Date of Graduation

Summer 8-8-2025

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

First Advisor

Dr. Cynthia Huff

Abstract

Abstract

Problem: Healthcare-associated infections (HAIs) are a persistent concern in assisted living facilities, often resulting from inconsistent hand hygiene practices. Although national guidelines exist, adherence remains suboptimal, especially where staff training and compliance monitoring are limited.

Context: This project took place in a 53-bed assisted living facility without a formal system to track or reinforce hand hygiene. The aim was to improve staff knowledge and promote infection prevention through education.

Interventions: A Clinical Nurse Leader (CNL) led an evidence-based hand hygiene education program. The intervention included interactive training, visual reminders, personal sanitizers, and leadership support during clinical huddles.

Measures: Pre- and post-intervention questionnaires assessed staff knowledge. A Plan-Do-Study-Act (PDSA) framework guided refinement. Qualitative feedback was used to evaluate impact and identify ongoing barriers.

Results: Staff knowledge improved from 80% to 100% within 30 days. Participants reported greater confidence, infection prevention awareness, and engagement in promoting safety.

Conclusions: A focused educational intervention, grounded in behavioral theory and reinforced by leadership, effectively improved staff understanding of hand hygiene practices and supported a safer care environment.

Keywords: hand hygiene, infection prevention, assisted living, Clinical Nurse Leader, health belief model, quality improvement, staff education, patient safety

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