Assessment 2.2: Project proposal part 2 Essay Example

  • Category:
    Nursing
  • Document type:
    Assignment
  • Level:
    Masters
  • Page:
    4
  • Words:
    2527

Project title

Hand Hygiene Promotion

Project manager

Insert Student name

The project aims at promoting hand hygiene at Liverpool Hospital by creating an awareness among the medical fraternity at the hospital including nurses, medical practitioners, ward orderlies and the Liverpool hospital Management. In addition, the project aims at promoting hand hygiene among visitors to different wards in the hospital as well as other non-medical staff operating within the Liverpool hospital Loci.

The project aims at increasing hand hygiene supplements such as Alcohol hand rub/soap and water as well as increasing the points for hand wash in different parts of the hospital including offices, wards, operation rooms and other parts within the hospital loci. Moreover, the project aims at promoting hand hygiene within the Liverpool hospital through education the hospital staff as well as the visitors on the benefits of hand hygiene within the hospital through:

  • Use of Posters in various parts of hospital

  • Establishment of a hand washing day in the hospital ton enhances awareness regarding hand hygiene in the hospital.

Relevance of the

Project with respect to Priorities of the

Organisation

Liverpool Hospital lays emphasis on promoting health among its staff and the community ion general. It is through the initiative of leading by example that the hospital aims at reducing the risks resulting from unhealthy habits in the hospital. The hospital intends to promote health in among its staff through:

  • infection control cleaning requirement

  • cleaning

  • infection control

  • hand hygiene

The hospital however on preventing infections, of un hygienic conducts through promotion of health activities within the organisation. Hand hygiene involves washing of hands under various circumstances among different individuals within and outside the organisation. Promotion of hand hygiene within the hospital is among the main priorities of the hospital of Liverpool. This is because, the hospital will minimise infections resulting from unhygienic behaviours among the hospital staff ( McGuckin, 2011. P.16).

The project aims at promoting the idea of washing hands among the hospital staff as well as the outsiders are visiting different parts of the hospital. Promotion of hand hygiene among the hospital staff minimise transmission of diseases among patients through their attendants. For example, the nurses should make wash their hands after attending to the patients that minimize the risks of infection among patients. Visitors in different wards should wash their hands when visiting their relatives and friends in different wards enhances cleanliness which minimises the chances of infections among patients, visitors and staff at Liverpool Hospital

( McGuckin, 2011, p.14).

Relevance of the Project with Priorities of External Factors

The project aims at promoting hand hygiene in Liverpool hospital by creating awareness among hospital staff and individuals visiting different parts of the hospital. Creating awareness of hand hygiene among the hospital staff as well as the visitors in various wards in the hospital reduces the risks of infection in the hospital. The society expects the hospital to lead by example by ensuring minimal infections within and outside tho hospital ( Bahal, 2007, p.25).

The project, therefore aims at increasing hand washing compliance levels in the hospital through enhancing awareness among the hospital staff. The initiative by the project to enhance hand hygiene through the use of alcohol rub would reduce infections within the hospital that ultimately creates a healthy society. In addition, the community would benefit economically, as a result of the implementation of the project in the hospital. This is because; high levels of infections in the hospital resulting from unhygienic behaviours would increase infections. This implies that, the external community end up using large amounts of money in payment of hospital bills which would have been used for other economic activities ( Bahal, 2007, p. 24).

Literature Review

Hand hygiene program was initiated by the World Health Organisation after an increase in the prevalence of infections in various hospitals in the world. The hand hygiene compliance levels in the world have been on an average level since then. The Liverpool hospital has complied with the hand hygiene program since its inception. The effectiveness of hand hygiene program compliance is expected to increase after the implementation of the hand hygiene promotion project. The use of alcohol rubs in various wards and offices within the hospitals enhances healthy living since it is the most effective mechanism of eliminating germs in Hospitals. The hand hygiene program has been in the hospital for a long time, however, the compliance levels have been compromising hence creation of awareness is an effective mechanism of increasing the levels of hand hygiene compliance in the hospital (Barrett, 2008, p.1852).

Hand hygiene programs in various hospitals in Australia have contributed effectively in a reduction of infections among patients and hospital staff. The program of creating awareness among the staff enhances compliance to the hand hygiene programs whose results are seen in a reduction of infections in the hospitals ( Allegraniz, 2009, p.310).

Objectives

200 words

-Creating awareness of hand hygiene in Liverpool hospitals among the medical staff as well as the non-medical staff in the hospital. Creation of awareness on the hand hygiene program in a hospital is expected to increase the compliance levels to the hand hygiene programs in the hospital hence meeting the standard goals set by the World Health Organisation. That is a hundred percent compliance to the program.

-Increasing the number of hand wash points in the wards, surgery rooms as well as all the offices in the hospital. The hand washing points in various parts of the hospital are currently few as compared to the number of people operating in the hospital. This leads to congestion in the available hand washing points that reduce the levels of hand hygiene compliance. Increasing the hand washing points in the hospital serves in decongesting such points hence more people are encouraged to comply with the program.

— Increasing the number of alcohol rubs in the washing points in the hospital. Alcohol rubs are the most effective modes in reducing infections in the hospital given their effectiveness in germ elimination. The use of alcohol rubs enhances hygiene in the hospital by enabling the effectiveness on the fight against germinal infections through the hands. This is because alcohol rubs are more efficient as compared to the other forms of hand wash mechanisms and most of the hospital staffs are comfortable with them.

Increase in the hand hygiene compliance in Liverpool Hospital. Creating awareness among the hospital staff on the importance of hand wash programs enhances compliance since most of the people working in the hospital will be aware of the danger they pose to themselves as well as the patients by ignoring the hand hygiene program. In addition, the people visiting various wards in the hospital will be able to wash their hands as a result of the awareness initiative in the hospital.

-Infections in Liverpool Hospital are expected to reduce as a result of compliance to the hand hygiene program. Most of the infections in the hospital are as a result of negligence by hospital staff in complying with hygienic initiatives. This implies that, creating awareness as well as promoting the idea of hand hygiene in the hospital serves in reducing the levels of infections in the hospital. In addition, the use of alcohol rubs minimises the risks of germinal infections in the hospital as a result of its effectiveness in elimination of germs as compared to the ordinary disinfectants used in the hospital.

-The hospital benefits economically since most of the money used in covering for patients who acquire infections in the hospital as a result of hygiene negligence reduces as a result of the hand hygiene awareness initiative.

Evaluation Strategies

Outcome indicators

Create awareness on hand hygiene program in Liverpool hospital among the staff as well as visitors to various wards in the hospital through the use of alcohol rubs, increase ion the number of hand wash points in the hospital.

-Percentage of the number of hospital staff complying with the hand hygiene program. The number of hospital staff complying with the regulations of hand hygiene program is expected to increase tremendously.

-Percentage of infections within the hospital. The levels of infections within the hospital are expected to reduce with respect to the implementation of the project at Liverpool hospital.

-Percentage of the alcohol rubs use in the hospital is expected to increase since majority of the hospital staff will comply with the hand hygiene program.

Project Objective

Impact indicators

Data collection methods

Creating awareness of hand hygiene in Liverpool hospitals among the medical staff as well as the non-medical staff and visitors to different wards in the hospital

-% of the number of a number of hospital staff complying with the hand hygiene program regulations.

-Reviewing the audit reports with respect to the levels of hand hygiene compliance in the hospital.

-Interviewing hospital employees on their experience with the hand hygiene program to establish their knowledge of the project.

-% of hospital visitors going through the hand wash points in the hospital wards.

-Monitoring the number of hospital visitors washing their hands in various hand wash points in the hospital.

Project Objective

Impact indicators

Data collection methods

Increasing the number of hand wash points in the wards, surgery rooms as well as all the offices in the hospital.

-% of the hospital staff washing their hands in various hand wash points in the hospital is expected to increase after establishment of more hand wash points in the hospital.

-Monitoring the number of employees washing their hands in the newly established points in the hospital.

-Interviewing employees randomly on the impact of the increase in the number of hand wash points in the hospital.

% of hospital staff complying with the hand hygiene program.

Evaluation of the data collected with respect to

hand hygiene compliance at Liverpool Hospital.

-Auditing the hand hygiene program compliance levels in the hospital among the employees.

-% of hospital infections among employees and patients

Monitoring the levels of hospital infections as a result of unhygienic behaviour among employees and patients

Project Objective

Impact indicators

Data collection methods

Increasing the number of alcohol rubs in various hand wash points in the hospital.

% of the hospital infections among the employees, visitors and patients

-Monitoring the rates of infections among employees, ward visitors and patients at Liverpool Hospital.

-Reviewing the patients files to identify infections as result of unhygienic conduct within the hospital

-% of employees complying with the hand hygiene program at Liverpool Hospital.

Evaluating the audit result with respect to hand hygiene program compliance levels in the hospital.

% of alcohol rubs purchased by the hospital annually since the implementation of the project

Evaluating the procurement files in the hospital to identify the number of alcohol rubs purchased in the hospital on annual basis

-The cost of implementing the project the project is expected to be due to the use of alcohol rub, increasing the number of hand wash points in the hospital and organising a hand wash day in the hospital.

-The response of the non –medical staff might be minimal which would limit effective implementation of the project at the hospital. This is because; most of the non-medical staff in the hospital does not see the importance of washing hands all the time given that they are not in direct contact with the patients and other medical equipments.

-Hand hygiene program has been running in various hospitals across the country,but cases of hospital infections have been reported on several occasions, as a result of minimal levels of compliance. This would limit the implementation of the project especially among the medical staff given that they already know the importance of the hand hygiene program.

Strategies to minimise the risks

-Educating the non-medical staff on the risks of non-compliance to the hand hygiene program

-Encouraging the medical staff to comply with the hand hygiene program so as to make a difference at the Liverpool hospital.

-Making sure that the process of creating awareness on the hand hygiene program at Liverpool hospital is effective and the staff can identify with its success.

References

Bischoff WE, Reynolds TM, Sessler CN, et al. Handwashing compliance by health care workers: the impact of introducing an accessible, alcohol-based hand antiseptic. Arch Intern Med 2000; 160:1017–21.

Caldwell, J., Ryan, E., Santiano, N. and Smutts, A. (2012). Hand Hygiene and MRO report

Oxford: Elsevier, pp. 41-58.Characteristics of successful public health intervention. Improving patient care. Grol, R. (2005).

Liverpool Hospital Infection and Prevention Unit, pp.3-19.

. Philadephia: Lippincott Williams and Wilkins, pp. 112-125. Using Evidence at the point of care: Using research in healthcare practiceNagy, S. (2010).

Victoria, C, Habicht, P. and Bryce, J. (2011). Evidence based public health moving beyond randomised trials. American Journal of Public Health 94: 400–405

Pittet, D. (2001). Improving adherence to hand hygiene practice: a multidisciplinary approach. Emerging infectious diseases, 7(2), 234.

Pittet, D., Allegranzi, B., Boyce, J., & World Health Organization World Alliance for Patient Safety First Global Patient Safety Challenge Core Group of Experts. (2009). The World Health Organization guidelines on hand hygiene in health care and their consensus recommendations. World Health, 30(7), 611-622

Whitby, M., Pessoa-Silva, C. L., McLaws, M. L., Allegranzi, B., Sax, H., Larson, E., … & Pittet, D. (2007). Behavioural considerations for hand hygiene practices: the basic building blocks. Journal of Hospital Infection, 65(1), 1-8.

McGuckin, M., Waterman, R., Storr, J., Bowler, I. C. J. W., Ashby, M., Topley, K., & Porten, L. (2001). Evaluation of a patient-empowering hand hygiene programme in the UK. Journal of Hospital Infection, 48(3), 222-227.

Allegraniz, B., & Pittet, D. (2009). Role of hand hygiene in healthcare-associated infection prevention. Journal of Hospital Infection, 73(4), 305-315.

Grayson, M. L., Jarvie, L. J., Martin, R., Johnson, P. D., Jodoin, M. E., McMullan, C., … & Kelly, A. M. (2008). Significant reductions in methicillin-resistant Staphylococcus aureus bacteraemia and clinical isolates associated with a multisite, hand hygiene culture-change program and subsequent successful statewide roll-out. Medical Journal of Australia, 188(11), 633.

Harrington, G., Watson, K., Bailey, M., Land, G., RM, B., Borrell, S., … & Spelman, D. (2007). Reduction in hospitalwide incidence of infection or colonization with methicillin‐resistant Staphylococcus aureus with use of antimicrobial hand‐hygiene gel and statistical process control charts. Infection control and hospital epidemiology, 28(7), 837-844.

Bahal, A., Karamchandani, D., Fraise, A. P., & McLaws, M. L. (2007). Hand hygiene compliance: universally better post-contact than pre-contact in healthcare workers in the UK and Australia. British Journal of Infection Control, 8(1), 24-28.

Gould, D. J., Moralejo, D., Drey, N., & Chudleigh, J. H. (2010). Interventions to improve hand hygiene compliance in patient care. Cochrane Database Syst Rev, 9.

Pittet, D. (2003). Hand hygiene: improved standards and practice for hospital care. Current Opinion in Infectious Diseases, 16(4), 327-335.

Sladek, R. M., Bond, M. J., & Phillips, P. A. 2008. Why don’t doctors wash their hands? A correlational study of thinking styles and hand hygiene. American journal of infection control, 36(6), 399-406.

Barrett, R., & Randle, J. 2008. Hand hygiene practices: nursing students’ perceptions. Journal of Clinical Nursing, 17(14), 1851-1857.

McGuckin, M., Storr, J., Longtin, Y., Allegranzi, B., & Pittet, D. 2011. Patient empowerment and multimodal hand hygiene promotion: a win-win strategy. American Journal of Medical Quality, 26(1), 10-17.