model contains two components of health-related behavior:
1) desire to avoid illness, and
2) 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 Plan
Setting and Time Frame
This EBP project was performed at BEMC, in Burleson, Texas. The project
involved the voluntary participation of all staff members at BEMC.
The time frame
given for this project is 90-days from February 1, 2019 through April 30, 2019. A detailed timeline
in included in Appendix E.
Resources
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Running Head: EVIDENCE-BASED PRACTICE PROPOSAL
The biggest resource for this project was time. Time was needed to
create and evaluate pre- and post-implementation surveys, hand washing
knowledge test, provide education, and display visual cues. Time was also
spent at meetings with department leaders, the hospital administrator.
Infection control provided de-identified hand hygiene data. A full resource list
can be found in Appendix J. There were few materials needs for the project.
The main materials were paper and colored ink for handouts and data
displays. A full budget can be found in Appendix F.
Methods and Instruments to Monitor Implementation
For this project, methods and instruments used to monitor
implementation included a pre- and post-implementation survey, direct
observation of hand hygiene practices, facility compliance data, hand hygiene
product usage, and informal interviewing. Project objectives were measured
by comparing data before and after project implementation.
1.
Pre- and Post-Implementation Surveys
.
This student administered
pre- and post- implementation surveys and a hand hygiene knowledge
test to staff to determine knowledge-base of hand hygiene and HAI
transmission before and after implementation of the multi-modal
intervention. The pre- survey and test were given one week prior to the
start of the project (See Appendix G). The post- survey was given during
the last week of the project (See Appendix L). Surveys were sent to all
staff via email using SurveyMonkey software. The survey took
approximately five minutes to complete. A total of 64 of the 82
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Running Head: EVIDENCE-BASED PRACTICE PROPOSAL
employees 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 hand
hygiene:
a)
Washing in prior to entering a patient room;
b)
Washing out prior to exiting the patient room.
