Proposed change. 

The work is to be 2 pages with three to five sources, with in-text citations and a reference page. Proposed Change Communication in proposed change According to National Center for Biotechnology information (NCBI), healthcare-associated infection because of poor hand hygiene and cross infection account for a whopping 80,000 death per year in the country. On the global view of this rather preventable menace is even starting with incidence of infections that go on the highs of 46 -52% new infections depending with the country where developing countries suffer more. Plentiful of epidemiological evidence support that simple hand hygiene reduces the transmission of healthcare associated infection. Above that hand, hygiene is universally acknowledged by several organization such as, World Health Organization (W.H.O), and Center for Disease Control (C.D.C), as the main requirement for cross infection. The effect the following strategies will be employed to ensure that hand hygiene is implemented to the letter to control cross infection (White, 2012pp.304)

Several communication strategies will be employed to ensure that hand hygiene is not only initiated but also complied and strongly adhered to. Firstly, hand hygiene will be made a policy before any procedure is done to the patient or on anything since cross infection come in any form. This will form a breech in any case the policies on hand hygiene that are written and communicated to staff are end up reneged. By doing this, discipline will be instilled to the staff that just decide to be reckless.

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Another area that is important to ensure effective communication is by examining the organizational or institutional culture for this case is the hospital. Organization culture plays a pivotal role in facilitating and supporting effective communication across. In this case, communication should have open channels. there should be transparency and trust. This will ensure mutual trust between those who are the target of communication. The objective is to change their habitual character of poor hand hygiene. Still on the organization culture, there is a need to have leadership support. Health care teams need strong leadership to ensure that whatever is communicated is implemented. The policies and procedure earlier communicated will only be implemented if only there is strong leadership. Strategy here is strengthening the organizational leadership first.

On the education of the health care team, the educator must do the following as the strategy of giving a thoughtful education to the health care staff to have an impact on implementing hand hygiene. One there must be a clearly stated links between the communication and the patient safety also the staff on the implementation of the hand hygiene policy. Secondly, the educator should clearly articulate the organization expectations on how the hand hygiene communication will be carried out. This ensures the completeness of the education. In addition, the educator must foster an education process that facilitates continuous improvement in patient safety and quality of care of the patient. For this matter, the education on hand hygiene of health care will certainly improve the evidence-based change to the health care team in the following faction:

The educator has to integrate the researched materials in the literature and combine with clinical experience that is aimed to improve the safety of both patient and health care staff. Here the communication has to be a decision that is pinned to improve the care process and patient outcome. With the current alarming report of cross infection due to poor hand hygiene and other deficits can only be improved with evidence based change of which without the situation will remain the same. The chasm between what is known to be effective in hand hygiene and what was practiced can only be crossed by the evidence, which will inform best practices (Abraham, 2012 pp. 23).

This knowledge integration in the practice of hand hygiene will come with its own challenges. One there is the usual resistance of the laggards to any change. The opposition of this kind can derail the implementation of the planned policies in integration of the knowledge the practice in minimizing effects poor hand hygiene. Such resistance can be countered by providing adequate knowledge to have fewer resistances of the laggards (Tran, 2009. Pp. 49)


Abraham, C., & Kools, M. (2012). Writing health communication: An evidence-based guide. London: SAGE.

White, K. M., & Dudley-Brown, S. (2012). Translation of evidence into nursing and health care practice. New York: Springer Pub. Co.

Tran, J., Harris, T. R., Caetano, R., Ostrosky, L., & University of Texas Health Science Center at Houston, School of Public Health. (2009). Comparison of hand hygiene evaluations: A literature review. (Masters Abstracts International, 47-6.

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