NURS FPX 9000 Assessment 1 Sample FREE DOWNLOAD

NURS FPX 9000 Assessment 1

Project, Preceptor, and Practicum Interest Form (PPPIF)

Student name

Capella University

NURS-FPX9000

Professor Name

Submission Date

Project, Preceptor, and Practicum Interest Form (PPPIF)

Project Site Description

The proposed practicum site will be an acute-care teaching hospital and trauma center in Eastern Brooklyn (urban) with a large population. The facility provides inpatient, outpatient, and specialty services including maternal health, emergency medicine, long-term rehabilitation, and ambulatory surgical services. The site has provided a multidisciplinary practice environment that promotes quality improvement program implementation and evaluation. The site collaborates with an interdisciplinary team of professionals working across various aspects of healthcare, including physicians, nurses, infection prevention specialists, quality improvement staff, and allied health staff (Quality Improvement Director, personal communication, July 18, 2025).

The patients attending the acute care facilities are those who have high prevalence of chronic illnesses, socioeconomic deprivation and complex health issues. The facility comprises 530 acute care beds, and a few outpatient clinics, where doctoral level evidence-based practice improvement projects can be initiated and successfully put into practice.

Identified Problem or Gap in Practice

The identified issue on the site is insufficient optimal compliance with evidence-based infection prevention and control (IPC), which is one of the major patient safety and quality care failures. The current hand hygiene compliance rate of this facility is 58 percent compared to the 80 percent recommended globally (Infection Prevention Manager, personal communication, July 15, 2025). According to the World Health Organization (2021) in low- and middle-income countries, healthcare-associated infections have been identified in up to 15 of 100 hospitalized patients, and about 7 of 100 hospitalized patients in high-income countries.

Without targeted improvement efforts, hand hygiene/IPC-compliance rates tend to be within 60 percent globally (World Health Organization, 2022). These compliance gaps areas in the practicum site must thus be seen as a culmination of a long-standing problem in healthcare systems worldwide, resulting in preventable morbidity, mortality and extended hospitalization. HAIs continue to pose a significant challenge to patient safety and quality of healthcare within the healthcare industry worldwide. There is recent evidence that, with proper infection prevention strategies like multimodal hand hygiene programs in place, HAIs can be reduced by as much as 55% (Sartelli et al., 2023).

The HAIs result in approximately 687,000 infections annually in the United States of America, 72,000 deaths with an annual monetary cost ranging between 28 and 45 billion dollars [Centers for Disease Control and Prevention, 2024]. Among the aspects that the practicum site has defined as a quality improvement work area due to the findings of the most recent internal quality audits to the facility that revealed persisting gaps in compliance (Quality Improvement Director, personal communication, July 18, 2025), is the prevention of infections and the adherence of hand hygiene.

Evidence-based World Health Organization (WHO) guidelines on multimodal IPC should be implemented immediately (adequate hand hygiene prevents up to 50% of healthcare associated infections). The 12-week proposed practicum will incorporate evidence-based quality improvement cycles and plan-do-study-act (PDSA) methodology in testing, implementing, and sustaining infection prevention practice changes within the identified units.

Quality Improvement and Intervention Approach

An effective, scalable, and cost-saving approach to increase low hand hygiene compliance and preventable HAIs in acute care environments is implementation of a structured quality improvement intervention based on the evidence-based WHO multimodal IPC guidelines (World Health Organization, 2024). According to the WHO, effective IPC programme through multi modal improvement in hand hygiene resulted in a reduction of up to 70% in healthcare infection and improving hand hygiene has resulted in savings of about US16.50 per 1 US dollar (World Health Organization, 2023). Armstrong et al. (2023) showed how frequently using multimodal interventions can lead to hand hygiene compliance at an average starting point of 40-60% and directly influence the rate of infection transmission.

These outcomes favoured the implementation of the multimodal strategy system change, training/education, monitoring and feedback, reminders/communications, and safety culture in acute care facilities as suggested by the WHO (World Health Organization, 2024). In addition, per global WHO guidelines, targeted hand-hygiene-enhancing programs are capable of preventing up to 50% of avoidable infections during care and one of the most affordable IPC interventions (World Health Organization, 2023). The fast-cycle quality improvement processes and the construction of the monitoring/feedback structure support the 12-week implementation to sustain the profits and financial payback.

Additional Information for Mentor and Site-Based Learning Team

The proposed implementation would be in a well-organized cycle of 12 weeks according to the WHO multimodular IPC framework. The practicum site has established infection prevention teams and QI committees that created an enabling infrastructure. Evidence based protocols are employed to run the institution in accordance with state and national reporting requirements. WHO resources and observable practice would be used to adapt personnel training materials and educational modules and to reinforce compliance skills. This will follow the WHO five-component model of system change (World Health Organization, 2024) training, monitoring/feedback, reminders, and safety culture.

Manual audit can potentially receive value additions with electronic monitoring systems to provide real-time feedback. Stakeholders involvement (leadership staff, front-line nursing staff, infection preventionists, quality directors) Resources (alcohol based hand rubs, monitoring systems and staff training) Budget factors. This will enable comparisons with baseline data and sustainable evaluation because it will be integrated with current performance improvement metrics.

Population Description

Scheduling Availability for Virtual Check-In

The intended audience is acute care unit healthcare professionals, nurses, physicians, allied healthcare personnel and support personnel. The population includes frontline workers who are directly involved with patients and ancillary staff with infection-related tasks (Quality Improvement Director, personal communication, July 18, 2025). The personnel consists of beginners and experienced clinicians. It has a diverse diverse cultural and professional population. The education includes the vocational, major medical and many non-degree programs in medicine and nursing. The clinical specialties are internal medicine, surgery, emergency, obstetrics and critical care. Status of employment: full time, part time and per diem employees. Past audit of the site signifies non-compliance on IPC measures. The population is employed in high resource-demanding environments. This is the main objective of the various modalities of IPC interventions implementation currently being undertaken by WHO.