Houston Methodist offers primary care and acute care led by highly trained physicians and specialists from various fields. Doctors are required to provide quality care while handling patients and reducing the cost of care. This is achieved through enhanced interprofessional collaboration, continuous communication, and involvement in research.
On the other hand, nurses collaborate with physicians and other healthcare providers to provide care and improve the patient experience. As a result, it is essential that training and education on safety care should be encouraged. Education about an EBP can be provided in small groups over time. This includes maintaining hand hygiene, cleaning the skin with a washcloth soaked in chlorhexidine, and monitoring central lines.
Quality improvement collaborations also use standardized methodologies for data collection, including questionnaires, surveys, and medical records. The collected data is analyzed and shared between members to ascertain the impact of change. Monitoring and continuous evaluation of the intervention are essential in offering feedback and identifying areas of improvement.
Transtheoretical Model (TTM) is the strategy of choice in Houston Methodist for enhancing organizational readiness. TTM aligns a tailored approach for change to meet the organization’s needs (Hashemzadeh et al., 2019). It is completed in six stages: pre-contemplation, contemplation, preparation, implantation, sustainment, and relapse.
In the pre-contemplation stage, individuals are unaware of the negative behavior and hence do not understand the need for change. In addition, they are also defensive about their behavior despite gathering contradicting information from other sources such as media and close friends.
Whereas in the second stage, there is an acknowledgment of the need for change as people understand the negative consequences of their problem. However, they think having the change as the risk and cost outmatch the need for change is unnecessary. In the preparation stage, an individual starts taking steps to initiate change. They include reading, gathering information, and talking about the matter.
In the fourth phase, individuals use the acquired knowledge from the preparation stage to start new and healthy behavior. Support and motivation from others are essential in this stage to avoid slipping back to previous behaviors. In the sustainment phase, the new practice becomes part of the routine and comes up with strategies to prevent relapse.
Finally, the relapse stage involves going back to the previous behaviors, forming the normal pattern of change. However, it is necessary to identify the triggers for failure and develop better strategies to sustain the change. Following all the steps will enhance organizational readiness and initiate change.
The identified stakeholders in the EBP project of encouraging daily bathing of central line with chlorhexidine to prevent central line infections will include the Intensive care unit ICU nurses, physicians, and nursing informaticists. (ICU) nurses will act as champion nurses to educate, monitor others, and encourage other nurses and students to use chlorhexidine to prevent central line-associated bloodstream infections (CLABSI).
Furthermore, they will train other nurses about the correct bathing procedure. On the other hand, physicians will be pioneers in training ICU nurses about the safe placement of central lines and how to identify early signs of infections. In case of infection, physicians will prescribe appropriate medications to prevent complications. Nursing informaticists will collect real-time data about incidences of CLABSI while comparing the trends against the proposed intervention.
Use of electronic health records (EHR, clinical decision support system (CDSS), and Bar-Coded Medication Administration Systems (BCMAs).
EHR is essential in improving communication, data collection, and data retrieval. Communication between nurses will enhance the efficient passage of patient information from one caregiver to the other. In addition, nurses are likely to remind each other about bathing patients with chlorhexidine, resulting in compliance and improved patient outcome. Including chlorhexidine in patients’ BCMAs will enhance compliance while reducing medical errors.
Musuuza et al. (2017) acknowledge that BCMAs increase efficiency in medication and hence can be integrated into ICU to remind nurses to carry out bathing. CDSS mitigates errors by directing practitioners towards solutions. Using CDSS reduces clinic
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