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Transtheoretical Model

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This writer will look at how theories affect the behavior as it relates to the location of hand sanitizers and staff education and if it increase compliance of hand hygiene (HH), therefore decreasing healthcare acquired infections (HCAIs). The transtheoretical model (TTM) and the theory of planned behavior (TPB) will be focused upon. The TTM of behavior shows how interventions, like specific location of hand sanitizers), can predict and move the healthcare worker towards the start of a change. The TTM or stages of change was developed by Prochaska and DiClemente in the 1970s. The stages of change: precontemplation, contemplation, preparation, action, and maintenance. Education and resources are used at the different stages, in the scenario …show more content…

Staff members may feel that they practice proper HH until they are made of aware of their exact practice, which may or may not be the proper technique. “Intervention should include reinforcement of hand hygiene messages, knowledge of health care workers' perceived importance of hand hygiene and its role in prevention of HCAI, monitoring and feedback of hand hygiene practices, practical education tools, role-modeling by senior staff, and supportive infrastructure and management” as stated by Pfoh, Dy, & Engineer (2013). Attitude would be another variable. Healthcare workers that are “seasoned” sometimes feel that they are doing things correctly and they do not need improvement or education. Nursing is a process of constant and continual learning and education. Other factors to consider is workflow, availability of hand hygiene supplies, and the level of staffing to ensure the time to practice proper hand …show more content…

The posttest will need a passing score of a certain percentage (80%), otherwise the class will need to be retaken. The pre and posttest result comparison will measure each staff member’s understanding of HH compliance before and after the implementation. The hand sanitizer dispenser location and education will be evaluated by having a group that had the presentation and a group on a different unit without the presentation. The two groups will then be compared as far as compliance, by an anonymous observer. HH observation forms will be used from the infection disease department or from an online site. The Hand Hygiene Australia has a concise observation form that addresses the WHO’s 5 Moments of Hand Hygiene, which can be obtained at http://www.hha.org.au/UserFiles/file/AuditTools/AuditSheet_2013_01_17.pdf. A hand hygiene champion will be designated for each unit to observe, be trained as to what to observe, and record data for the outcome evaluation. Observers will observe on units that are not their own, to prevent bias. Feedback will be obtained by an evaluation (Appendix E) by the staff after the presentation and then again once implemented. Suggestions from staff may help the project be more successful and avoid failure. Communication and collaboration is an essential part evaluation. The evaluation plan is valid because it will measure the outcome by collecting the data on the

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