Running Head: EVIDENCE-BASED PRACTICE PROPOSAL Validity, Reliability and Applicability of Evaluation and Measure The term validity refers to the strength of the conclusions that are drawn from the results. In other words, how accurate are the results (Munro, 2005). This study has face validity as direct observation, interviews and surveys from staff are valid tools.” Results of each intervention was measurable with the exception of the informal interview process which was based on opinion. The results of this project indicate an improvement in hand hygiene compliance at BEMC. This aligns with results from previous hand hygiene studies with similar intervention components. Reliability importance in research comes when the same results are generated, using the same methods in similar conditions (Munro, 2005). The results of this study show reliability as similar results were obtained from the literature reviewed. Applicability is an important consideration for successful Evidence Based Practice (EBP) (Burchett et al., 2013) because it inquires if research conducted elsewhere is appropriate for use in their own setting (Kloda et al., 2011). These measures could be utilized in other similar units or organizations and therefore this is applicable. In addition, the project focused on the positive impact hand hygiene has not only on BEMC but on the overall healthcare system as well, including better patient outcomes, healthier communities, and reduced healthcare costs. Strategies if outcome is not optimal By encouraging early testing of ideas in a specific environment of interest, the Model for Improvement allows interventions to gradually be modified, if outcome is not optimal to the uniqueness of the organization (Langley et al., 2009). Hand hygiene observation data was entered into the Strategic Quality Support System (SQSS) which allows for the tracking of data

30 Running Head: EVIDENCE-BASED PRACTICE PROPOSAL and identification of trends in hand hygiene compliance. This knowledge can then be used to modify interventions as needed to improve compliance. Implications for Practice This project added to the growing knowledge and literature of effective hand hygiene interventions. Findings from this study reveal that multi-modal hand hygiene interventions have a positive impact on hand hygiene compliance among healthcare staff. Further exploration on this topic is recommended to assess whether these interventions result in sustained improvement in hand hygiene compliance in similar size facilities. Future Research According to APIC (2015), one of the most valuable components of a promotional hand hygiene campaign is the use of effective reminders in the work place. Further research is recommended to assess this finding. Results from this study suggest that multi-modal hand hygiene interventions have a positive impact on compliance among healthcare staff. Further exploration on this topic is recommended to assess whether these interventions result in sustained improvement in hand hygiene compliance among healthcare professionals.