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This week’s objective has us “Investigating the interrelationship between policy decisions and evidence-based practice (PO 3).

This week’s objective has us “Investigating the interrelationship between policy decisions and evidence-based practice (PO 3).” More and more, we see nursing moving toward a standard of evidence-based research and practice. In my experience, the push toward evidence-based research and practice has become multidisciplinary. Even the President has mentioned ‘science-based’ programs in many of his speeches related to health care policy. I think we all can conceptually appreciate the value of practice, policy, and programs that are proven to be effective; however, there are a number of potential barriers to consider when presenting research data to policy makers.

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This week we will be looking to meet the course objectives by comparing and contrasting the four models of public policymaking. Additionally, we will also examine the purpose and rationales for using both the incremental and pilot approaches to policy implementation.

Please answer the discussion question above, and share the variety of sources of evidence-based research that you will utilize in your policy priority. Share your rationale for your choices of evidence and why it supports your policy priority.
**Policy priority is mandatory nurse-patient staffing ratio. Please scholarly references.

Consider mandatory nurse-to-patient staffing ratio policy priority. How can you use evidence-based research to demonstrate the relationship of nursing practice to outcomes in mandatory nurse-to-patient staffing ratio?

HCA 503 -Legal and Ethical Issues for Health Care Professionals Set-2 Final Exam

HCS 531 Technology and Health Care Paper

The administration at Metro Hospital, sought out ABC Consulting Firm to find an innovative solution to the problem of hospital acquired infections (HAI), also known as nosocomial infections. Metro Hospital experiences nosocomial infections at a rate similar to all other hospitals in the United States. Metro Hospital had 54 cases of HAI in 2007, extending the stay of the patient an average of 30 days, at a cost to the hospital of $1.5 million in lost revenue. Using new technology, ABC will make recommendations to decrease the incidence of nosocomial infections. “Approximately 2 million patients per year develop HAIs, or about 5% of acute hospital admissions. The last decade alone has seen an estimated 36% increase in HAIs. The estimated 100,000 deaths per year associated with HAIs rank this as the sixth leading cause of death in the United States. In a recent study capturing additional underlying expenses, the excess hospital cost of HAIs across the nation was estimated to be between 28 and 45 billion dollars annually” (Stone, 2010, p. 1). ABC Consulting is recommending the use of a relatively new system of patient protection. Effective hand washing is the most effective way of decreasing HAIs, yet compliance is low. By installing a patient protection system, compliance of all health care providers and support staff will greatly increase, and thereby decreasing the incidence of HAIs. By decreasing the incidence of HAIs, Metro Hospital will recover losses, and increase profitability.

The Hand-Hygiene Solution

ABC Consulting recommends the Hand Hygiene Reminder and Monitoring System through the product HanGenix Comprehensive Hand Hygiene Solutions. The system includes a cone of protection around the patient, an alert and monitoring device badge worn by the provider, and a hand washing monitoring system at the sink (Newbower, 2012, p. 1). The concept of HanGenix is simple, yet revolutionary. Massachusetts General Hospital has installed this system, with dynamic results. To hold caregivers accountable for hand washing is the principle behind the system. Compliance can be monitored in real time with the intent of decreasing the incidence of spreading bacteria and other germs between patients.

“Mounted above the patient’s bed is an ultrasound device that sends out a signal covering the area of the bed. Another transmitter is mounted on the room’s soap or alcohol gel dispenser and knows when the pump has been activated by sensing the vibrations created by the pump’s movement. The care giver wears a device that receives a signal from the pump dispenser when they wash their hands or apply sanitizing gel. If the care giver then approaches the bed, the receiver picks up a signal from the bed’s transmitter and then relays the information to a database that tracks the care giver’s interaction with the patient and their hand sanitation compliance. If the care giver fails to clean their hands, the receiver will emit an audible beep, to remind them to do so, and record the action” (Newbower, 2012, p. 1).

Compliance with hand washing is a continual problem in health care facilities. Documented studies by the Centers for Disease Control and Prevention, National Institutes of Health, and others consistently show that handwashing is the most effective way to control the spread of nosocomial infections. “Hand hygiene is simple, but it’s also repetitive and dull. Infections develop slowly after an initial exposure, and the direct connection between the poor hand hygiene of an individual nurse or physician and a pa

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