Formal Training Program

free essayTraining programs are of significant importance in the hospital setting. If they are effective, the hospitals become able to meet the improved patient care objectives. The measure of a training program involves its ability to meet these objectives, which have been set in advance (Sisman 667).

Needs Analysis

I interviewed Denise Navellier, a clinical nurse leader who works at Alta Bates Summit Medical Center in California, in Oakland County. According to Navellier, Alta Bates Summit Medical Center was experiencing the increased patient staying periods, the growth in the cost of treatment, in the use of antibiotics, and in the levels of morbidity among the sick. One of the major causes of such issues included the lack of proper adherence to clinical guidelines among the nurses, such as hand washing. Navellier states that the nurses lacked training on the hand washing hygiene, evident from the reduced use of alcohol-based hand-rubs in the hospital. The increased level of illnesses among the patients was the result of the transfer of pathogens from one patient to the other, because nurses had to handle numerous patients in one day. Navellier claims that the average number of patients handled by each nurse daily is 25. Also, the cost of purchasing antibiotics at Alta Bates Summit Medical Center increased significantly due to the cross transfer of multidrug-resistant organism, which enhanced the costs of treatment and patient care. The need of analysis is significant for the organization, and it includes the factors that result in poor hand washing hygiene in the hospitals among the nurses. The hypothesized needs for analysis include the lack of training on hand washing hygiene and on how to manage the burnout syndrome in regard to the patient care properly. Fradelos states that the lack of adequate training among the nurses on how to deal with the burnout syndrome results in the corresponding lack of knowledge on how to manage emotional exhaustion, frustrations, and self-undermining, all of which lead to the insufficient personal accomplishments when handling the patients (106). Hospitals are the places with high level of uncertainty in regard to deaths and levels of illnesses, which makes it difficult for the nurses to create a balance between self-care and sick care. Therefore, there exists a need for training of the nurses in order to assist them in improving patient care at Alta Bates Summit Medical Center. Developing an effective training program in this center will increase the adherence to clinical hand washing hygiene guidelines and effective management of the burnout syndrome, which will account for the improved level of patient care and lead to the decrease in morbidity (Sisman 565).

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Training Facilitation and Materials

Who the Organization Needs to Train and Why

From the interview, it is evident that Alta Bates Summit Medical Center should conduct a training program for all the nurses. Nurses play a vital role in ensuring the safety of the patients and their general well-being. Therefore, clean health means safe health, and the process to achieving it must start with the nurses. The interview has shown that the nurses do not abide by the evidence-based practice of hand washing hygiene because the consumption of alcohol-based hand-rubs is reduced, even though the nurses must handle approximately 25 patients daily. Moreover, they experience high levels of burnout syndrome which lowers the quality of their work and makes them forget about the hand washing hygiene entirely. The nurses should be trained on how to handle the increased workload to ensure the uninterrupted patients’ safety.

Who is Best Suited to Offer Training and Why

Since training in the hospital is based on the evidence-based practice, the most suited person that can offer the training is the clinical nurse leader. According to Stanley, clinical nurse leader is a new position in nursing that aims to prepare the nurses on the basis of relevant evidence-based competencies to improve the patient care (614). The functions of a clinical nurse leader include overseeing lateral integrations that are meant to improve the nurses’ activities, collecting patient care information, analyzing patient care outcomes, and ensuring the implementation of clinical guidelines (Stanley 620).

Type of Training that will be Used

The training of the nurses involves the use of multiple training techniques. The training methods that will be used in this case comprise lectures, demonstration, case study, and brainstorming.

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During the lectures, the clinical nurse leader offers the evidence of poor nursing practices by providing statistics and informing the nurses of the recommended practices. The use of lectures is best in the case of burnout syndrome, since the nurses are informed of the strategies they can use to manage it. The use of lecture training does not involve the participation of the nurses, and little feedback is obtained from the audience. Lectures are significant because the clinical nurse leader who has to talk to a large group of nurses is an expert in the clinical practice field.


The use of lectures enables dissemination of information to a large group in an efficient manner which also saves time. The expected information is shared and is not altered by the clinical nurse leader.


It is difficult to know if the study is successful unless the questionnaires are given to the audience after the lecture as a follow-up. The success of the use of lectures depends on the level of expertise of the lecturer.


The use of the method of demonstration plays a significant role in the evidence-based practices in the hospitals. In the course of demonstration, the clinical nurse leader presents the evidence to the audience, showing the effectiveness of hand washing hygiene by taking part in hand washing demonstration. Then, the follow-up is implemented to ensure that each nurse masters the clinical guidelines on this topic. The use of demonstrations is an effective training of the skills, and it works best when the group being trained is small.


The use of demonstration allows the trainees to move at their own pace and thus master the training fully. There is the increased attention of the trainees given to the instructors, since the nurses are able to observe, hear, and conduct a practical demonstration themselves.


Demonstration requires a lot of time and many resources, such as equipment and detergents to guarantee that each person gets the opportunity to participate in the practice. Also, demonstration is not suitable if a large group is involved.

Case Study

The use of case study provides the evidence-based practice for training of the nurses. It presents the actual events that enable the nurses to determine how the use of proper hand washing hygiene has impacted the work in other organizations. The aim of case study is to provide the real life examples of the similar cases that happened elsewhere. Case study encourages critical thinking among the trainees, which helps to stimulate personal judgment. The use of case studies is significant since it gives multiple points for observation to the nurses, assisting them in understanding the hand washing hygiene concept.


The use of case study enables the clinical nurse leader to identify the degree of critical thinking among the nurses, because each nurse has to provide an answer and defend it by giving a valid explanation. All the trainees participate actively and get real life examples of the issue that affects their work.

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The instances chosen for the study must be real life situations that are not biased. The use of case study is time-consuming, and not suitable for a large group.


The clinical nurse leader also uses the method of brainstorming, especially in a group training of the nurses. Brainstorming enables the nurses to enhance their problem-solving strategies by devising possible solutions to the issues they face when trying to adhere to hand washing hygiene.


The clinical nurse leader is able to identify the factors that affect the nurses by evaluating similar answers in regard to the solutions to the problem. All ideas given by the nurses are considered, and none is discarded as invalid.


The creation of the bias in responses to the concept affects the results of the study. Also, it is affected by the level of honesty of the respondents.

The Specific Method Chosen for Training and its Impact on the Employees

The type of training for the regarded case involves the use of demonstration. Nursing practices are evidence-based, involving step-by-step procedures on how to perform hand washing hygiene. The use of demonstrations involves a combination of several training methods. Lapane and Carmel state that demonstration has the elements of lecture, questionnaires, role playing, and brainstorming (13). Demonstration provides the actual experience in hand washing hygiene to the nurses, proving why this practice is a part of the clinical guideline.

How It Works

Training Evaluation

Measure Used to Determine the Significance of Training

The measure used in evaluating the success of the study is impact evaluation, which analyzes whether the training program among the nurses meets its objectives. Impact evaluation is used when there is an already installed program in place. The indicator of impact evolution involves the degree to which the implemented training program has met its objectives. Impact evaluation measure is significant because it provides evidence on the efficiency of the adopted practice during the training. Furthermore, it involves the evaluation of the use of alcohol-based hand-rubs and the use of detergents in the hospital, because the increase in hand washing hygiene is directly proportional to the use of hand washing resources.


Impact evaluation provides a measure that produces evidence of the degree to which the training program has met the set objectives. It is suitable for practical practices because it involves the process of collecting physical data.

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Impact evaluation presents the results of the training program after its implementation, which helps to establish whether they are negative or positive. Using the alcohol-based hand-rubs as the impact evaluation strategy does not reduce the effectiveness of those nurses who adhere to the procedure, since it is quantitative, not qualitative.

How to Evaluate the Overall Training Success

The overall success of the implementation of the program is translated into the quality of care of the patients. The improvement of hand washing hygiene results in the reduced transfer of multidrug-resistant organism, which leads to the reduced costs of purchasing antibiotics. Also, the level of continuous patient stay in the hospital is equally reduced due to the lack of transmitted infections. Morbidity among the patients decreases as well when training becomes successful, which results in reductions in the cost of treatment. Therefore, the success of the training program is determined by its ability to develop the solutions to the problems in the affected organization.


The need for analysis of the training program is based on the adherence to hand washing hygiene guidelines and the effects the burnout syndrome has on the quality of patient care. From the interview, it is evident that Alta Bates Summit Medical Center was experiencing poor adherence to clinical guidelines due to the lack of effective training program. With the use of demonstration as the key training method, the nurses have the opportunity to observe, ask questions, and exercise under the supervision of clinical nurse leader. The success of the training is evaluated through the use of impact evaluation, which involves the analysis of the consumption of alcohol-based hand-rubs. The demonstration training program at Alta Bates Summit Medical Center was successful because the use of alcohol-based hand-rubs has increased. However, this strategy faces certain limitations, since it is quantitative and not qualitative.

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