Implementation of the EBP Project in Nurse Education

Introduction

• Reducing Central Line-Associated Bloodstream Infections (CLABSI).
• Nurse education.
• Protocol-based intervention.
• Interprofessional teams.
• Relevant objectives are identified.

The course project is aimed at evaluating the value of nurse education in reducing CLABSI. As a theoretical background, the results of a literature review and the provisions of the relevant protocols are given. Through topical objectives posing, interprofessional teams are called upon to address the issue.

Literature Summary

• Evidence base is engaged.
• CLABSI Prevention Package (CPP) is critical (Hussain et al., 2020).
• Hand hygiene is important (Myatra, 2019).
• Multi-faceted methodology to reduce ICU-acquired infections (Alp & Rello, 2019).
• Bundle intervention is successful (Wasserman & Messina, 2018).

As an evidence base, relevant academic findings are involved. The value of the CPP has been determined, and the best methodological approaches have been identified. Hand hygiene is rated as a significant practice, and bundle intervention is seen as a potentially effective activity.

Learning Needs

• Knowledge expansion.
• Practical training.
• Management skills.
• Care quality enhancement.
• Adopting the necessary attainments.

As the relevant learning needs, several tasks are identified within the intervention. It is planned to increase theoretical and practical knowledge through experience exchange and training. Improving patient outcomes through proper knowledge management allows for enhancing the quality of care and learning the necessary attainments to utilize.

• Obedience to the protocols.
• Reducing the nurse-patient ratio.
• Education and practice sessions.
• Stimulating research activities.
• Improving confidence and competence levels.

Additional learning needs relate to the adoption of the necessary skills. Obedience to protocols and participation in educational sessions are assessed as valuable opportunities to acquire the necessary attainments. Reducing the nurse-patient ratio and encouraging nursing research can help improve the quality of care. Employees’ professional competencies can be improved at the individual level.

Gap Analysis

• Lack of education.
• Poor compliance with the protocols.
• Low engagement.
• Poor interpersonal communication.
• Limited knowledge.

Based on the gap analysis, relevant omissions are identified in nursing training. A lack of education and knowledge regarding CLAPSI has been identified, along with poor adherence to the relevant protocols. Insufficiently effective communication between staff and a weak level of engagement do not allow for a sustainable regime of care for vulnerable patients.

• Nurses are less prepared than physicians.
• Low practical skills.
• Predicting infections is complicated.
• Poor confidence.
• Insufficient motivation.

While taking into account a lack of theoretical training in nurses compared to physicians, low practical skills lead to poor performance. Infections in patients are more difficult to predict in such settings, and without proper motivation, nurses’ confidence indicators are low.

Project SMART Goals

• Ensuring 100% involvement of nurses.
• Full completion of educational sessions.
• Three-month period.
• Compliance with all nursing guidelines.
• 100% leadership engagement.

The SMART goals of the project are based on the aforementioned gaps. The involvement of nurses and leaders is mandatory, and the duration of the project is three months. During this time, staff should study the theoretical and practical foundations prescribed in the relevant guidelines.

• The quality of care is assessed.
• Passing tests during the last week.
• Infection prevention is the main topic.
• Different aspects of training are analyzed.
• Theoretical and practical knowledge is tested.

Improving the quality of care is rated as one of the main goals. To evaluate the effectiveness of the training, tests will be carried out, and the practical and theoretical skills of the staff involved will be assessed in the context of infection prevention.

Project Objectives

• Regular meetings.
• Discussing problems.
• Improving patient outcomes.
• Decreasing the infection rate.
• Communication culture.

The project objectives are based on the goals and provide for addressing the relevant purposes. Regular staff meetings are aimed at discussing issues to improve patient outcomes and decrease the infection rate. One of the critical objectives is enhancing employees’ communication culture.

• High engagement.
• Guidelines provision.
• Thorough examination.
• Findings discussion.
• Clear planning.

Among the objectives, high engagement is viewed as a crucial perspective. Providing the guidelines and performing the examination will contribute to testing the effectiveness of all procedures. At the meetings, the findings will be discussed, and clear plans will be compiled.

Change Approach

• Interdisciplinary care.
• Nurses’ and physicians’ surveillance.
• Joint equipment check.
• Understanding the indications and contraindications.
• Sustainable collaboration.

When forming a team of specialists, the principles of interdisciplinary care should be followed. Nurses and physicians should work jointly and demonstrate sustainable collaboration. Regular equipment checks and control over the indications and contraindications are the necessary activities.

Implementation Process

• Sufficient time for education.
• Initiatives’ dissemination.
• Clinical assessments.
• Patient treatment.
• Time management.

The implementation process is a combination of learning and practice. Specific initiatives disseminated among employees are aimed at evaluating clinical information, patient treatment, and proper time management.

• Engagement in decision-making.
• Self-control approaches.
• Single standardized guideline.
• Leaders’ coordination.
• Discussing interim outcomes.

Employees are involved in joint decision-making guided by leaders. Nurses control themselves by following the accepted guideline and checking the interim results.

Performance Measures

• Regular assessments.
• Leaders’ surveillance.
• Highlighting work errors.
• Compliance with instructions.
• Performance testing.

Regular assessments through leaders’ surveillance will help control nurses’ productivity and highlight work errors. At the end of the intervention, compliance with instructions will be checked while testing performance.

• Personal equipment.
• Environmental cleaning.
• Professional skills.
• Using aseptic techniques
• Competence in catheter insertion.

The main focus is on catheter management and personal self-regulation. Relevant measures to control hygiene compliance and the use of equipment will be carried out, and nurses’ competence in the utilization of aseptic techniques will be assessed.

References

Alp, E., & Rello, J. (2019). Implementation of infection control bundles in intensive care units: Which parameters are applicable in low-to-middle income countries? Journal of Hospital Infection, 101(3), 245-247. Web.

Hussain, A. S., Ahmed, A. M., Arbab, S., Ariff, S., Ali, R., Demas, S., Zeb, J., Rizvi, A., Saleem, A., & Farooqi, J. (2020). CLABSI reduction using evidence based interventions and nurse empowerment: A quality improvement initiative from a tertiary care NICU in Pakistan. Archives of Disease in Childhood, 106(4), 394-400. Web.

Myatra, S. (2019). Improving hand hygiene practices to reduce CLABSI rates: Nurses education integral for success. Indian Journal of Critical Care Medicine, 23(7), 291-293. Web.

Wasserman, S., & Messina, A. (2018). Guide to infection control in the healthcare setting: Bundles in infection prevention and safety. International Society for Infectious Diseases. Web.