Clinical Nurse Leader Practice Exam

How should the CNL respond to staff attributing low hand hygiene scores to doctors?

1. Have secret shoppers monitor hand hygiene compliance

2. Collect hand hygiene metrics related to unit staff for education

3. Implement a hand hygiene campaign for staff

4. Investigate barriers to hand hygiene and collaborate for solutions

The correct answer is: Investigate barriers to hand hygiene and collaborate for solutions

The response highlighting the investigation of barriers to hand hygiene and collaboration for solutions is grounded in a systematic approach to addressing the underlying issues affecting compliance. It emphasizes the importance of understanding the specific factors that contribute to low hand hygiene scores rather than placing blame on another group, such as doctors. By investigating these barriers, the Clinical Nurse Leader (CNL) can gather valuable insights into the challenges staff face in maintaining hand hygiene practices. This can involve surveying staff, conducting focus groups, or holding discussions to identify obstacles ranging from inadequate supplies to lack of knowledge about proper hand hygiene techniques. Collaborating with staff to develop solutions fosters a team-oriented environment where all members feel responsible for hand hygiene compliance, promoting accountability and improving overall patient safety. This approach not only addresses the immediate concern of low scores but also actively engages staff in the process, potentially leading to longer-lasting changes in behavior and culture regarding infection control practices. In contrast, other choices may not effectively address the root cause of the issue. Monitoring hand hygiene compliance through "secret shoppers" might provide data but doesn't engage the staff in a meaningful way or help to resolve the problem. Collecting metrics could contribute to education but lacks the proactive element of collaboration in addressing perceived barriers. Implementing a campaign might raise awareness