Section E Evaluation Plan.

Methods to be used to evaluate the solution: Outcome Measure
Since the solution will be administered by educating staff on the
pertinent issues, the best way to measure the outcome is to test their
understanding after the presentation. By the end of the educational
program, nurses and other homecare staff will be expected to be
well-informed around the facts relevant to their homecare setting in
relation to infection prevention and control. Before the presentation, a
survey sheet will be administered to the participants to capture their
knowledge on the issues being addresses, their perceptions, interests
and willingness to acquire more knowledge.
To evaluate their understanding, a test with two sections will be
administered after the training sessions. One section will test the
theoretical part of the presentation covering the knowledge of common
infection-causing pathogens, transmission and homecare prevalence rates.
The second section will evaluate the staff’s understanding of the
operationalization of the skills taught in their homecare facility such
as hand washing and safe waste management. A score of ninety five
percent (95%) and above will be an indication that the education program
was successful.
Justification of the Outcome Measure
The survey will be a valid evaluation tool to gather staff compliance
with infection prevention measures such as hand washing, and it is also
congruent to evidence-based practice guidelines. It is reliable because
the data will be collected before the training hence, which means the
staff will fill it objectively.
The team conducting the training and presentation consists of experts in
infection prevention and control. The presentation will be refined to
fit a homecare setting and relevant to homecare staff. The test will be
formulated in adherence to some criteria recommended by the World Health
Organization on subjects such as hand hygiene. The universality of the
questions matched with the customization to a homecare setting makes the
test a valid measure if outcome. It is also reliable because the
training was administered in light of their knowledge level as indicated
in the survey. The test will not be rigidly formulated but will be based
on their level of knowledge and the new knowledge imparted during the
training and presentation, hence making it sensitive to change.
Methods for collecting outcome measure data and the rationale for using
those methods.
After the test, the charge nurse will collect the tests from
participants, ensuring that all questions are filled. To avoid any
alteration in the results, the test sheets will be handed in to the
charge nurse immediately after the training session who will then
present them to the training team for analysis. This post-training
evaluation will determine the reliability of the evaluation measure
because the scores in the test will show how effective the educational
program was, the excellence mark being 95% and above.
Resources needed for evaluation
Information and material resources required to evaluate the outcome were
collected in the training preparation phase. They include survey
questions, training content, writing materials among training-relevant
items. In that case, only minimal resources are required for
post-training evaluation. Primary resource is time to analyze the tests
submitted by participants and relay the outcome to the
Feasibility of the evaluation plan
The willingness of participants to learn preventive measures and apply
them determines the success of this program. When the nurses are well
equipped with information relevant to their institution, they will pass
it down to other homecare staff and patients and will in overall have
made a great leap in infection prevention. Evaluation of the tests will
inform the homecare management on where effort needs to be made in
compliance enforcement and further training.
Two possible grant funding sources and why this proposal is a good fit
for these sources
World Health Organization (WHO)
World Health Organization funds research in areas relevant to infection
prevention and control through their Special Programme for Research and
Training in Tropical Diseases. The homecare educational program largely
involves measures highly recommended by WHO and will also use many of
the resources provided by WHO. The congruence to World Health
Organization’s effort to curb infection spread makes it a suitable
beneficiary of their grants.
Bill and Melinda Gate’s Foundation
This foundation funds several health-related programs. Specifically, the
grants towards Neglected Infectious Diseases and Enteric and Diarrheal
Diseases makes this homecare educational program eligible for a grant.
Section F: Decision Making Strategies
Methods and plans to maintain a successful project solution
After the training, staff will be expected to put into practice the
knowledge they have acquired. Their compliance will be monitored for a
period of at least one year after the training. Some of the helpful
programs in monitoring compliance are the free computer-based training
(CBT) availed to health institutions courtesy of World Health
Organization (WHO).
Methods and plans to extend a successful project solution
The management of the homecare is committed to ensuring that
non-infected residents do not get infected, and the infected ones are
assisted to get well. Therefore, this training program will not be a
once-in-a-lifetime event but can be scheduled to be conducted as often
as is necessary and economical.
Methods and plans to revise an unsuccessful project solution
The training program will only be deemed as successful if a score of
above 95% is achieved on average. If the average score is below 95%, the
training team and the charge nurse will need to meet for the training
review. Adjustments could be made on the training program by checking
the training material, mode of presentation and the evaluation questions
administered after the training.
Methods and plans to terminate an unsuccessful solution
There are a number of reasons that could culminate to the termination of
the project before its objectives are fully achieved. The most common
would be the management’s feeling that the investment in the
educational program is not yielding returns by reducing cases of
infection transmission. However, the management may still need to
consult with the infection control committee before concluding on the
project termination.
Precise plans for feedback to both internal and external groups
To communicate the project outcome effectively to all stakeholders
within and outside the homecare, the best way is to publish it in the
periodic briefs. The briefs can then be mailed to homecare staff,
patient’s families, homecare donors and strategic partners. The
trained staff and the infection control committee in charge of the
trainings can also be involved in health care discussion forums whenever
they are organized. This will help the stakeholders appreciate the
impact of the educational program as well as continue spreading
infection prevention knowledge for application at an individual level.
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healthcare-associated infections: A call to action. Association for
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Chau, J., et al. (2010). An evaluation of hospital hand hygiene practice
and glove use in Hong Kong. Journal of Clinical Nursing, 20, 1319-1328.
Helder, K, et al. (2010). The impact of an education program on hand
hygiene compliance and nosocomial infection incidence in an urban
Neonatal Intensive Care Unit: An intervention study with before and
after comparison. International Journal of Nursing Studies 47. 1245-1252
Limaye, S., et al. (2008). A case study in monitoring
hospital-associated infections with count control charts. Quality
Engineering 20: 404-413.
Mathai, A. S., et al. (2011). Efficacy of a multimodal intervention
strategy in improving hand hygiene compliance in a tertiary level
intensive care unit. Indian Journal of Critical Care medicine, 15(1).

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