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model contains two components of health-related behavior: 1) desire to avoid illness, and2) belief that a specific health action will prevent illness (LaMorte, 2016).This model suggests that individual beliefs are that illness and/or disease is a personal threat. When coupled with the belief of recommended health behaviors, this will determine the likelihood the individual behavior will be adopted (LaMorte, 2016). Section F: Implementation PlanSetting and Time FrameThis EBP project was performed at BEMC, in Burleson, Texas. The projectinvolved the voluntary participation of all staff members at BEMC. The time framegiven for this project is 90-days from February 1, 2019 through April 30, 2019. A detailed timelinein included in Appendix E.Resources
22Running Head: EVIDENCE-BASED PRACTICE PROPOSALThe biggest resource for this project was time. Time was needed tocreate and evaluate pre- and post-implementation surveys, hand washingknowledge test, provide education, and display visual cues. Time was alsospent at meetings with department leaders, the hospital administrator.Infection control provided de-identified hand hygiene data. A full resource listcan be found in Appendix J. There were few materials needs for the project.The main materials were paper and colored ink for handouts and datadisplays. A full budget can be found in Appendix F.Methods and Instruments to Monitor ImplementationFor this project, methods and instruments used to monitorimplementation included a pre- and post-implementation survey, directobservation of hand hygiene practices, facility compliance data, hand hygieneproduct usage, and informal interviewing. Project objectives were measuredby comparing data before and after project implementation.1.Pre- and Post-Implementation Surveys. This student administeredpre- and post- implementation surveys and a hand hygiene knowledgetest to staff to determine knowledge-base of hand hygiene and HAItransmission before and after implementation of the multi-modalintervention. The pre- survey and test were given one week prior to thestart of the project (See Appendix G). The post- survey was given duringthe last week of the project (See Appendix L). Surveys were sent to allstaff via email using SurveyMonkey software. The survey tookapproximately five minutes to complete. A total of 64 of the 82
23Running Head: EVIDENCE-BASED PRACTICE PROPOSALemployees completed the pre- survey and knowledge test. Fifty-five (55)completed the post- survey.2.Direct Observation. This is considered by many, the “Gold Standard”for collecting hand hygiene compliance data (Kingston et al., 2016).Data was gathered through direct observation for two moments of handhygiene: a)Washing in prior to entering a patient room;b)Washing out prior to exiting the patient room.