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Barriers, Facilitators and ChallengesThe organizational assessment of BEMC was completed in January 2019and supported organizational readiness for the implementation of amultimodal hand hygiene intervention. The biggest barrier was time andlocation of ABHR units. Staff did not feel they had enough time to wash withsoap and water after each encounter with a patient and there were notenough ABHR units in hallways. A solution would be to propose to increaseABHR units in the hospital. Facilitators are education materials, training staff inproper hand hygiene, and stakeholder engagement.Feasibility PlanTo test the feasibility of the plan, small tests of change can be donebefore taking changes system wide (Powell et al., 2015). This project was firstimplemented at the Burleson location. Based on the results of this project,modifications will be made as needed, then implemented in the remaininglocations. Feasibility is high as cost is minimal to implement and maintain. Thesurvey was created using SurveyMonkey software already in place at BEMC.
26Running Head: EVIDENCE-BASED PRACTICE PROPOSALOther items used for this project include educational materials (e.g. paper andcolored ink for flyers, posters, and displays). A full budget can be found inAppendix I. The funding for the magnetic reminders to “Wash In” “Wash Out”was obtained from the HA’s supply expense fund. SustainabilitySustainability refers to locking in the progress made by an improvement initiative. The success of any program can be attributed to the pride in ownership felt by those implementing and performing the daily tasks (APIC, 2015). Therefore, involving all staff at BEMC will help create sustainable change in hand hygiene practices. One strategy to ensure success is to involve staff and develop hand hygiene champions to encourage compliance, educate, and will be role models. Another strategy is to provide feedback on hand hygiene performance by displaying compliance data in breakrooms and discuss data at staff meetings.Engagement from BEMC leadership is essential for sustained improvement. They are a key resource for supporting hand hygiene practices, and they understand the impact hand hygiene has on HAIs and overall patient outcomes.Section G: Evaluation of ProgressRational for MethodsTo improve compliance with hand hygiene, a key component for strategies are monitoring and evaluating indicators that reflect these practices, as well as the knowledge and perception of hand hygiene practices (WHO, 2009). “The Model for Improvement was used for this project and is a framework for improvement efforts based on an iterative, trial-and-learning
27Running Head: EVIDENCE-BASED PRACTICE PROPOSALapproach” (Langley et al., 2009, p. 174). As evidenced by the literature reviewed for this study, a multi-modal approach is considered the best strategy for implementing sustainable hand hygiene improvement programs (APIC, 2015). This strategy includes a five-component approach from WHO-5 (WHO, 2018), which are visual cues, education, feedback, leadership