The school nurse is reviewing adolescent students’ incident reports.
Which observation would best indicate that the objectives of Healthy People 2030 are being met?

Answer and explanation

The correct answer is Choice D.

Choice A rationale

Identifying the issue the facility is facing is an important step in addressing the communication issue. However, it is not the only action that should be taken. The Incident Command team should also determine actions to address the issue, identify parameters to monitor, and consider all of these steps together.

Choice B rationale

Determining actions to address the issue is an important step in addressing the communication issue. However, it is not the only action that should be taken. The Incident Command team should also identify the issue, identify parameters to monitor, and consider all of these steps together.

Choice C rationale

Identifying parameters to monitor to ensure all essential personnel are aware of the communication tree is an important step in addressing the communication issue. However, it is not the only action that should be taken. The Incident Command team should also identify the issue, determine actions to address the issue, and consider all of these steps together.

Choice D rationale

All of the above actions should be taken to address the communication issue. The Incident Command team should identify the issue the facility is facing, determine actions to address the issue, and identify parameters to monitor to ensure all essential personnel are aware of the communication tree. By considering all of these steps together, the Incident Command team can effectively address the communication issue and improve communication within the facility.

Answer and explanation

The correct answer is Choice B.

Choice A rationale

While surveying employees to determine how often hand cleansers are used during client care can provide some insight into the adherence to the program, it does not directly measure the effectiveness of the program in reducing hospital-acquired infections.

Choice B rationale

Comparing the incidence of infections before and after the program’s implementation is the most direct and reliable measure of the program’s effectiveness. A significant reduction in the

rate of hospital-acquired infections after the implementation of the program would indicate that the program is effective.

Choice C rationale

Observing a random sample of employees washing their hands three weeks after the program starts can provide information about the employees’ compliance with the handwashing techniques taught in the program. However, this measure does not directly indicate whether the program has been effective in reducing the incidence of hospital-acquired infections.

Choice D rationale

Using an experimental design to compare program participants with a control group could provide valuable data on the program’s effectiveness. However, this method might not be feasible or ethical in a healthcare setting, as it would involve deliberately withholding the program from the control group.