Do you have additional insights to the specific problem statement and the etiology Ive come up with?

In preparation for this discussion first prepare interview notes with the following questions:
Id likes to validate a problem statement and begin to formulate a PICOT question with the needs of your organization in mind.
A problem Id like to work to improve is _________ and some of the causes of this problem seem to be _______________. Would you agree? Are you asking questions within the organization about this problem? Do you have additional insights to the specific problem statement and the etiology Ive come up with?
What Outcomes would you hope result from addressing this problem?
Next make a phone interview (5-10 minute) appointment with a nursing or other leader in your chosen organization. The purpose of your interview will be to validate with the interviewee (from their point of view) whether your initial problem statement agrees with their needs.
With this interview information validating or changing your problem statement you can move forward.Keeping the main ideas from the problem statement you drafted in Week 1 wherein you identified the problem and the etiology; now state the problem in the PICOT format.
What Population you will be working with to improve outcomes?
What intervention possibilities are there (these would be aimed at the etiology portion of your statement)?
To what existing practice in health care are you comparing the outcome of your intervention?
What outcome do you expect to see as a result of your intervention?
Healthcare-associated infections (HAIs) have for a long time been a major concern receiving attention from several quarters of health care including nursing public health and other clinical areas. By definition HAIs refer to any illness that a patient might acquire during the course of receiving medical or surgical treatment in a healthcare facility. In the United States the Centre for Disease Control and Prevention reports that HAIs affected 722000 patients in various acute care hospitals across the US while at the same time an additional 75000 patients with HAIs died during the course of being hospitalized. Besides Jukkala et al. (2011) underscore the need to assess the safety and quality within health care microsystems and the reduction of HAIs would provide an effective measure of enhancing the same. Therefore a problem-etiology system is useful in the understanding of HAIs and subsequently informs the measures towards its management.
A holistic view of the healthcare-associated infections can be obtained suing the problem-etiology system. According to Nanda International (2016) this method aids in understanding not only the issue itself but also the related factors that are associated with the condition. Notably the prevalence of various HAIs vary with geographical and socioeconomic differences but almost universal culprits include pneumonia gastrointestinal illnesses surgical site wound infections urinary tract infections and primarily blood stream infections. The etiology of these diseases is composed of an array of bacteria fungi and parasites and as such can be prevented by a myriad of infection control measures. Given the implications that the HAIs have they pose a problem that needs to be addressed to improve general patient care and the problem-etiology model provides a basis for understanding these conditions.
A suggested intervention in the reduction of the incidences of HAIs is the involvement of the patients at large (NICE 2011). From a nursing perspective patient education on HAI their causes and the way that they can be prevented is necessary if HAIs are to be comprehensively managed. In addition the role of a body and immediate environmental cleanliness must be emphasized to the patients in order to have their active participation in the prevention of HAIs. According to Norman et al. (n.d) such teaching should be developed for each patient in order to enhance social interactions that overcome organizational boundaries. The education can be achieved either through one-on-one teaching or the use of various forms of communication channels such as posters around the hospitals brochures or audio-visual media (Amy 2008). Consequently patient and public involvement represents one intervention that can be used to reduce HAIs using the problem-etiology model.
A multidisciplinary approach including various healthcare providers is another action that can be used to control HAIs (NICE 2011). Notably from the foregoing discussions it is evident that the control of the infections requires more than one specialty of healthcare provisions. In such a way a team to champion the process of controlling HAIs should be instituted to lead the efforts towards this noble course. In essence the groups composition should include representations from surgeons clinicians nurses public health workers subordinate staff and hospital leadership. Consequently this team will be able to oversee the implementation of policies aimed at reducing the cases of HAIs within the hospital. Its members will take the responsibility of ensuring that the staff is participant to the policies. Such policies would encompass measures to enhance postoperative wound care environmental cleanliness and education of the staff members on the ways to prevent HAIs (NICE 2011). Therefore a setting up a multidisciplinary team to steer the efforts of preventing HAIs would be a plausible intervention in reducing cases of such infections.
In conclusion healthcare-associated infections represent one of the problems that impede good health care delivery to patients. The diseases have a big impact as they compound the morbidity mortality and financial burden that patients already have. Notably the infections which include pneumonia GIT ones surgical site infections and UTIs are largely preventable. Consequently involvement of the patients and the immediate general public through education on ways of reducing HAIs is a conceivable intervention in addressing this challenge. Further a multidisciplinary team of members from various hospital personnel is useful in championing the implementation of policies to reduce cases of HAIs. In essence the burden of healthcare-associated infections can be significantly achieved through credible interventions.
Amy C. (2008) Patient safety and quality:Preventing health care-associated infections.NCBI.Retrieved from
Jukkala A. Patrician P. Northen A. &Block V. (n.d).Readability and usefulness of the clinical microsystem assessment tool.Journal of Nursing Care Quality 26(2) 186-191.
Nanda International. (2016). How do I write a diagnostic statement for risk problem-focused and health promotion diagnoses? NANDA International.Retrieved from
National Institute for Health and Care Excellence (NICE). (2011). Healthcare-associated infections: Prevention and control. National Institute for Health and Care Excellence. Retrieved from
Norman A. Fritzen L. &Fridh M. (n.d). One lens missing? Clarifying the clinical microsystem framework with learning theories.Quality Management in Health Care 22(2) 126-136.