The second phase is persuasion which is when the individual must form a

The second phase is persuasion which is when the

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or idea and acquires an understanding. The second phase is persuasion, which is when the individual must form a personal view toward the idea or innovation based off of further information. The third phase, the decision, is based off of the individual’s values and choosing to adopt the innovation or reject it. After adoption of the innovation, the fourth phase is implementation, which is when the interventions are carried out. The fifth and final phase is confirmation. This is when evaluation of the interventions take place, and further decisions are made to either continue the interventions, or adjust them if needed (Mohammadi, Poursaberi, & Salahshoor, 2018). For this evidence-based change proposal Roger’s Change Theory was most appropriate and most relatable, in terms of nursing. Roger’s Change Theory mirrors the nursing process; knowledge is the assessment, persuasion is the diagnosis, decision is planning, implementation is intervention, and confirmation being evaluation. With the nursing process engraved within us, theories that mimic it make the most sense. Each step goes further into detail and can take different lengths of time to complete, but having an outlined process or theory is beneficial.
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9 PREVENTING HEALTHCARE-ASSOCIATED INFECTIONS IN HEMODIALYSIS Implementation Hand hygiene is one of the most basic skills taught to nurses and is also the number one way to prevent the spread of infection. Patient safety is always a priority and protecting them from or preventing infection is at the top of that list. Education Nurses need to stay up to date on evidence-based practice, especially when it comes to infection control, but sometimes they need to be re-educated on important topics. Regular staff meetings will be held every two weeks to go over new changes related to up to date EBP, with a focus on hand hygiene do’s and don’ts. Patients and family members or caregivers need to be more educated, as well, especially in the simple form of hand hygiene and infection control. Patients will be educated monthly, chairside, and receive handouts to take home that cover tips, statistics, and additional sources for information. The families or caregivers will be educated every three months at the patients care plan meeting so everyone, staff, family, and the patient, can be on the same page. Accountability Staff that do not adhere to changes and updates in infection control must be held accountable. Too often nurses say, “That isn’t how I learned it”, or, “If it ain’t broke, don’t fix it”. These are just reasons not to change habit and routine, and it must be stopped. The patient is the reason this profession exists, and we have a duty to take care of them to our best ability, and accountability plays a large role in that. After speaking with my Nurse Manager and mentor, we have decided to start enforcing old policies and to stop turning a blind eye to the staff that continue to break policy and procedure. It will start with a verbal warning, followed by a written
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10 PREVENTING HEALTHCARE-ASSOCIATED INFECTIONS IN HEMODIALYSIS
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