Action Plan Makes For A Disaster

ALL WORK AND NO PLAN MAKES FOR A
DISASTERState your proposed EB
practice change, 15
points
The proposed EBP healthcare
organization change is centered around
the PICOT Question: “Is the use of
alcohol based solution in hand washing
more effective than soap and water hand
washing in reducing nosocomial infection
infections inside a nephrology unit of a
hospital?”
Despite the proven effectiveness of
effective hand hygiene practice for
preventing infections, there continues to
be non-compliance concerning the same
(Musu et al., 2017). Placing alcohol
based hand rubbing solutions at the
point of care, coupled with educational
protocols have been evidenced to
correct this organizational issues.
The identified PICOT, thus implies the
need to introduce alcohol based hand
rubbing solutions as the first option of
hand hygiene practices, in addition to
soap and water based solutions,
immediately after patient contact and
invasive procedures in a nephrology unit
of a healthcare organization (Siddiqui et
al., 2017). As per the World Health
Organization (WHO, 2020), alcohol based
hand rubbing solutions are an
ergonomically and cost effective way to
prevent the transmission nosocomial
infection, which do not harm or cause
skin dryness and can be placed
effectively at patient points of care in
comparison to soap and water based
hand washing practices.

Describe the anticipated
barriers to the change
process in your institution (or
where the change will be
implemented). Include the
organization's culture,
anticipated reaction to
change, and your leadership
role for change. 20 points
Despite its proven effectiveness, it is
likely that this proposed organizational
and behavior change is likely to be
encountered with barriers. One of the key
barriers which are likely to occur as a
result of this change is inadequate
awareness or knowledge. Healthcare
professionals are generally reluctant to
replace soap and water hand washing
with alcohol hand rubbing practices since
they are not aware that the latter is as
effective as the former in the prevention
of nosocomial infections (Presterl et al.,
2019).
Additionally barriers which may interfere
with the implementation of these barriers
include: misperceptions that gloves are
enough to prevent infection and that
alcohol solutions can cause skin dryness
similar to soap and water, absence of
alcohol hand rubbing solutions at the
point of care and an organizational
culture where there are no specific hand
hygiene protocols or healthcare
champions who may facilitate change. All
these barriers are likely to facilitate a
negative reaction associated with
resistance to change at the organization
or time of change implementation
(Mearkle et al., 2016).
Thus, to facilitate change, the
researcher/nursing student formulating
the change proposal must adopt a
transformational leadership role where he
or she must inspire, motivate staff to
engage in change and actively allow
them to provide their feedback and
participate in the decision-making