PICOT RESEARCH PAPER Assignment Topic:Benchmark – Capstone Project Change ProposalSubject:NursingSources:8 sources requiredCitation Style:APA 7th edition Assessment DescriptionIn this assignment, stud

PICOT RESEARCH PAPER Assignment Topic:Benchmark – Capstone Project Change ProposalSubject:NursingSources:8 sources requiredCitation Style:APA 7th edition Assessment DescriptionIn this assignment, stud
PROPOSE IMPLEMENTARY PLAN My EBP change proposal is focused on preventing and reducing infection in long-term care facilities. When it comes to infection the first thing that nurses need to acquire is competency in identifying when there is an infection present in the patient. Nurses also needs education and training about infection prevention, Core Practices that are applicable to nurses and all healthcare personnel in all settings include, standard precautions, and transmission-based precautions. Some of the issues that affects how infection are being handled is that organization leaders are not providing adequate resources to enable frontline personnel to consistently adhere to infection prevention practices. For example, providing proper personal protective gears to adequately render patient care. Preventing infection requires engagement of the patient, their families and caregivers, as well as other healthcare personnel. My suggestion is to empowered and enabled patients to perform self-care in a way that they will minimizes preventable harm. Often, they rely upon their family members and others for assistance. Patient engagement begins with shared information, an assessment of their ability to perform desired tasks, ensuring they can perform those tasks, evaluation of that performance, and feedback regarding improvement. What had led me to my perspective and direction is that being a nurse, I have seen where patient comes into the facility for rehabilitation, and they ended up with infections that is not the least associated with what they were admitted for. This makes me uncomfortable because most if not all are associated with proper hand hygiene. Thus, I decided I want to make a difference. References Carrico R, Rebmann T, English JF, Mackey J, Cronin. (2008). Infection prevention and control competencies for hospital-based health care personnel. American Journal of Infection Control. 2008 December; 36(10):691–701. Kwok YLA, Gralton J, McLaws M-L. Face touching: a frequent habit that has implications for hand hygiene. Am J Infect Control. 2015;43(2):112-4. doi:10.1016/j.ajic.2014.10.015
PICOT RESEARCH PAPER Assignment Topic:Benchmark – Capstone Project Change ProposalSubject:NursingSources:8 sources requiredCitation Style:APA 7th edition Assessment DescriptionIn this assignment, stud
References AlJohani, A., Karuppiah, K., Al Mutairi, A., & Al Mutair, A. (2020). Narrative review of infection control knowledge and attitude among healthcare workers. Journal of Epidemiology and Global Health, 11(1), 20. https://doi.org/10.2991/jegh.k.201101.001. Danis, K., Fonteneau, L., Georges, S., Daniau, C., Bernard-Stoecklin, S., Domegan, L., O’Donnell, J., Hauge, S. H., Dequeker, S., Vandael, E., Van der Heyden, J., Renard, F., Sierra, N. B., Ricchizzi, E., Schweickert, B., Schmidt, N., Abu Sin, M., Eckmanns, T., & Schneider, E. (2020). High impact of COVID-19 in long-term care facilities, suggestion for monitoring in the EU/EEA, May 2020. Eurosurveillance, 25(22). https://doi.org/10.2807/1560-7917.es.2020.25.22.2000956. Gardner, W., States, D., & Bagley, N. (2020). The coronavirus and the risks to the elderly in long-term care. Journal of Aging & Social Policy, 32(4-5), 310-315. https://doi.org/10.1080/08959420.2020.1750543. Lansbury, L. E., Brown, C. S., & Nguyen-Van-Tam, J. S. (2017). Influenza in long-term care facilities. Influenza and Other Respiratory Viruses, 11(5), 356-366. https://doi.org/10.1111/irv.12464. McMichael, T. M., Currie, D. W., Clark, S., Pogosjans, S., Kay, M., Schwartz, N. G., Lewis, J., Baer, A., Kawakami, V., Lukoff, M. D., Ferro, J., Brostrom-Smith, C., Rea, T. D., Sayre, M. R., Riedo, F. X., Russell, D., Hiatt, B., Montgomery, P., Rao, A. K., … Duchin, J. S. (2020). Epidemiology of COVID-19 in a long-term care facility in King County, Washington. New England Journal of Medicine, 382(21), 2005-2011. https://doi.org/10.1056/nejmoa2005412. Owen, L., & Laird, K. (2020). The role of textiles as fomites in the healthcare environment: A review of the infection control risk. PeerJ, 8, e9790. https://doi.org/10.7717/peerj.9790. Russell, D., Dowding, D. W., McDonald, M. V., Adams, V., Rosati, R. J., Larson, E. L., & Shang, J. (2018). Factors for compliance with infection control practices in home healthcare: Findings from a survey of nurses’ knowledge and attitudes toward infection control. American Journal of Infection Control, 46(11), 1211-1217. https://doi.org/10.1016/j.ajic.2018.05.005. Segreti, J., Parvizi, J., Berbari, E., Ricks, P., & Berríos-Torres, S. I. (2017). Introduction to the Centers for Disease Control and Prevention and healthcare infection control practices advisory committee guideline for prevention of surgical site infection: Prosthetic joint arthroplasty section. Surgical Infections, 18(4), 394-400. https://doi.org/10.1089/sur.2017.068. Shea, Y., Lam, H. Y., Yuen, J. K., Adrian Cheng, K. C., Chan, T. C., Mok, W. Y., Chiu, K. C., Luk, K. H., & Chan, H. W. (2020). Maintaining zero coronavirus disease 2019 infection among long-term care facility residents in Hong Kong. Journal of the American Medical Directors Association, 21(7), 981-982. https://doi.org/10.1016/j.jamda.2020.05.042.
PICOT RESEARCH PAPER Assignment Topic:Benchmark – Capstone Project Change ProposalSubject:NursingSources:8 sources requiredCitation Style:APA 7th edition Assessment DescriptionIn this assignment, stud
Literature Evaluation Table Student Name: Change Topic (2-3 sentences): Criteria Article 1 Article 2 Article 3 Article 4 Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article AlJohani, A., Karuppiah, K., Al Mutairi, A., & Al Mutair, A. Journal of Epidemiology and Global Health, 11(1), 20. https://doi.org/10.2991/jegh.k.201101.001. Danis et al., Eurosurveillance, 25(22). https://doi.org/10.2807/1560-7917.es.2020.25.22.2000956. Gardner, W., States, D., & Bagley, N. Journal of Aging & Social Policy, 32(4-5), 310-315. https://doi.org/10.1080/08959420.2020.1750543. Lansbury, L. E., Brown, C. S., & Nguyen-Van-Tam, J. S. Influenza and Other Respiratory Viruses, 11(5), 356-366. https://doi.org/10.1111/irv.12464. Article Title and Year Published Narrative Review of Infection Control Knowledge And Attitude Among Healthcare Workers, 2020. High Impact Of COVID-19 In Long-Term Care Facilities, Suggestion For Monitoring In The EU/EEA, May 2020, 2020. The Coronavirus and The Risks To The Elderly In Long-Term Care, (2020). Influenza in long-term care facilities, (2017). Research Questions (Qualitative)/Hypothesis (Quantitative) What is the infection control knowledge and attitude amongst HCW and what possible issues influence infection control? What is the primary effect of coronavirus disease (Covid-19) within the long-term care facility? What are the COVID-19 risking factors and the most effective ways of reducing the COVID-19 infection rate among the elderly in LTCFs? What is the impact of influenza on long-term care facilities, and what preventive and management measures, such as antiviral medication and vaccination, are in place? Purposes/Aim of Study To determine attitude and infection control knowledge amongst healthcare workers (HCW) and discuss possible issues facilitating infection control (AlJohani et al., 2020). To identify the major effect of COVID-19 in the long-term care unit (Danis et al., 2020). To identify the various risks associated with COVID-19 prevalence in the elderly and to identify the most effective methods of lowering infection rates in LTCFs (Gardner et al., 2020). To determine the consequences induced by influenza in long-term care facilities and define the most appropriate preventive and management measures (Lansbury et al., 2017). Design (Type of Quantitative, or Type of Qualitative) Case study research design. Descriptive research design. Case study research method. Descriptive research design. Setting/Sample Articles review, 20 articles. Article review. Healthcare facility setting Healthcare facility setting Methods: Intervention/Instruments Non-pharmacological intervention, needle safety precautions. Practicing preventive measures such as reducing on-sight physician visitation, self-isolation, hand hygiene, wearing of surgical masks amongst the LTCF staff and elderly patients, and prohibition of visitors (Danis et al., 2020) Reducing on-sight physician visitation, self-isolation, hand hygiene, wearing of surgical masks amongst the LTCF staff and elderly patients, and prohibition of visitors (Gardner et al., 2020). Vaccination and use of heat (Lansbury et al., 2017). Analysis Precautionary measures had a significant influence on compliance with needle safety. The use of surgical masks by LTCF staff reduces the rate of exposure during care delivery. Similarly, less on-site physician visitation reduces Covid-19 transmission (Danis et al., 2020). Covid-19 affects the elderly patients in LTCF, thereby inducing high morbidity and mortality rates (Gardner et al., 2020). The prevalence of seasonal influenza infection influences morbidity and mortality in LTCF residents, thereby imposing additional healthcare issues. Key Findings Precautionary measures and adherence to needle safety precautions involve the application of a high level of knowledge with an average staff attitude (AlJohani et al., 2020). There is a weak link between precautionary measures and employee attitudes. Compliance and precautionary measures demonstrated a moderate positive correlation. Lastly, increased precaution measures significantly influenced needle safety precautions and compliance. Hand hygiene, wearing of surgical masks, isolation of exposed and suspected exposed individuals, hand hygiene practice, reduced on-site physician visitation frequency, and visitors’ prohibition measures influenced the zero-coronavirus infection rate amongst LTCF residents and staff (Danis et al., 2020). Wearing of surgical masks, isolation of exposed and suspected exposed individuals, hand hygiene practice, reduced on-site physician visitation frequency, and visitors’ prohibition measures influenced the zero coronavirus infection rate amongst elderly patients (Gardner et al., 2020).. Seasonal influenza infection causes both morbidity and mortality within the LTCFs. The use of antiviral medication and vaccination help prevent and control the infection. Recommendations HCWs should apply a high level of knowledge to enhance compliance and precautionary treatment measures. LTCF needs to establish an effective surveillance system to determine various typical and atypical signs and symptoms, such as the prevalence of fever and oxygen saturation, associated with COVID-19(Danis et al., 2020). Patients who have tested positive should wear surgical face masks for at least 14 days. The elderly should be isolated from the public with restricted visitation as they are more vulnerable to the COVID-19 infections in LTCFs. Both HCWs and patients should use safety precautions such as antiviral medication and vaccination to help prevent and control the seasonal influenza infection in LTCFs. Explanation of How the Article Supports EBP/Capstone Project The article supports EBP because it enables the HCW evaluate and comprehensively understand various risks associated with the treatments thereby providing quality care. The article supports the capstone project as it influences the analysis and comprehensive understanding of various signs and symptoms related to COVID-19 amongst elderly patients in LTCF. The LTCFs should determine the effect of restricting visitation on the residents’ health and overall welfare. The article supports EBP as it examines the research question, analyzes the outcome, and uses the findings to determine the most effective approach to controlling seasonal influenza amongst the LTCF residents. Criteria Article 5 Article 6 Article 7 Article 8 Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article Owen, L., & Laird, K. PeerJ, 8, e9790. https://doi.org/10.7717/peerj.9790. Russell, D., Dowding, D. W., McDonald, M. V., Adams, V., Rosati, R. J., Larson, E. L., & Shang, J. American Journal of Infection Control, 46(11), 1211-1217. https://doi.org/10.1016/j.ajic.2018.05.005. McMichael et al., New England Journal of Medicine, 382(21), 2005-2011. https://doi.org/10.1056/nejmoa2005412. Shea, Y., Lam, H. Y., Yuen, J. K., Adrian Cheng, K. C., Chan, T. C., Mok, W. Y., Chiu, K. C., Luk, K. H., & Chan, H. W., Journal of the American Medical Directors Association, 21(7), 981-982. https://doi.org/10.1016/j.jamda.2020.05.042. Article Title and Year Published The Role of Textiles as Fomites in The Healthcare Environment: A Review of The Infection Control Risk, (2020). Factors For Compliance with Infection Control Practices in Home Healthcare: Findings from A Survey of Nurses’ Knowledge And Attitudes Toward Infection Control, (2018). Epidemiology of COVID-19 in a long-term care facility in King County, Washington,2020. Maintaining Zero Coronavirus Disease 2019 Infection Among Long-Term Care Facility Residents in Hong Kong, (2020). Research Questions (Qualitative)/Hypothesis (Quantitative) What is the role of textiles as infection transmission agents in the healthcare setting? What is the association between the nurses’ knowledge, attitude, and demographics and how they influence adherence to infection management practices? What are the causes, frequency, control, and prevention measures of COVID-19? What are the most effective ways of reducing the COVID-19 infection rate in LTCFs? Purposes/Aim of Study To determine the function of healthcare textiles during the transmission of infection (Owen& Laird, 2020). To identify the nurses’ compliance level with the infection control observations and determine the correlation between the attitude, knowledge, and demographics (Russell et al., 2018). To determine the causes, frequency, control, and prevention measures of COVID-19 in a long-term care facility in King County, Washington (McMichael et al. 2020). To identify the most appropriate measures for maintaining the COVID-19 infection rate amongst the LTCF residents (Shea et al., 2020). Design (Type of Quantitative, or Type of Qualitative) Case study research design. Survey Case investigation. Case study research design. Setting/Sample Articles review Certified home healthcare agencies (n = 359). Nursing facility and public health setting. Long-term care facility (n = 2). Methods: Intervention/Instruments Decontamination of the perceived textiles using detergents and heat interventions. Multivariate mixed regression. Prevention and control interventions such as contact tracing, case investigation, and isolation of both confirmed and suspected cases (McMichael et al. 2020). Wearing of surgical masks amongst the LTCF staff, reduced on-sight physician visitation, and prohibition of visitors. Analysis Sanitization of healthcare textiles using detergents and heat interventions. A high rate of compliance with infection management practices is required for a positive correlation between attitude, knowledge, and demographics (Russell et al., 2018). The prevalence of COVID-19 symptoms includes breathing challenges, fever, and coughing. Consistent respiratory disorders are associated with COVID-19. The use of surgical masks by LTCF staff reduces the rate of exposure during care delivery. Similarly, less on-site physician visitation reduces Covid-19 transmission. Key Findings Sanitization of healthcare textiles using detergents and heat interventions. There is a positive correlation between the compliance and attitudinal scores. High infection control compliance amongst nurses within home healthcare. Covid-19 symptoms include breathing challenges, fever, and coughing. Consistent respiratory disorders are associated with COVID-19.  Wearing of surgical masks, isolation of exposed and suspected exposed individuals, hand hygiene practice, reduced on-site physician visitation frequency, and visitors’ prohibition measures influenced the zero-coronavirus infection rate amongst LTCF residents and staff. Recommendations HCW should also practice hand hygiene, aseptic technique, and appropriate PPE to reduce the transmission of microorganisms within the healthcare facility.  Home healthcare needs to concentrate on various strategies that would influence the perception of attitudinal factors and infection risks. The LTCF should rapidly use suitable infection prevention and control methods to encounter COVID-19 prevalence. The LTCFs should determine the effect of restricting visitation on the residents’ health and overall welfare. Explanation of How the Article Supports EBP/Capstone The article supports EBP because it provides extensive research, effective assessment, outcome evaluation, and determines the most appropriate measures to resolve the prevailing health problem or research question. The article supports the capstone as it involves research performance, acquisition, and analysis of outcomes to determine the most relevant measures for the handling of research questions. The article supports EBP as it performs general research, effectively analyzes the outcome, and uses the findings to the embitterment of health and overall population welfare. The article supports EBP because it provides extensive research, effective assessment, outcome evaluation, and determines the most appropriate measures to reduce the COVID-19 prevalence rate. References AlJohani, A., Karuppiah, K., Al Mutairi, A., & Al Mutair, A. (2020). Narrative review of infection control knowledge and attitude among healthcare workers. Journal of Epidemiology and Global Health, 11(1), 20. https://doi.org/10.2991/jegh.k.201101.001. Danis, K., Fonteneau, L., Georges, S., Daniau, C., Bernard-Stoecklin, S., Domegan, L., O’Donnell, J., Hauge, S. H., Dequeker, S., Vandael, E., Van der Heyden, J., Renard, F., Sierra, N. B., Ricchizzi, E., Schweickert, B., Schmidt, N., Abu Sin, M., Eckmanns, T., & Schneider, E. (2020). High impact of COVID-19 in long-term care facilities, suggestion for monitoring in the EU/EEA, May 2020. Eurosurveillance, 25(22). https://doi.org/10.2807/1560-7917.es.2020.25.22.2000956. Gardner, W., States, D., & Bagley, N. (2020). The coronavirus and the risks to the elderly in long-term care. Journal of Aging & Social Policy, 32(4-5), 310-315. https://doi.org/10.1080/08959420.2020.1750543. Lansbury, L. E., Brown, C. S., & Nguyen-Van-Tam, J. S. (2017). Influenza in long-term care facilities. Influenza and Other Respiratory Viruses, 11(5), 356-366. https://doi.org/10.1111/irv.12464. McMichael, T. M., Currie, D. W., Clark, S., Pogosjans, S., Kay, M., Schwartz, N. G., Lewis, J., Baer, A., Kawakami, V., Lukoff, M. D., Ferro, J., Brostrom-Smith, C., Rea, T. D., Sayre, M. R., Riedo, F. X., Russell, D., Hiatt, B., Montgomery, P., Rao, A. K., … Duchin, J. S. (2020). Epidemiology of COVID-19 in a long-term care facility in King County, Washington. New England Journal of Medicine, 382(21), 2005-2011. https://doi.org/10.1056/nejmoa2005412. Owen, L., & Laird, K. (2020). The role of textiles as fomites in the healthcare environment: A review of the infection control risk. PeerJ, 8, e9790. https://doi.org/10.7717/peerj.9790. Russell, D., Dowding, D. W., McDonald, M. V., Adams, V., Rosati, R. J., Larson, E. L., & Shang, J. (2018). Factors for compliance with infection control practices in home healthcare: Findings from a survey of nurses’ knowledge and attitudes toward infection control. American Journal of Infection Control, 46(11), 1211-1217. https://doi.org/10.1016/j.ajic.2018.05.005. Shea, Y., Lam, H. Y., Yuen, J. K., Adrian Cheng, K. C., Chan, T. C., Mok, W. Y., Chiu, K. C., Luk, K. H., & Chan, H. W. (2020). Maintaining zero coronavirus disease 2019 infection among long-term care facility residents in Hong Kong. Journal of the American Medical Directors Association, 21(7), 981-982. https://doi.org/10.1016/j.jamda.2020.05.042. © 2015. Grand Canyon University. All Rights Reserved.

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