For several years, evidence-based practice (EBP) implementation in healthcare has been promoted in bridging the gap between science and practice. This is affiliated to the IOM 2020 objective that ninety percent of clinical decisions be evidence-centered to advance healthcare quality. Inadequate EBP knowledge and aptitudes for practicing nurses have been recognized as a vital barrier to attaining change.
2. EVIDENCE-BASED PRACTICE 2
For several years, evidence-based practice (EBP) implementation in healthcare has been
promoted in bridging the gap between science and practice. This is affiliated to the IOM 2020
objective that ninety percent of clinical decisions be evidence-centered to advance healthcare
quality. Inadequate EBP knowledge and aptitudes for practicing nurses have been recognized as
a vital barrier to attaining change.
How does your facility incorporate EBP in a clinical setting to promote patient outcomes?
When patients visit hospitals, they expect to receive treatment. However, recently,
Hospital Acquired Infections (HAIs) among patients are rising. The nursing code of ethics
outlines that nurses should not instigate harm to patients. The contagious pathogens transmission
to patients induce harm via infection transmission and acquiring HAIs, which results in deaths
yearly, and can be prevented with good hygiene practices. Nurses should confirm to their hand
hygiene (HH) practices and become vigilant in preventing HAIs transmission.
At St. Louis Hospital, we have incorporated hand hygiene practices amid patient care.
Every room has two bottles of alcohol-based hand sanitizer where healthcare providers are
mandated to wash their hands before and after patient care in reducing the HAIs cases. Sopirala
et al. (2014) discuss that correct HH practices decreased HAIs which outcome in improved
quality care, patient’s short hospital stays, and reduced medical expenses for both the hospital
and patients. The hospital has initiated a HH safety Posse to entrap healthcare providers who
wash their hands and get rewarded with a $20 Starbucks card. Also, hospital management
supports HH practices.
Do you have recommendations on how your facility can improve its use of EBP?
Marques et al. (2017) suggest the execution of WHO five moments for HH that outline
the crucial moments when healthcare providers must practice HH. The HH compliance is only
3. EVIDENCE-BASED PRACTICE 3
conceivable if the hospital guarantees a sufficient infrastructure and if a dependable and
permanent HH products supply at the appropriate time and the correct location is done as per the
WHO HH approach. For future long-haul solutions, the hospital should implement more in-
house education programs to sensitize both the patients and nurses on HH practices.
4. EVIDENCE-BASED PRACTICE 4
References
Marques, R., Gregório, J., Pinheiro, F., Póvoa, P., Silva, M.M., & Lapão, L.V. (2017). How can
information systems provide support to nurses’ hand hygiene performance? Using
gamification and indoor location to improve hand hygiene awareness and reduce hospital
infections. Health Qual. 32:61–70. https://doi.org/10.1186/s12911-017-0410-z
Sopirala, M. M., Pancholi, P., Nash, M., Mekhjian, H., Yahle-Dunbar, L., Smyer, J., et al.
(2014). Infection Control Link Nurse Program: An interdisciplinary approach in targeting
healthcare-acquired infection. American Journal of Infection Control, 42(4), 353-359 doi:
10.1016/j.ajic.2013.10.007