In addition to the knowledge gained from the pre- and post- implementation surveys, informal rounding with staff members provided valuable information regarding barriers to hand hygiene practices at BEMC. For example, one staff member stated that “the foam hand hygiene that the organization currently uses in the wall dispensers causes irritation to her hands” (Mooney, 2019, Personal Interview). This is congruent with other studies that have identified skin irritation as a common barrier to hand hygiene practices (Chassin et al., 2015). The staff of BEMC also commented on other common barriers including being too busy or having their hands full. Therefore, the information gained from informal rounding in addition to the
4 Running Head: EVIDENCE-BASED PRACTICE PROPOSAL – SECTION G pre- and post-implementation surveys allowed the objective of identifying common facilitators and barriers of hand hygiene practices at BEMC. Another objective of this project was to provide a more accurate representation of hand hygiene practices at the organization. Following the establishment of having the leadership team responsible for hand hygiene observations, the number of departments reporting hand hygiene compliance data increased from three to five reporting departments. Accountability from leadership appears to have provided the framework for a systematic approach for improvement in documenting hand hygiene practices. Therefore, the objective to modify the current hand hygiene data collection process to reflect a more accurate representation of hand hygiene practices at the organization was met. Due to the limited timeframe for this project, it is difficult to assess whether or not the multi-modal hand hygiene project had a sustainable impact on organizational hand hygiene compliance. Time only allowed for data collection for a three-month period, which made it difficult to determine any trends in improvement. However, hand hygiene compliance did improve after implementing the project and continues to do so. There is optimism that hand hygiene compliance among healthcare workers at BEMC will continue to improve over time and as the project evolves. Validity, Reliability and Applicability of Evaluation and Measure The term validity refers to the strength of the conclusions that are drawn from the results.
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- Winter '16