, an implementation barrier exists following lack of…
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.
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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. Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment and Section B: Proposal/Problem Statement and Literature Review
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.

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.

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:
Refine your PICOT into a proposal or problem statement.

Provide a summary of the research you conducted to support your PICOT, including subjects, methods, key findings, and limitations. Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment and Section B: Proposal/Problem Statement and Literature Review

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.
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You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section. Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment and Section B: Proposal/Problem Statement and Literature Review
Evidence-Based Practice Proposal
Organizational Culture and Readiness Assessment
Hospital acquired infections are common in most hospital settings particularly in the surgical, critical care unit, intensive care unit and the emergency department. According to the Center for Disease Control and Prevention (CDC) statistics, over 2 million hospitalized patients get hospital-acquired infections when receiving treatment (Adegboye et al., 2018). This necessitates organizational readiness and cultural changes focused on resolving this problem. In my organization, the level of preparedness is evident in the culture whereby an adequate nurse patient ratio is maintained to prevent chain transmission through multiple provider contact. Protocols have also been put in place to ensure high hygiene standards. However, an implementation barrier exists following lack of policies reinforcing these protocols. Limited resources such as water also increase the risk of HAIs and undermine implementation.
Integration of clinical inquiry in a healthcare organization forms a basis for resolution of healthcare problems. This has helped understand the causes of increased cases of HAIs and encouraged brainstorm in seeking for the most effective solution. Through this, the hospital has been able to employ interdisciplinary and interprofessional collaboration efforts in recognizing the importance of handwashing in the effective control of infectious disease transmission in the facility (Keller, McMillion & Ammon, 2018). According to experts, hands provide a relevant pathogen transmission route due to the frequency of contact with the other body parts as well as other people and external factors such as surfaces. Clinical inquiry is essential in healthcare in pursuit of understanding the pathology of communicable diseases and how multi-drug resistant infectious diseases are spread from one person to another in hospitals (Fox et al., 2015).
Section B: Proposal/Problem Statement and Literature Review
Clinical Question/PICOT Statement
Among hospitalized patients aged 18 years or older (P), how does washing hands using soap and water (I) compared to using hand sanitizers(C), help to reduce incidences of HAIs (O) within 3 months (T)?
Summary of research
More specifically, in the US, one out of 136 patients gets seriously ill because of HAIs. This equates to 1.7 million cases annually causing additional costs of between US$ 4.0–5.0 billion and an estimated 90 000 deaths (Haverstick et al., 2017). In most hospitals, handwashing is the most important and effective infection control procedure that prevents transmission of pathogens from person to person. According to the findings by the World Health Organization (WHO), handwashing with soap and water has a scientific basis and the most appropriate intervention that reduces the transmission costs of pathogens and the rates of HAIs (Haverstick et al., 2017). When combined with other infection control strategies, handwashing produces better results. Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment and Section B: Proposal/Problem Statement and Literature Review
The population within 18 years of age and above is considerably independent in comparison to children and adolescents. This can be translated to the healthcare setting even though not exclusively often because of the nature of illnesses, mental and physical condition of an individual which influence self-care. This observation has also been backed by the fact that the hospitals inpatient department hosts a large number of the adult population from age 18 years. This is why the project seeks to provide a solution that reduces the associated health risk among this group of people.
To get make this decision; I employed an inquiry method of data collection. This involved observation of the patient and the hospital staff and their culture with regards to maintenance of hygiene standards and adherence. I also collected information from the inpatients through questionnaires and interviews. Notably, I conducted a systematic review of multiple literature materials on the hospital acquired information, the mode of transmissions, rates and impacts in the health society as well as prevention. For instance, a research by King et al. (2016), notes that the CDC published revised guidelines and policies in 2002 on handwashing practices in healthcare settings that all healthcare organizations are required to adhere to.
Through the literature material examined, secondary and primary research conducted, multiple findings were obtained. This includes the global and national statistics of HAIs and the involvement role of CDC and WHO in prevention. In addition, the pathology and impacts as well as the rates of spread have been obtained from the research (Haverstick et al., 2017).. This has given more insight regarding the illnesses and the impacts of prevention through handwashing using water. Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment and Section B: Proposal/Problem Statement and Literature Review. Adegboye et al. (2018) describe HAIs as infections that develop within 48 hours or more after admission in a healthcare setting or 30 days after receiving care. He also notes that the infections are of public health significance since they contribute to mortalities, morbidities, increased costs of care, prolonged admissions and pose a threat to the safety of patients. On the other hand, King et al. (2016) identifies poor practices of hand hygiene among medical staff as the major contributor to high incidences of HAIs.
The limitation of the research was limited evidence-based literature material whereby only few researchers have examined HIAs and the impact of handwashing with water over the use of sanitizers. This calls for further research in the future to ensure that the subject is extensively assessed in an effort to prevent the acquisition of HAIs.
 
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. Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment and Section B: Proposal/Problem Statement and Literature Review
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.
Keller, M., McMillion, A., & Ammon, A. (2018). 305 Battling the Bugs: Reducing Hospital-Acquired Infections Through Interprofessional Collaboration. Journal of Burn Care & Research, 39(suppl_1), S122-S122.
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. Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment and Section B: Proposal/Problem Statement and Literature Review