PICOT Statement- Change Initiative

PICOT Statement- Change Initiative

Based on the PICOT you developed for NUR-550, summarize the change initiative you will be proposing. How does this support the population of focus, your setting, and role? Justify how the problem you selected to investigate is amenable to a research-based intervention using the PICOT format.

PICOT Statement:  Among admitted patients aged 65 years old (P), how does the use of handwashing using with soap and water (I) compared with hand sanitizer © aid in reducing HAIs incidences rates (O) within three months (T)?PICOT Statement- Change Initiative

Summary of the proposed change initiative

Patient education will form a significant aspect of the change strategy required to reduce the incidences of hospital-acquired infections (HAIS) among patients aged above 65 years. The initiative will follow a cyclic process, which will start by planning the change strategy. At the planning stage, the change management team will determine eh resources required to fulfill the project’s requirements. The required facilities will include human, financial, ad physical resources. A change implementation team will be developed comprising of members of a multidisciplinary team. The role of the implementation team will be to determine the activities that will be performed by all stakeholders to achieve the goals and objectives of the project.


Another significant role of the change implementation team is to develop evaluation tools to determine the program’s effectiveness (Umucu, 2020). The implementation process will involve the categorization of subjects into two groups; control and comparison. In one category, the clients will be engaged in a blind study where they will be trained on hand hygiene effectiveness and allowed to use water and soap to achieve this goal. The second category will include individuals using hand sanitizers instead of soap and water to achieve hand hygiene. The rates of HAIs will be assessed and analyzed among the two groups to determine the more effective intervention.PICOT Statement- Change Initiative

Justification of change and Impacts on Targeted Population

HAIs are a significant public health concern contributing to negative clinical outcomes such as increased morbidity and mortality, prolonged hospital stay, and higher medical costs. Geriatric clients are at higher risk for HAIs due to their declining physical, immunological, and cognitive functions (Kukla et al. 2016). The change strategies support the targeted population by lowering the rates of HAIs and improving clinical outcomes. Both hand hygiene strategies, use of soap and water and hand sanitizers, effectively reduce HAIs. My role as part of the change implementation team will be to provide patient education and monitor the program’s implementation and evaluation phase.


Kukla, M., McGuire, A., & Salyers, M. (2016). Rural and urban supported employment programs in the Veterans Health Administration: Comparison of barriers and facilitators to vocational achievement for veterans experiencing mental illnesses. Psychiatric Rehabilitation Journal39(2), 129-136. DOI: 10.1037/prj0000184

Umucu, E. (2020). Examining the Structure of the PERMA Theory of Well-Being in Veterans with Mental Illnesses. Rehabilitation Counseling Bulletin, 003435522095709. DOI: 10.1177/0034355220957093 PICOT Statement- Change Initiative