Problem Identification
The nursing administration profession requires one to understand the specific medical environment as well as the condition of the patients. This means that as a nursing administrator one is mandated with the task of ensuring that the medical field has all the basic components which enhance patient recovery. As a result, the inclusion of a conjunct medical attention practices will work significantly in addressing the issues associated with workplace infection. The issue is of main concern because there is the evolution of strange ailments over the years and thus, it is prudent to come up with an exclusive working practice which can comprehensively address the issue affecting the workplace environment. Based on the statistics shared by Kim and Bates (2013), approximately 5-10% of the admitted patients (specifically in the United States) are affected by the hospital acquired infections. The figure sums up to approximately 1.7million US citizens in a span of one year. Various medical institutions practice different mechanisms when dealing with infection control. Therefore, it is important to integrate all these mechanisms into one diverse practice which can be applied in different institutions irrespective of the geological or the financial status of the institution. Therefore, the identification of such a framework will be fundamental in addressing the prevention of different hospital-acquired infections.
Review of Literature
Based on the sentiments by Bormann and Abrahamson (2014), staffing is one of the crucial steps which institutions can undertake towards handling the issue of hospital acquired infections. According to their perceptions, adequate staff members have the ability to note the changes in the health care facility and provide the required assistance within the required time-frame. Moreover, it is evident that when there are sufficient personnel in an institution then success is inevitable. Considering this, then the conclusion is that increasing the number of staff members in a health institution is the fundamental step towards addressing such issues. Gorski (2017), differs with this school of thought affirming that there can be many nurses in an institution but when they lack the critical attributes and know-how of handling the different forms of infection then the presumed numbers cannot work. The notion is that, even if there are an increased number of health practitioners in an institution, knowledge is an important ingredient which should be considered at any given cost.
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It is clear that there are minimal universal procedures which are implemented in a situation where there is hospital acquired infections (Gerrish et al., 2012). The author attests to the fact that there are different practices which are applied in an infectious situation even though they have not been effective in most cases. For instance, when a person is suspected to have acquired a particular infection in most cases the practitioners may choose to make use of assumptions based on the symptoms provided by the patient. In such a situation, it is evident there is a significant breach in medical performance and thus, the well-being of the client is not guaranteed in any way. Therefore, ensuring there is a progressive platform that incorporates the standards of almost all institutions in the globe is a significant step in the positive direction. For example, the research by Bergman, Schjott and Blix (2011), can be treated as an eye-opener on how hospital-acquired infections can be detrimental to the status of patient and the medical facility as well (Bergman et al, 2011). Thus, such a scenario provides a firm basis why it is essential to consider the incorporation of a unique globally-recognized technique to apply in the institution.
With the changing global perspective on nursing practices and administration as well, there have been minimal processes which have been undertaken to enhance training among nurses. The growing corporate world requires individuals who are diverse and experienced in the new evidence-based practices something which has not been full enacted in the different institutions. The institutions perceive financial constraints as some of the major inhibitors to the adoption of the latest nursing practices. The article by World Health Organization (2010), infers that lack of enough funding can be perceived as the major contributor to the increased cases of infection acquired in the health institution. Even though the problem has been showcased, the article fails to provide a constructive solution that can be applied by the health institutions to ensure that the problem has been solved exhaustively.
Therefore, considering past literature on the situation of hospital acquired infections, then it is prudent to have in place a comprehensive system which has been tested that can be used to address the issue. Therefore, the application of collaborative integration in the medical field can be perceived as the most viable step to undertake.
Strategy to Address the Situation
For the integrative collaboration to be effective, the health facility needs to be assessed and a detailed report be presented. Lönnroth, Roglic and Harries (2014), in their assessment of tuberculosis prevention and care reiterate the importance of understanding the facility set up before deciding to come up with any given integrative collaborative measure. Primarily, clearly defining the type of institution, the number of staff members and the level of merit of the nurses will be some of the measures which the nurse administrators will have to consider in their operations. By doing so, they will have a swift implementation plan that will consider the customized set up of the institution.
The other strategy which the health institutions can choose is offering occasional training programs which can ensure that all the administrative nurses are informed of the infection and some of the paramount procedures which need to be undertaken when faced with such a condition. For example, quarantine for tuberculosis patients and assessing the sanitary conditions of the lavatories when faced with a urinary tract infection (UTI) (Lówbúrý, Ayliffe, Geddes, & Williams, 2013). The strategies are comprehensive and adequately address the ways through which the hospital acquired infections can be eradicated.
Workplace Collaborative Practices
To begin with, any given evidence-based practice in nursing has to be supported by every person in the institution. By doing so, the application and implementation will be swift and in the long-run there will be very minimal reported cases of hospital acquired infections ( Moralejo, El Dib, Prata, Barretti, & Corrêa, 2018). Therefore, one of the collaborative practices that can be undertaken is having frequent on-site meetings with the physicians to inform them of the changes in the facility and how well they can be incorporated into the system. The meetings will be significant in informing the institution of the changes and the potential progress of the collaborative act by the institution.
On the other hand, the caregivers or the housekeepers in charge of the patients are required to inform the administrative nurses of the changes or any absurd conditions so that strict measures can be undertaken to address the issue. This collaborative step will ensure that there is easy recovery of the patient as well as counter the conditions which may catalyze the occurrence of the infections.
Integrating New Research in The Workplace
The hardest part of the entire practice is integrating the practice in the institution. According to Quinn et al. (2014) adopting to change is one of the major problems that has enhanced the issue being experie,nced in the different health institutions in different parts of the globe. Considering the positive impacts which are bound to emanate from the practice, regular training and education to the administrative nurses will be essential. Programs should be held frequently in a bid to expand on some of the key areas of concern that should be provided emphasis. The training seminars will also work to ensure that the administrators have adequate information on how to navigate through the collaborative integration practice.
Technology is a comprehensive development which can be used in the integration of the practice. Technology is something which has been used in various sectors and its incorporation in the medical filed can be perceived as an added advantage ( Kavanagh, Cimiotti, Abusalem, & Coty, 2012) . Therefore, through the use of emails and power-point presentations can be an effective move in ensuring the research practice is incorporated in the institution. In addition, a Qualaris audit will a significant mechanism that can aid in integrating the practice in the institution. With the ease of using this avenue, then the staff members will be in a position to gain proper insights to the practice being incorporated into the system.
Impact on the Workplace Setting
The incorporation of the practice in the institution will result into positive results based on the pilot tests conducted ( Edwards, Drumright, Kiernan, & Holmes, 2011) . The practice will aid in improving the quality of healthcare as well as ensure that there is a decrease in the level of infections in the health institutions. Moreover, the practice will ensure there is a positive environment created in the workplace that ensures that the patients are provided adequate care that enhances their easy recovery.
Disseminating Information in the Workplace
Information in the workplace can be disseminated through adhering to the corporate structure. Through regular posting on the notice boards as well as informing the staff members through corporate emails. In addition, use of text messages will be effective channels of communicating the specific prospects of the workplace.
Tool for Measuring Significance of the Proposed Practice
To affirm the practice is proper in enhancing the quality medical institutions, it is essential to collect data and information about the progress of the practice. The method of data collection should be comprehensive and precise towards elevating the status of the health institutions. Therefore, to check on the progress of the practice, data mining will be done in the leading and certified health institution websites. The data will be compared before and after the practice was set in place. This will aid in determining whether the practice has impacted positively or negatively on the condition of the institution.
References
Bergman, J., Schjøtt, J., & Blix, H. S. (2011). Prevention of urinary tract infections in nursing homes: lack of evidence-based prescription? BMC geriatrics , 11 (1), 69.
Bormann, L., & Abrahamson, K. (2014). Do staff nurse perceptions of nurse leadership behaviors influence staff nurse job satisfaction? The case of a hospital applying for Magnet® designation. Journal of Nursing Administration , 44 (4), 219-225.
Duffield, C., Diers, D., O'Brien-Pallas, L., Aisbett, C., Roche, M., King, M., & Aisbett, K. (2011). Nursing staffing, nursing workload, the work environment and patient outcomes. Applied nursing research , 24 (4), 244-255.
Edwards, R., Drumright, L. N., Kiernan, M., & Holmes, A. (2011). Covering more territory to fight resistance: considering nurses’ role in antimicrobial stewardship. Journal of infection prevention , 12 (1), 6-10.
Gerrish, K., Nolan, M., McDonnell, A., Tod, A., Kirshbaum, M., & Guillaume, L. (2012). Factors influencing advanced practice nurses’ ability to promote evidence ‐ based practice among frontline nurses. Worldviews on Evidence ‐ Based Nursing , 9 (1), 30-39.
Gorski, L. A. (2017). The 2016 infusion therapy standards of practice. Home healthcare now , 35 (1), 10-18.
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Kim, J., & Bates, D. W. (2013). Medication administration errors by nurses: adherence to guidelines. Journal of clinical nursing , 22 (3-4), 590-598.
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Lönnroth, K., Roglic, G., & Harries, A. D. (2014). Improving tuberculosis prevention and care through addressing the global diabetes epidemic: from evidence to policy and practice. The lancet Diabetes & endocrinology , 2 (9), 730-739.
Lówbúrý, É. J. L., Ayliffe, G. A. J., Geddes, A. M., & Williams, J. D. (2013). Control of hospital infection: a practical handbook . Springer.
Moralejo, D., El Dib, R., Prata, R. A., Barretti, P., & Corrêa, I. (2018). Improving adherence to Standard Precautions for the control of health care ‐ associated infections. Cochrane Database of Systematic Reviews , (2).
Quinn, B., Baker, D. L., Cohen, S., Stewart, J. L., Lima, C. A., & Parise, C. (2014). Basic nursing care to prevent non-ventilator hospital ‐ acquired pneumonia. Journal of Nursing Scholarship , 46 (1), 11-19.
Sangster ‐ Gormley, E., Martin ‐ Misener, R., Downe ‐ Wamboldt, B., & DiCenso, A. (2011). Factors affecting nurse practitioner role implementation in Canadian practice settings: an integrative review. Journal of advanced nursing , 67 (6), 1178-1190.
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