Change Strategy and Implementation
Adoption and implementation of strategies to improve both the quality and safety of care are important within any health care facility. It is important to ensure the implementation of evidence-based strategies to guarantee success (Alagoz et al., 2018). Proper planning is important during the implementation phase to ensure that implemented strategies guarantee success and improve the quality and safety of care.
Rate of Hospital Acquired Infections for the month of April 2022.
|Type of infections.||Current state.||Desired state.|
|Catheter-associated urinary tract infections.||24 (40%)||6 (33.3%)|
|Bloodstream infections.||16 (26.7%)||6 (33.3%)|
|Hospital-acquired pneumonia.||12 (20%)||4 (22.2%)|
|Surgical site infections.||8 (13.3%)||2 (11.1%)|
To reduce hospital-acquired infections, several changes can be implemented to guarantee success. Effective handwashing is one of the strategies that can go a long way in reducing hospital-acquired infections (Magill et al., 2018). Having and enforcing a handwashing policy is very important within our care setting. Provision and having guidelines highlighting the use of personal protective equipment (PPEs) among health care practitioners is another crucial strategy.
Education of health care practitioners and other staff members is another critical change strategy geared towards reducing or eliminating the incidence of hospital-acquired infections. These are simple yet effective change strategies that we can implement within our practice setting to address these infections.
Justifying Change Strategies.
Hand washing is one of the most effective ways of reducing hospital-acquired infections. As Haque (2020) notes, handwashing with soap and running water, preferably warm water, for twenty seconds is important in killing pathogens that play a role in the transmission of infections.
The Centers for Disease Control and Prevention recommend the use of alcohol-based sanitizers with at least 60% alcohol in areas where soap and water are unavailable (Jing et al., 2020). Hand washing should be emphasized before and after touching patients, before and after touching the patient’s surroundings, before clean and aseptic procedures, and after coming into contact with fluids and other risks.
The use of personal protective equipment (PPEs) should be encouraged. PPEs, including gloves, masks, waterproof gowns, shoe covers, and face shields, should be availed, and health care providers are encouraged to use them. PPEs act as a barrier between potential infectious agents coming into contact with either the patient or the health care provider (Sturdy et al., 2020). This is important in infection prevention and control and plays a vital role in minimizing the occurrence of hospital-acquired infections.
Education of health care providers and other staff members is another strategy that can greatly minimize the occurrence of hospital-acquired infections. Health care organizations should ensure they provide continuous and recurring education forums emphasizing and teaching new and proven ways toward infection prevention and control (Schreiber et al., 2018). Education means that the health care providers stay up to date with current recommendations aimed at addressing hospital-acquired infections.
How Will Change Strategies Lead To Quality Improvement?
These change strategies greatly improve the patient experience of care, including both quality and satisfaction. Implementing these strategies greatly minimizes or eliminates the risk of developing hospital-acquired infections. This goes a long way in alleviating patient pain and suffering, guaranteeing a smooth hospital experience. Reducing the length of stay within health care facilities also translates to improved patient satisfaction throughout the whole care delivery process.
Change strategies facilitate the establishment of effective systems that allow the delivery of improvements in both the quality and safety of care through continuous improvement techniques, thus facilitating equitable care. Education of staff and other health care providers empowers them with the capacity to provide safe, high-quality, reliable, and equitable health care that guarantees patient satisfaction (Curry et al., 2018).
Educating health care providers and other staff members within our care setting regarding infection prevention and control will, therefore, go a long way in ensuring both the quality and safety of care.
Change strategies minimizing the rate of hospital-acquired infections significantly reduce the workload within care settings. Reduced burden at the workplace greatly minimizes the occurrence of burnout. This translates to improved motivation and performance at the workplace. This means that health care providers are motivated to perform duties such as care for patients, which is essential in facilitating the provision of safe, quality, and equitable health care.
How Change Strategies Utilize Interprofessional Considerations.
A key interprofessional consideration to take into account is effective and timely communication. Effective and timely communication facilitates change strategies through both the planning and implementation phase, thus guaranteeing success.
Mutual trust and respect ensure that everyone’s opinions are considered during the implementation of the change strategies, thus ensuring that everyone is on board to ensure successful implementation (Renfro et al., 2018). Cooperation among team members means that all parties on board are striving and working towards a common goal of successfully implementing the change aimed at improving the quality and safety of care.
Change strategies are important in ensuring the improvement of both the quality and safety of care. Data collection is important in enabling organizations to know where they are and strive to achieve set targets. Implementation of change strategies confers several benefits to patients in ensuring that care is safe and equitable. Interprofessional collaboration is important in ensuring the success of the implementation of change strategies.
Alagoz, E., Chih, M. Y., Hitchcock, M., Brown, R., & Quanbeck, A. (2018). The use of external change agents to promote quality improvement and organizational change in healthcare organizations: a systematic review. BMC Health Services Research, 18(1), 42. https://doi.org/10.1186/s12913-018-2856-9
Curry, L. A., Brault, M. A., Linnander, E. L., McNatt, Z., Brewster, A. L., Cherlin, E., Flieger, S. P., Ting, H. H., & Bradley, E. H. (2018). Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods intervention study. BMJ Quality & Safety, 27(3), 207–217. https://doi.org/10.1136/bmjqs-2017-006989
Haque M. (2020). Handwashing in averting infectious diseases: Relevance to COVID-19. Journal of Population Therapeutics and Clinical Pharmacology = Journal De La Therapeutique Des Populations Et De La Pharmacologie Clinique, 27(S Pt 1), e37–e52. https://doi.org/10.15586/jptcp.v27SP1.711
Jing, J., Pei Yi, T., Bose, R., McCarthy, J. R., Tharmalingam, N., & Madheswaran, T. (2020). Hand Sanitizers: A Review on Formulation Aspects, Adverse Effects, and Regulations. International Journal of Environmental Research And Public Health, 17(9), 3326. https://doi.org/10.3390/ijerph17093326
Magill, S. S., O’Leary, E., Janelle, S. J., Thompson, D. L., Dumyati, G., Nadle, J., Wilson, L. E., Kainer, M. A., Lynfield, R., Greissman, S., Ray, S. M., Beldavs, Z., Gross, C., Bamberg, W., Sievers, M., Concannon, C., Buhr, N., Warnke, L., Maloney, M., … Edwards, J. R. (2018). Changes in prevalence of health care–associated infections in U.S. hospitals. New England Journal of Medicine, 379(18), 1732–1744. https://doi.org/10.1056/nejmoa1801550
Renfro, C. P., Ferreri, S., Barber, T. G., & Foley, S. (2018). Development of a Communication Strategy to Increase Interprofessional Collaboration in the Outpatient Setting. Pharmacy (Basel, Switzerland), 6(1), 4. https://doi.org/10.3390/pharmacy6010004
Schreiber, P. W., Sax, H., Wolfensberger, A., Clack, L., & Kuster, S. P. (2018). The preventable proportion of healthcare-associated infections 2005–2016: Systematic review and meta-analysis. Infection Control & Hospital Epidemiology, 39(11), 1277–1295. https://doi.org/10.1017/ice.2018.183
Sturdy, A., Basarab, M., Cotter, M., Hager, K., Shakespeare, D., Shah, N., Randall, P., Spray, D., & Arnold, A. (2020). Severe COVID-19 and healthcare-associated infections on the ICU: time to remember the basics?. The Journal of Hospital Infection, 105(4), 593–595. https://doi.org/10.1016/j.jhin.2020.06.027