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1. Increased attention to sanitation and infectious disease management has been emphasized by both global and national bodies in the health sector. Initially, significant control was achieved in managing infectious diseases, causing a shift in focus to non-communicable conditions (James, 2020). However, the emergence of Ebola and coronavirus pandemics has heightened awareness of the need to remain vigilant on sanitation within hospitals and communities to secure the population’s health. Improvement in nursing care is a continuous process along the objectives of enhancing safety, effectiveness, efficiency, time and equitable patient-centered care (Salmond & Echevarria, 2017). infectious conditions management require ensuring sustainability of the existing vaccination programs to minimize the risk of increased burden of infectious diseases as covid-19 response interferes with existing clinical measures to control such conditions. Besides ensuring high levels of sanitation, nurses must ensure consistent dissemination of relevant information to reduce stigma and promote health saving practices (James, 2020). 

According to Salmond & Echevarria (2017) nursing care plays a critical role in change implementation in clinical setups. The changes in the role of nursing care during the covid-19 pandemic in reducing the notable increase in infectious disease monitored through close monitoring of consistent adherence to the vaccination schedule. Consistent adherence to sanitation guidelines and infection reduction. The role of bedside nurse in disseminating information about the importance of maintaining social distance and physical isolation of patients diagnosed with covid-19 and other infectious conditions. Structured nursing rounding is part of patient care procedure in monitoring disease progress among infected patients and recording any significant clinical behaviour change indicative of new infections.

2. Think of a change that is being implemented or was recently implemented at your workplace or clinical setting.

Since I do not have hospital work experience nor enough clinical setting experience, I researched some recent changes that were implemented in hospitals. A change that has been implemented in some hospitals is the elimination of using lanyards in the facility. Lanyards are those cords that hold ID badges around the neck of healthcare workers. 

Briefly explain the change.

The change started after a surgical nurse observed healthcare workers bending over patients during assessments or procedures which caused their lanyards to come in contact with surgical wounds, dirty linens, and bodily fluid secretions (Dugan, et al, 2019). After conducting a literature review, it was found that hospital worn equipment such as stethoscopes, pens, neckties, and lanyards have been linked to carrying and transmitting various diseases (Dugan, et al, 2019). This research was shown to the research council and they discussed the high contamination rates of staphylococcus aureus skin infections.

How do the changes identified relate to outcomes?

The changes of eliminating lanyards worn around the neck should yield outcomes of less contamination rates of staphylococcus aureus skin infections and other hospital acquired infections. The changes are made to decrease the chances of spreading various diseases from multiple patients throughout the hospital. 

How will data be used to evaluate these outcomes? 

There would be documentations of hospital acquired infections such as MRSA, pneumonia, staphylococcus aureus, and other various infections that patients did not have prior to entering the hospital. There would be an increase or decrease trend as it relates to hospital protocol changes. The data would be quantitative data. 

What is the bedside nurse’s role in dissemination or communication of clinical findings?

A nurse’s role to disseminate these clinical findings would be to follow hospital protocol such as proper documentation of patient baseline levels and their development / advancement in their care. This would show any new infections and possibly relate them to interventions completed by the healthcare team. The nurse’s role in communication would be to evaluate their own understanding of new protocols and communicate with coworkers and staff to enforce the new changes. 

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