Summary: Improving Adherence In Clinical Practice

Being a student in the UW nursing school, I can not only take advantage of the special classroom settings, but also the advanced technology. With classroom settings designed for active learning, it gives me opportunities to share my thoughts and ideas with other students. Instead of listening passively, we would work as a team to find out the best solution for patients. Besides, the unique state-of-the-art technology allows me to practice and apply my knowledge in a simulated hospital setting. Since every practice is recorded, I can take a look at those videos several times and self-reflect. Thus, I can correct my mistakes and improve.

Fuller, C. Michie, S. Savage, J. McAteer, J. Besser, S. Charlett, A. Hayward, A. Cookson, B. Cooper, B. Duckworth, G. Jeanes, A. Roberts, J. Teare, L. Stone, S. (2012). The Feedback Intervention Trial - Improving hand-hygiene compliance in UK Healthcare Workers: A Stepped wedge cluster randomised Controlled Trial. PLoS One. 7 (10).

A required section of the Registered Nurse (RN) to Bachelors of Science in Nursing (BSN) program at Ferris State University

Understanding whether education and self-efficacy increases adherence to health behavior modification is significant in the nursing world, because it suggests that nurses play a dominant role in patient teaching. As nurses, it is crucial to utilize patient teaching and supporting skills to ensure quality care and better health outcomes in the long run. When a patient is educated, it increase’s their confidence to participate in treatment, improves outcomes, and encourages better health habits. Feeling confident in one’s abilities is key to maintaining adherence to medical regimens, and health behaviors. Patient education can be done in various ways including, PowerPoint’s, handouts, and videos.

Implementation Processes: The retrospective data of hand hygiene compliance among healthcare workers from 2014-2015 were analyzed. Then, integrating the essence data of non-compliance with hand hygiene from fish bones analysis to develop patient engagement intervention—Hand Hygiene Compliance Process Flow Chart—for improving hand hygiene compliance. The PDSA development cycles, and WHO measures hand hygiene compliance were conducted to test the feasibility of the intervention within 10 days. The staff members working in the oncology unit were a target; 20-30 members were tested for daily hand hygiene compliance. The processes were: PDSA cycle 1: the pilot test by educating two patients about hand hygiene. As a result of this cycle, we adapted

Enhanced surveillance rounds and on-going education continue. Just in time education and peer coaching are also being provided to staff regarding HH and PPE appropriateness through the Patient Safety Coaches, which is a Community Care Program that observes healthcare worker compliance during patient encounters.

This educational needs assessment will cover the hospital I serve in. It is a full service, 139 bed community hospital located on a scenic campus in. The hospital staff pride ourselves on providing the highest quality care in all service areas. Our intense focus on customer service and patient safety has created a unique healing environment. In addition to our personalized care, we offer state-of-the-art technology and a medical staff consisting of the finest physicians in the area. All of the patient rooms are private and we provide free, convenient parking in a safe neighborhood. We have also achieved top scores from the Joint Commission and the State Department of Health and are accredited Chest Pain Center. The hospital is partially owned by physicians. Needs Assessment The nursing services provided at my hospital include a number of clinical services in areas such as bariatric care, cardiology, robotic surgery, the day hospital, pediatrics and a number of other areas. As mentioned above, the hospital is a full service institution that is well awarded and provides a lot of services. However, even in great institutions, things can be improved for the approximately 200 nurses employed on staff. From the research that this author has doen, the geatest gap in our hospital's educational needs (and possibly the most expensive is the lack of knowledge of HIPAA (Health Insurance Portability and Accountability Act) amongst hospital staff nurses. To test fellow

This can be accomplished by implementing a monthly handwashing initiative on the unit that would consist of completing five anonymous evaluations a month. Staff can enter their names into a drawing on the unit, winners will receive a prize for their participation. The increase in consistent handwashing between patients will reduce mortality and morbidity rates, reduce length of stay, reduce infection rates therefore increasing reimbursement for the hospital.

The Department of Health and Human Services launched Healthy People 2020 to promote quality of life and healthy development across all life ages (Centers for Disease Control and Prevention, 2011). As a healthcare professional working at retail sector, one of the pharmacist duties is to improve medication adherence that promote better quality of life for all groups. One of the biggest challenges for healthcare professional is improve medication adherence after the initial discharged of the patient to prevent hospital readmission. According to a study by the New England Healthcare Institute (NEHI), nearly one in five patients discharged from the hospital is readmitted within 30 days and resulted in an estimated total cost of readmissions

CDCs clean hands count campaign aim to improve healthcare provide adherence to hand hygiene recommendations, address, myths and misperceptions about hand hygiene and empower patients to play a role in their care by asking or reminding healthcare providers to clean their hands and the most germs that cause serious infections in healthcare are spread by people’s action, every patient is at risk of getting an infection while they are being treated for something else, hand hygiene is a great way to prevent infections and healthcare providers clean their hands less than half of the time they should, good hand washing is the first line of defense against the spread of many illness.

Recent studies have indicated that healthcare workers do not sufficiently recognize the importance of hand hygiene and compliance with

Highlighted in the Keogh Review, and the Francis Report - Avoidable harm was inflicted by HCAI - Hand hygiene not routine amoung staff (REF). - Patients were not encouraged or assisted with hand hygiene, leading to risk of infection, staff lack awareness. - Further training needed - Staff and visitors need to comply with guidelines.

Our systematic review demonstrates that the use of GMMs to study medication adherence has increased considerably in the past few years, with no studies having been conducted prior to 2010. This is likely a reflection of the fact that GMMs are a relatively newer statistical technique. For instance, Nagin first introduced GBTMs in 1999, and Muthén introduced GMMs in 2001.23, 24, According to a literature search conducted by Nagin and Odgers, a small, but rapidly developing clinical literature base has emerged since these models were first proposed – from 2000 to 2008, applications of these methods to clinical studies increased from 8 to 80 publications per year.25 Thus, it is perhaps unsurprising, that increased familiarity through application in other clinical areas, led to eventual adoption and popularization of the technique in studying medication adherence. GMMs (and their GBTM counterparts) provide a sophisticated statistical method by which to capture the heterogeneity within a given population, and often map onto how many researchers conceptualize growth, in that, different types of individuals likely exhibit different trajectories of behavior. Given the rapid adoption and application of such models within the clinical literature, and the fact that this modeling technique is relatively novel, it stands to reason that there may be certain methodological nuances which have been overlooked or ignored by researchers. Our review reveals several problematic issues related to

The nurse should act as a facilitator, creating an environment conducive to learning that motivates individuals to want to learn and makes it possible for them to learn (Musinski, 1999). The assessment of learning needs, the designing of a teaching plan, the implementation of instructional methods and materials, and the evaluation of teaching and learning should include participation by both the educator and the learner. Thus, the emphasis should be on the facilitation of learning from a nondirective rather than a didactic teaching approach (Knowles, Holton, & Swanson, 1998; Musinski, 1999; Mangena & Chabeli, 2005; Donner et al., 2005).

The solution to increasing hand-washing compliance does not have a simple, one fix-all answer. Instead, there are a few small ways that can contribute to increasing our hand-washing compliance. Some LHSC locations have made significant progress in compliance rates however, there is still room to improve towards the goal of 100 per cent compliance. Figure 1 provides a graphical representation of the average hand-washing compliance rates for moments 1 and 4 in relation to LHSC’s goal. The compliance rates displayed are shown as an average for the University Hospital and Victoria Hospital.