Preventing Central Line Associated-Bloodstream Infections - Research Paper Example

Preventing Central Line Associated-Bloodstream Infections in Home Health among Elderly Health Intervention plan Program Goal A perfect intervention plan must have a primary goal and objective. In this case, the main goal of this intervention plan is to improve the health status of the elderly population. It gives a solution to health problems that may lead to deterioration of health status among the elderly generation. This plan focuses mainly on the prevention of central line associated-bloodstream infection (CLABSI). Therefore, it offers education to different custodians for the old men and women in health stations on how to deal with the diseases. As a result, the program will increase their lifespan. Objectives and Learning Outcomes These are the issues behind the necessity of the program, which are always measurable, observable, and specific in their nature. Basing on domains as illustrated by Bloom (1956), the program outlines tactics of handling patients suffering from bloodstream diseases. The main objective of this intervention program is educating the elderly people on the various ways of managing and preventing CLABSI at home. This program will provide the various ways and techniques by which the elderly can prevent CLABSI at home. In addition, it provides a chance for the care unit to exercise their physical skills in line with preventing the diseases and curbing the same in case of already existing patients (psychomotor). Through the implementation of the above objectives, the project will create a suitable environment of preventing the rate of spread of central line associated bloodstream diseases among the elderly group among family members. Similarly, it will encourage those who are suffering from the disease from losing hope at a very early stage. Therefore, it will reduce the rate at which the target group contracts the infection. Proposed Intervention This refers to methods and technologies that an intervention plan provides in line with the aims and objectives. During my stay in the community health IV infusion field program, I discovered that there has been a plan that has not been effective. I conducted several questionnaires to about two responsible people in every family among the 10 I chose. I realized that the current plan was brief on the strategies that may efficiently comply with the objectives of a good intervention plan. In fact, its objectives could not be achieved in the shortest period possible. From the research findings, areas that required more attention than others were determined. Therefore, this formed the necessity for this proposed intervention. This plan has been structured to replace the ineffective programs that are in place. It offers several strategies in line with the purpose of preventing the spread of CLABSI among the old people at home. It provides both primary and secondary activities of intervention that will allow the target group to achieve the above listed objectives. The primary interventions are those that ought to be performed on a daily basis, whereas the secondary ones are supplements. The program offers several strategies that may positively influence the process of preventing CLABSIs among both adult and pediatric patients. The plan outlines the strategies alongside their research findings as follows: Attend educational interventions You can attend educational forums for the elderly organized within the community to learn the various ways of avoiding being infected and the best prevention methods you should observe. Educational intervention programs organized by experts are important to the management of CLABSIs (Maschall, 2008). Proper hygiene (hand and body cleanliness) Use chlorhexidine-cleansing solution cleansing to bath daily to lower chances of getting infected. This has been found to lower chances of infection compared to using soap and water. CVC dressing and chlorhexidine sponges You are supposed to observe the following the following when using chlorhexidine gluconate. Dip a sponge in the solution chlorhexidine gluconate; place the sponge at site of catheter insertion. This will help reduce the chances of infection (Chopra & Krein, 2013). Maintenance of catheter insertion You are supposed to supposed to observe the rules and guidelines pertaining to maintenance of areas surrounding the catheter insertion area to avoid infection. You are to observe general hygiene standards to minimize avoid being infected with germs. Use a soft piece of cloth and when bathing to clean the areas around CVC insertion (Maschall, 2008). Get specialized teams for CVC insertion CLABSI is one of the diseases that need more qualified medical workers than many of other infectious diseases. To efficiently deal with the spread of the diseases, it is vital that you get qualified personnel to handle the CVC cases. Avoid students because they can often fail observing the recommended guidelines and hence cause complications during CV insertion. Projected timeline After establishing the different ways of preventing the spread of CLABSI, I will recommend the aforementioned prevention mechanisms to avoid infection with CLABSI. Because these are elderly people of about 65 years and above, I will not draw charts, print ‘preventing CLABSI among the elderly’ and educate them on the prevention mechanisms. All this has to be made in the next three weeks. I will present the plan to the members of the of board and my fellow health care workers in the next meeting that will be held on 12th April this year. I will present the basic points by use of PowerPoint in a span of about 30 minutes. Besides, I will use charts and graphs. Issuance of printed report will be made besides forwarding the soft copy to the records office for future reference. Budget In coming up with this intervention plan, I will need some resources to implement this project. The project demands for enough reams of paper, a binder, training devices, Microsoft Word and PowerPoint among other basic materials. The price and functions of each item are illustrated in Appendix 2. Marketing strategies This program provides strategies on how it will be implemented. According to the findings, the program will be marketed to the relevant people through the use of presentations to board members, emailing the soft copy to stakeholders, publishing in health care journals and incorporating the print out in health libraries. All this will lead to effective selling of the ideas and strategies of the plan. Evaluation Plan a) Brief Description of intervention After intervention plan has been implemented, what follows is an evaluation process. Evaluation plan entails the feedback and development on the problem under discussion. In this case, I will reflect back at what I presented to the relevant groups of people. It is a tool of establishing the magnitude in which the intervention strategies are used in the medical field. I will abide with the simple schedule and events as planned in Appendix 3. It provides both primary and secondary activities of intervention that will allow the target group to achieve the above listed objectives. b) Evaluation Description The intervention plan commenced on 7th at the community center. I visited 5 homes near the health center and interviewed 5 old CLABSI patients and educated them on the on the aforementioned ways of preventing CLABSI. Details of Intervention The Board members, health workers, and victims of the disease are the first primary sources of information and data on the outcome of the intervention. I will apply methods such as administration of questionnaires to workers, direct interviews, direct observations, taking photos and recording of speeches. I will rely on these methods since most of them are cheap, the sources are relatively primary, and most of the respondents are found the hospital with ease. c) Overall project outcomes After analyzing all the information and data, I will be able to compare with the data collected in intervention plan. In this case, we expect the result to be reducing in the rate of disease of CLABSI among the elderly. Much of the improvement is expected to cause more by the primary interpretation strategies than the other two. d) Evaluation of intervention specific goals and objectives According to our findings, the impact drastically should decrease starting from primary interventions to tertiary ones. The overall result should incline towards reduction in the number of patients in the wards and the rate of in the society. Strengths of the project It establishes whether he intervention plan works for the betterment of the hospital growth and the society. It relies on the primary sources of information that is more reliable than the other sources. It provides a chance for acquisition of new skills It promotes the lifespan of people. It is cost effective. It minimizes financial constraints that an organization may incur. Weaknesses of the project Language barrier is a threat of effective communication. Biased information may render it useless. Its usage is limited to the elderly group. It assumes the other age groups. It is limited on one type of diseases. Its use may not work well in other scenarios. Conclusions and recommendations Evaluation plan is vital in establishing the response from all the affected parties. It gives a ground for measuring the performance of intervention plans (Worthen, Sanders, & Fitzpatrick, 1997). Therefore, a good evaluation plan may effectively depict what an agency has gained from an intervention plan that provides strategies of rectifying particular situation. Agencies should come up with good evaluation plans for their intervention strategies they put in place (Reeve & Peerboy, 2007). h) Self-evaluation Learning from the research will help as a nurse to develop a solid and comprehensive understanding of the process of intervention and evaluation by giving me guidelines and tips on what should be anticipated after analyzing the final findings of my intervention. i) Application of knowledge The new knowledge gained from the research would be of importance in helping nurses to predict future trends of the disease hence help in formulating intervention programs. Appendix Operator: ________________________ Supervisor: ________________________  Assistant: ________________________ Append. 2 ITEM NO COST FUNCTION(S) Pens, and papers 10 $ 12 Pens for writing Paper for print outs Logistics - $ 30 -Money for other miscellaneous expenses Flash drive 4GB 1 $8.00 Carrying typed doc. from cyber Black Ink Cartridge 1 $15.00 For printer Color Ink Cartridge 1 $25.99 For printer Total $90.99 Append. 3 DATE (2013) PLACE PARTICIPANTS(Characteristic and number) Education Intervention Demonstration 7th Community center area 5 old CLABSI patients -Education Intervention -CVC dressing and chlorhexidine sponges -Maintenance of catheter insertion -Attend educational interventions -Get specialized teams for CVC insertion -I provided the elderly patients with antiseptic & sponge & asked to dip sponge in solution and place it CVC site. -I provided the elderly patients with piece of cloth & asked to clean site area gently. Questionnaire Q1 Have you ever attended any education intervention program? A. Yes B. NO . Q2 Do you know that chlorhexidine gluconate is better than water and soap as disinfectant? A. Yes B. NO Q3 Do you any maintenance methods for CVS to avoid infection? A. Yes B. NO Q4 Do your doctors attend to you or there students? A. Doctors B. Students C. Both Q5 Do you see your doctor often for check-up? A. Yes B. NO Q5 Do you feel satisfied with the education intervention? A. Yes B. NO Q6 If yes, would you recommend to another patient? A. Yes B. NO Give reason Reference Bloom, B. S. (1956). Taxonomy of educational objectives: Handbook I: cognitive domain. New York: David McKay. Chopra, V., & Krein, S. (2013). Prevention of Central Line-Associated Bloodstream Infections: brief update review. In M. Rockville, Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices (pp. 234-258). ny: CRT Printers. Maschall, J. (2008). Strategies to prevent central line-based bloodstream infections in acute care hospitals. Strategies, 22-30. Reeve, J., & Peerboy, D. (2007). Reeve, J., & Peerbhoy, D. (2007). Evaluating the evaluation: Understanding the utility and limitations of evaluation as a tool for organizational learning. Health education journal, 120-131. Shekelle, P., Wachter, R., & Pronovost, P. (2013). Making Health Care Safer II: an update critical analysis of the evidence for patient safety practices. Evidence report/ Technology assessment, 34-945. Worthen, B., Sanders, J., & Fitzpatrick, J. (1997). Program. London: Longman. Read More