Safety Protocol to Reduce Nurses Exposure Paper

Developing a Safety Protocol to Reduce Nurse’s Exposure to Infectious Diseases in an Outpatient Setting. Introduction • Project Description • Prevention of infection at the outpatient clinic requires a well-developed facility protocol for managing patients with infectious diseases. •Purpose • Develop and implement a safety protocols based on current evidence to reduce nurses’ exposure to infectious diseases in an outpatient setting. • Outcomes • Improved preparation and management of infectious diseases in outpatient facility using a safety algorithm. • Reduced staff exposure to infectious diseases in the outpatient clinic. • Increase in staff knowledge on the correct use of personal protective equipment (PPE) •Increased use of telemedicine for patients who are ill or tested positive for Covid-19 Cite your slides here 2 Introduction Background and Significance of Problem to Healthcare • The nursing work environment may change during pandemics • The novel COVID-19 has managed to change the work environment for nurses.

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• During the pandemic, healthcare workers experienced psychological tensions, Covid-19 exposure, fear, fatigue, and burnout. • Healthcare administrators should consider evidencebased protocols to help nurses adapt to underlying changes in the workplace environment. Cite your slides here 3 Practice Setting • Practice Setting • A community health outpatient facility • Target Population/Community/Stakeholders • Target Population • Nurses are the target participants in the project • Patients are the primary consumers for the outcomes • Stakeholders • • • • Cite your slides here Health care administrators and managers Nurses and medical practitioners Laboratory technicians Medical assistants. 4 Needs Assessment • High mortality rates due to infectious diseases within their lines of duty • Positive COVID-19 infection of clinical nurses during the 2020 pandemic • 8 clinical nurses in the outpatient facility contracted COVID19 • Lack of knowledge on the use and disposal of PPEs that may contribute to increased infections and deaths during the pandemic • Lack of existing evidence-based practice in the healthcare clinic • Lack of safety protocols for nurses Cite your slides here 5 Theoretical Framework Transpersonal nursing Theory Rogers Diffusion of Innovation Theory Carative Factors Human Caring Transpersonal Caring Relationship Knowledge Persuasion Implementation Decision Caring Occasion Confirmation Cite your slides here 6 Review of Literature Databases Google scholar Science direct NIH Purdue University Global Library Level 1 = 8 Level 2 = 0 Level 3 = 2 Key Terms Level 4 = 1 Nursing, evidence-based, COVID19, nursing care, outcomes, therapy, personal protective equipment, telemedicine Level 5 = 1 Purdue University Global | This is Where the Title of the Presentation Will Go Level 6 = 1 7 Literature Synthesis Nurses’ preparedness to the pandemic • • • • Telemedicine and telehealth in clinical activities • Coombes & Gregory (2019) Level IV • Jnr 2020 (2020) Level I • Galiero, et al., (2020) Level I Potentials of emergencies during pandemics. • • • • Cite your slides here Mubaarak Al Baalharith & Pappiya (2021) Level I Chua et al., (2021) Level I Hou, et al., (2020) Level III Houghton et al., (2020) Level III Lam et al., (2019) Level I Barratt, et al., (2019) Level I Carrico, et al., (2018) Level VI Lynch et al., (2020) Level V 8 Project Implementation Plan The implementation plan will adhere to the PDSA (PlanDo-Study-Act) project management model. Plan • Draft the purpose and create /adopt an effective safety protocol. Do • Send emails to recruit participants. Obtain informed consents • Administer pre-training survey. • Provide PPE training for nurses and staff. • Describe the protocol for the use of the safety algorithm with participants. • Administer the post-training survey. Study Collect and analyze survey results. Act • Implement the new protocol to the facility. • Evaluate the correct use of evidence base practice • Present findings to stakeholders and publish the results . IRB approval will be obtained through the facility and Purdue Global University IRB Committee after the project proposal is approved Cite your slides here 9 Data Collection and Analysis Instruments for data collection ▪ Pre-and Post-training survey based on CDC Guidelines ▪ Summative Survey ▪ Formative questionnaire during implementation Plan for Data Analysis ▪ Compare pre- and post-training survey scores: ▪ Average and standard deviation (SD) ▪ Paired t-test is used to compare the means of the two samples of related data. Cite your slides here 10 Evaluation Plan • Plan for Formative Evaluation • Weekly questionnaire for staff on the use of the safety protocol and algorithm • Interventions modified and reassessed to handle unexpected situations • Monitor nurses’ use of PPE • Plan for Summative Evaluation • Quantitative and qualitative survey at the end of the project • Comprehensive analysis of data Purdue University Global | This is Where the Title of the Presentation Will Go 11 References • Cha, C., & Park, S. (2021). Information flow and nursing care during the early phase of the COVID‐19 pandemic. Journal Of Clinical Nursing. https://doi.org/10.1111/jocn.15898 • Chua, B., Cosmas, G., & Arsat, N. (2021). Nurses’ Preparedness, Readiness, and Anxiety in Managing COVID-19 Pandemic. Asia Pacific Journal Of Public Health, 101053952110121. https://doi.org/10.1177/10105395211012170 • Galiero, R., Pafundi, P., Nevola, R., Rinaldi, L., Acierno, C., & Caturano, A. et al. (2020). The Importance of Telemedicine during COVID-19 Pandemic: A Focus on Diabetic Retinopathy. Journal Of Diabetes Research, 2020, 1-8. https://doi.org/10.1155/2020/9036847 • Hou, Y., Zhou, Q., Li, D., Guo, Y., Fan, J., & Wang, J. (2020). Preparedness of our emergency department during the coronavirus disease outbreak from the nurses’ perspectives: a qualitative research study. Journal of Emergency Nursing, 46(6), 848-861. https://doi.org/10.1016/j.jen.2020.07.008 Cite your slides here 12 References • Houghton, C., Meskell, P., Delaney, H., Smalle, M., Glenton, C., Booth, A., Chan, X. H., Devane, D., & Biesty, L. M. (2020). Barriers and facilitators to healthcare workers’ adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: A rapid qualitative evidence synthesis. Cochrane Database of Systematic Reviews, 2020(8). https://doi.org/10.1002/14651858.cd013582 • Maniago, J., & Albougami, A. (2020). A national survey of transpersonal caring competency among emergency room nurses in Saudi Arabia. International Journal Of ADVANCED AND APPLIED SCIENCES, 7(1), 145-151. https://doi.org/10.21833/ijaas.2020.01.015 • Mohammadi, M., Poursaberi, R., & Salahshoor, M. (2017). Evaluating the adoption of evidence-based practice using Rogers’s diffusion of innovation theory: a model testing study. Health Promotion Perspectives, 8(1), 25-32. https://doi.org/10.15171/hpp.2018.03 • Mubarak Al Baalharith, I., & Mary Pappiya, E. (2021). Nurses’ preparedness and response to COVID-19. International Journal Of Africa Nursing Sciences, 14, 100302. https://doi.org/10.1016/j.ijans.2021.100302 Cite your slides here 13 References • Phillips, N., Chertkow, H., Pichora‐Fuller, M., & Wittich, W. (2020). Special Issues on Using theMontreal Cognitive Assessmentfor telemedicine Assessment DuringCOVID‐19. Journal Of The American Geriatrics Society, 68(5), 942-944. https://doi.org/10.1111/jgs.16469 • Picciano, A. (2017). Theories and Frameworks for Online Education: Seeking an Integrated Model. Online Learning, 21(3). https://doi.org/10.24059/olj.v21i3.1225 • Thobaity, A. & Alshammari, F. (2020). Nurses on the frontline against the COVID-19 pandemic: An integrative review. Dubai Medical Journal, 2020(3): 87-92. Retrieved from https://www.karger.com/Article/Fulltext/509361 • Wagner, J., Modi, A., Johnson, E., Shegog, R., Escoffery, C., & Bamps, Y. et al. (2017). Self-management interventions in pediatric epilepsy: What is the level of evidence?. Epilepsia, 58(5), 743-754. https://doi.org/10.1111/epi.13711 Purdue University Global | This is Where the Title of the Presentation Will Go 14 Questions?