Date of Graduation

Summer 8-13-2021

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions



Problem: The facility has less than 70% adherence to handwashing hygiene every week. Moreover, staff does not comply with the required PPE, affecting their infection-control performance and compliance to circumvent COVID-19. Furthermore, the microsystem lacks information flow and communication systems focusing on hand hygiene, and PPE usage significantly affects the healthcare staff's ability to perform such vital practices.

Context: Herman Health Care Center provides multiple services to its residents depending on medical needs after patient hospitalizations, such as short-term rehabilitation and long-term skilled nursing services. The COVID-19 pandemic had a remarkably negative impact on the skilled nursing facility. The project's motivation is to create a communication tool such as SBAR to improve adherence percentage of hand hygiene and PPE use, a vital component of infection prevention and control practices to halt the chain of transmission of COVID-19 infection.

Intervention: The proposed quality improvement project will utilize the CDPH healthcare-associated infection adherence tool for hand hygiene and contact precaution for PPE use in the chosen nursing unit. Moreover, the project will adapt communication strategies, such as the SBAR tool, to improve hand hygiene adherence and PPE use.

Measures: Actual observation of the PPE use and hand hygiene compliance of involved staff will measure interventions and serve as the benchmark to determine the project's success.

Result: The quality improvement project interventions significantly increased staff compliance to improve hand hygiene with 70-92% and PPE use from 78 to 85% in the chosen facility unit.

Conclusion: SBAR tool and team staff collaboration can significantly improve staff adherence to hand hygiene and the proper utilization of PPE, required to circumvent the transmission of COVID-19 in Herman Health Care Center.