AMHCR 2011 Presentation

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David Matthews

Research Presentation at the 2011 Association of Marketing and HealthCare Research Annual Conference.

Santé & Médecine Formation Technologie

Hand washing for disease prevention: Analysis of Public Facilities Beth Hogan, Ph.D., CHES, Associate Professor Dept. of Management, Fayetteville State University David L. Matthews, B.S. MBA Candidate, Pfeiffer University M. Lyon, M.A., Service Learning Program Manager, Fayetteville State University, Fayetteville, NC Presented to The Association for Marketing & Healthcare Research Annual Conference, Steamboat Springs, Colorado February 25, 2011

Introduction/Need for the Study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

. Hand washing Proven effective in reducing the spread of disease

Hand washing ,[object Object],[object Object],[object Object],[object Object]

CDC: Wash your hands the right way When washing hands with soap and water: Wet your hands with clean running water and apply soap. Use warm water if it is available. Rub hands together to make a lather and scrub all surfaces. Continue rubbing hands for 15-20 seconds. Need a timer? Imagine singing "Happy Birthday" twice through to a friend. Rinse hands well under running water. Dry your hands using a paper towel or air dryer. If possible, use your paper towel to turn off the faucet. Always use soap and water if your hands are visibly dirty.

Handwashing ,[object Object],[object Object],[object Object],[object Object],[object Object]

Methodology & Implementation ,[object Object],[object Object],[object Object],[object Object]

Methodology & Implementation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Business categories Retail : basically, businesses that sell merchandise or a service, including car dealerships, car repair or parts, clothing stores, pet stores, plant or farm supply stores, bowling alleys, hair stylists, tanning salons, hotels and motels, general merchandise store such as Dollar General, etc. Restaurants: Businesses that sell food; bars are included in this category Grocery stores : Businesses that sell only groceries (Food Lion, Harris Teeter, etc) Department stores : stores that sell merchandise and are departmentalized, such as Macy’s, Sears, Target, WalMart (a combination of retail, grocery, pharmacy or others). Government: Any business that is a government-owned/operated entity, such as a library, school, court house, City Hall, Health Department, Social Services, etc Gas Stations : Businesses that sell gas and/or have a convenience store with public restroom. Health care: Urgent care facilities, medical practices, hospitals, nursing homes, dental practices, pharmacies, etc

Results ,[object Object],[object Object],[object Object]

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Assignment 2 “Just Clean your hands” Background You are UWO coop placement student Making recs for plan of action Hospital administrators will have ultimate approval Audience (identify initial, primary, and secondary) LHSC – London Health Science Centre (hospitals in this region) Sarah Noble – your supervisor – will review Student Nurses and Volunteers The U.S. Centers for Disease Control and Prevention: “The single most important means of preventing the spread of infection” Program in place since 2007 to deal with HAI – health-care associated Infections Antibiotic-resistant organisms Compliance: 2008-2010 Progress, but need for improvement Varying compliance rates 1. Moments (steps) 2. Groups (occupations) See stats – they tell a story (what is it?) Situation LHSC = University, Victoria, and South Street Hospitals 14,295 employees Potential contact w/patients Doctors, Dentists, Midwives Hospital employees: nurses, medical students, other students Volunteers Visitors See longer list Compliance Definition When to Clean Hands – Four Moments Moment 1 – before contact Moment 2 – before aseptic procedures Moment 3 – after body fluid exposure Moment 4 – after contact w/patient or with her/his enviro See How – methods, duration for target audience See Rates of compliance for target audience Non-compliance – the “Unexpected and troubling” 20-30% non-compliance Data collected though direct observation i.e. being observed did not prompt compliance Variances b/w and among Physicians, nurses, others (housekeeping, dieticians, therapists) Varying rates compliance w/specific moments i.e. partial compliance: how do you raise compliance? Common Ground & Challenges Common Ground Who would disagree that washing saves lives, recovery time, etc.? Logic – likely no objections to the … science argument Challenges Meeting ON Ministry of Health and Long Term Care targets Organizational behaviour Identified Obstacles: how to overcome? Washing dozens times/day = time constraints & dry skin/irritation Location sinks dispensers inconvenient Fear of speaking out Religion and alcohol based rubs Visitors unaware protocols Discipline – no consequences Subcultures and attitudes Habit/perception Consider Carrot or stick? Incentives & rewards vs negative consequences Disincentives Can impediments be removed? For which groups? Are changes expensive? Is tracking chip really a good idea? Study admits that compliance did not improve even when participants knew they were observed Nurses did comply more than others – what are the real obstacles for them? Volunteers – how would it work? Plan and constraints Plan – how to increase compliance? Incentives? Consequences? Who monitors and how? Compliance-checking chip? Fixed budget: what is it? Remember Scope of your task is limited to Info in the case study Your aim to inform and persuade Inform Noble of key facts & issues Persuade supervisor of info/arguments most relevant to Primary audience U.

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Running Head: HEALTH PROBLEMS IN U.S.A 1 HEALTH PROBLEMS IN U.S.A 8 HEALTH PROBLEM IN U.S.A AND OTHER NATIONS Student’s Name: Institution: Instructor: Date: Abstract This paper addresses the cognitive abilities that enhance hand hygiene acquiescence while backing the inhibition of healthcare associated to the contagions and how they have been widely acknowledged. It is also acknowledged that great hand cleanliness alone cannot impress difficult risk influences, such as elder age, immune-suppression, entrance fee to the serious care part, a lengthier span of stay, and indwelling strategies. The participants used in this study were selected from were randomly selected from public places through observation of their actions and how they took care of their hands especially before eating, after eating and also engaging in hand cleanness in public places. The main methods used for the research are qualitative studies through the use of observation models. In sum, it was found that hand sanitation involvements are concomitantly assumed with other monotonous or superior preventive approaches, there are a probable for these simultaneous policies to confuse the result of the hand sanitation package. Therefore, the direct comment of hand cleanliness likelihoods and movements; microelectronic nursing of hand hygiene actions and valuation of liquor created hand rub ingesting strength also be used as accidental methods and supernumerary indicators. In addition to these studies specifically focused on hand hygiene treatments, hand hygiene was in the center of numerous studies applying broader transmission control treatments and demonstrating the effect on healthcare-associated infection rates. So, hand hygiene is the fundamental part of proper recommendations for the prevention of the most common healthcare-associated infections. Keywords: hand hygiene, hand sanitation, qualitative studies Significance and Background of the Study The study is significant because it will have an impact on improving the healthcare and also the welfare of the poor populations in terms of improving their health. Therefore, those with previous illness situations anxiety that they might lose assurance attention if they modification occupations. Central income person terror that decrease insurance welfares might energy them to recompense extra and more of the prices of health care, accumulative their unwillingness to search for maintenance when they necessity it. Urged in portion by the misconduct assurance crisis, obstetrical amenities are described to be in small source in certain areas. Inhabitants of this nation's rural zones are aggressive a hard fight to save hospitals exposed so that, at a smallest, they consume admission to alternative facilities and vital main care. To evade consuming to admit extra room patients who might not have assurance, mounting numbers of clinics have stopped offering crisis amenities. This study was informed by a number of factors suc.

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