FINAL PAPER the combination of the my four phases APA FORMAT RUBRIC ATTACHED . The four phases are attached and feedback

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Phase3ImplementationIdalmisLopez.docx

Running head: INFECTION PREVENTION 1

INFECTION PREVENTION 15

Phase # 3 Implementation

Infection Prevention

Implementation

Task

Duration

Assessment of the current practices

1 week

Identification of the factors leading to high cases of healthcare-acquired infection

5 weeks

Pre-Training

Two weeks

Training

5 weeks

Process of assessing the situation and communication with the key stakeholders

Ongoing process

The implementation plan process of this research project is aimed at addressing issues related to the knowledge, practices, and other factors such as the socio-demographic factors, and the healthcare facility factors which are considered to be playing important roles towards the prevention of healthcare-acquired infections. The implementation process for the change implementation plan in reducing the healthcare-acquired infections requires adequate resources which will be necessary towards training the healthcare providers to have the required knowledge needed to improve their skills in relation to the prevention of the healthcare-acquired infections. Resources will also be important in ensuring that the required tools or equipment are purchased to help in ensuring that their effective control or preventive measures in place.

Some of the important tools or equipment which will be necessary to be purchased includes the gloves, hydrogen peroxide, alcohol disinfectant, sterilizer machine, and the alcohol hand disinfectant. Other resources or tools required include pens and notebooks which will be important when training the staffs on the safety measures in relation to the process of preventing healthcare-acquired infections. The implementation program towards the reduction of the healthcare-acquired infection will be based on stages.

Stage 1: Assessment of the current practices (One Week)

The first stage will be involving the process of assessing the current practices in place which are being used towards a reduction of the infection rates. This stage will also involve the assessment of the knowledge of the healthcare providers especially nurses regarding the techniques and the effective methods being used to help in the reduction of infections in the facility. The assessment will also involve looking at some of the steps which have been put in place to help in combating the incidences of the prevention rates within the facility. One-week duration will be enough towards ensuring that there is a complete assessment of the areas which requires improvement.

Stage 2: Identification of the factors leading to high cases of healthcare-acquired infection (5 days)

The second stage will involve the identification of some of the factors which are contributing to the spread of the infection rate within the facility to help in the designing of the effective training approaches which meets the gaps within the facility in relation to the prevention of healthcare-acquired infections. This stage will be taking around 5 days for completion.

Stage 3: Pre-Training (Two Weeks)

The third stage of the implementation process the pre-training which will take about two weeks. This stage will involve the assessment of the tools and then scheduled for the training sessions (in-person training).

Stage 4: Training (5 weeks)

The fourth stage will involve the training process whereby there will be a performance of the in-person training sessions towards quality healthcare improvement. Training webinars will be checked in this stage. There will also be a collection of the baseline information; making completion of the implementation preparedness checklist. This stage will take around five weeks.

Stage 5: an ongoing process of assessing the situation

The next stage will be a continuous bi-weekly gathering to make a continuous assessment of the situation. There will be an updating of the action plans as well as the implementation of the checklist. The last stage will be involving a contours process whereby activities such as continuous weekly meeting will be important to help in determining the challenges being faced as well as the areas which are successful. In this stage, there will be the determination of the successful intervals for the healthcare providers. Frequent collection and analysis of the data regarding the practices towards preventing healthcare-acquired infections will be analyzed.

There will be a review of relevant supplementary learning network webinars. There will also be a pilot like interventions through the selection of specific departments or wards which are usually having a continuous flow of patients to help in giving a clear picture regarding the effectiveness of the program. There will be continuous training of the current and new as well as the assessment of the healthcare providers with regard to how they are being affected by socio-demographic factors i.e. age, marital status, religion, ethnicity, level of education, and the work experiences and health facility factors.

There will be assigned of the responsibilities to the staffs to help in improving the implementation process aimed at reducing healthcare-acquired infections. Each healthcare provider will be assigned the responsibility with a focus on the identification of the factors which might be further increasing the rate of healthcare-acquired infections other than those which have been identified to be the major contributors.

There will be continuous communication and giving reports in relation to the prevention processes. The prevention practices of healthcare-acquired infection are only developed through having a continuous operational procedure which is involving reporting the emerging issues and areas that requires improvement; therefore, through the existence of continuous communication process, it will be possible to deal with the issue of healthcare-acquired infections as a team. Regular assessment of the progress and creating a plan to keep the process of implementation of the targeted practices to other departments within the facility will be of great value.

Communication with the key stakeholders of the healthcare facility is another important step and this has to be an ongoing process. Stakeholders, in this case, are the individuals who are directly involved or are affected by the increasing incidences of the healthcare-acquired infections. The stakeholders include patients, healthcare providers; groups providing financial support to the hospital, and the hospital management among others. There will be continuous communication and consultation with the stakeholders to help in rolling out the program as well as expanding the process of building the sustainability of the program. Stakeholders will be important in providing feedback regarding the program aimed at addressing the existing gaps in addressing issues related to the prevention of healthcare-acquired infections. The stakeholders will be helping in identifying the areas which require some form of refinement as well as giving suggestions on the new approaches of initiatives which should be applied or adopted.

Continuous cooperation, as well as collaboration with patients, will be important in ensuring that there is a success in improving the process of addressing issues related to the prevention of healthcare-acquired infection. Patients are the highly exposed individuals to healthcare-acquired infection, therefore, an effective process of educating them on how to report and stick by the instruction of the healthcare providers especially those who are placed on an isolated room will be important in helping to reduce the exposure to healthcare-acquired infections such as tuberculosis. With regard to working together with the management of the healthcare facility, the success of the program will be achieved through support from the management. The top management is key stakeholders who are the individuals who are giving go ahead with the process of making an improvement to the issue of concern. Top management will be providing the financial support needed to purchase the materials required towards making the mission of healthcare-acquired infection prevention activities possible. It cannot be possible to make an improvement to the concerns related to the infection if the management is not fully engaged since the project is doom to fail due to a lack of full support.

Materials, activities and the cost

In order to meet the objective of full implementation of the program, it is important to have the required resources in place. These resources are the materials or the equipment which are supposed to be purchased to help in ensuring that every activity being undertaken such as the training of the staffs as well as engaging the key stakeholders i.e. healthcare providers, management, financial supporters, and the patients are effectively involved in the process of implementation. Therefore, the materials and the activity of training and communicating with the stakeholders are categorized below based on the amount required to support each activity or purchase of the materials needed.

Materials/ Activities

Costs

Gloves

$ 300

Manila paper for designing the waste segregation protocol

$ 15

More laboratory coats

$ 100

Hydrogen Peroxide

$ 500

Alcohol Disinfectant

$ 300

Sterilizer Machine

$ 800

Alcohol Hand Disinfectant

$ 100

Pens and Notebooks

$ 150

Construction of the isolation room

$ 5000

Training of healthcare providers

$ 3000

Communication with the stakeholders

$ 800

Miscellaneous

$ 2000

Total

$ 13,065

References

Batran, A., Ayed, A., Salameh, B., Ayoub, M., & Fasfous, A. (2018). Are standard precautions for hospital-acquired infection among nurses in the public sector satisfactory? AMHS , 6 (2), 223-227. Desta, M., Ayenew, T., Sitotaw, N., Tegegne, N., Dires, M., & Getie, M. (2018). Knowledge, practice and associated factors of infection prevention among healthcare workers in Debre Markos referral hospital, Northwest Ethiopia. BMC Health Serv Res, 18, 465. Haque, M., Sartelli, M., McKimm, J., & Bakar, A. M. (2018). Healthcare-associated infections – an overview. Infection Drug Resist, 11, 2321-2333. Imad, F., Ayed, A., Faeda, E., & Lubna, H. (2015). Knowledge and Practice of Nursing Staff towards Infection Control Measures in the Palestinian Hospitals. ERIC, 6 (4), 79-90. Jahangir, M., Ali, M., & Riaz, M. S. (2017). Knowledge and Practices of Nurses Regarding Spread of Nosocomial Infection In government Hospitals, Lahore. J Liaquat Uni Med Health Sci, 16 (3), 149-153. Moyo, G. (2013). Factors influencing compliance with infection prevention standard precautions among nurses working at Mbagathi district hospital, Nairobi, Kenya. Doctoral dissertation, University of Nairobi. Stone, P. (2017). Economic burden of healthcare-associated infections: an American perspective. Expert Rev Pharmacoecon Outcomes Res, 9 (5), 417-422. Teshager, A. F., Engeda, H. E., & Worku, W. Z. (2015). Knowledge, Practice, and Associated Factors towards Prevention of Surgical Site Infection among Nurses Working in Amhara Regional State Referral Hospitals, Northwest Ethiopia. Surgery Research and Practice.