Using a Fuzzy Framework for applying King’s Theory of Goal Attainment to Improve Hospital Acquired Infection Resilience

Abstract

This article explores techniques for estimating Hospital Acquired Infection prevention potential through strategic nursing care delivery design and applied fuzzy frameworks. To achieve this, it evaluates the use of Fuzzy Logic directed by King’s Theory of Nursing Goal Attainment for developing a HAI resilience process model. The purpose of this model is to estimate the performance of environment of care safety based on the ability of nurses to moderate risk and respond adaptively to certain types of hospital-onset infections through strategic workflow design. The aim of this proposed approach would be to help nurses and infection control specialists in healthcare settings better understand what accessible Systems Science-based frameworks may be instrumental for analyzing and forecasting infection control systems improvement. The benefit of using Fuzzy Frameworks in nursing workflow and environment of care planning is that it allows for the leveraging of crystalized intelligence nursing staff have about their patient demography and unit-based workflow. This process allows nurse work designers to introduce and test targeted process or physical improvement strategies that make sense for their unique circumstances while providing better insight into how these interventions may work holistically with all relevant environment of care operations. This approach is made more powerful when guided by trusted optimal nursing theoretical perspectives such as King’s Theory of Goal Attainment.

References

AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. (2019) Retrieved from: https://www.ahrq.gov

Anooj

P. K.

(2012). Clinical decision support system: Risk level prediction of heart disease using weighted fuzzy rules. Journal of King Saud University - Computer and Information Sciences. https://doi.org/10.1016/j.jksuci.2011.09.002

Boyce

J. M.

(2016). Modern technologies for improving cleaning and disinfection of environmental surfaces in hospitals. Antimicrobial Resistance and Infection Control, 5(1), 1–10. https://doi.org/10.1186/s13756-016-0111-x

Brethower

D. M.

(1995). Specifying a Human Performance Technology Knowledgebase. Performance Improvement Quarterly. https://doi.org/10.1111/j.1937-8327.1995.tb00670.x

Caceres

B. A.

(2015). King’s Theory of Goal Attainment: Exploring Functional Status. Nursing Science Quarterly, 28(2), 151–155. https://doi.org/10.1177/0894318415571601

Cassone

Armbruster

Snitkin

E. S.

Gibson

Mantey

Reyes

K. C.

Altamimi

Perri

M. B.

Zervos

M. J.

Mody

(2017). Relatedness of MRSA and VRE Strains Isolated from Post-acute Care Patients and Their Environment: a Longitudinal Assessment. Open Forum Infectious Diseases. https://doi.org/10.1093/ofid/ofx163.1696

Castlight/The Leapfrog Group. Healthcare-Associated Infections. (2018): 1-5. Retrieved from: https://www.leapfroggroup.org

CDC. Antibiotic Resistance Threats in the United States, 2019. Atlanta, GA: U.S. Department of Health and Human Services, CDC; 2019.

Centers for Disease Control and Prevention. Data Summary of HAIs in the US: Assessing Progress 2006-2016. (2018) Retrieved from: https://www.cdc.gov/hai

10.

Cococcioni

Corsini

Diani

Grasso

Lazzerini

Marcelloni

(2002). Automatic extraction of fuzzy rules from MERIS data to identify sea water optically active constituent concentration. Annual Conference of the North American Fuzzy Information Processing Society - NAFIPS. https://doi.org/10.1109/NAFIPS.2002.1018120

11.

Cognitive Reliability and Error Analysis Method (CREAM). (1998). In Cognitive Reliability and Error Analysis Method (CREAM). https://doi.org/10.1016/b978-0-08-042848-2.x5000-3

12.

Cronin

M. A.

Gonzalez

Sterman

J. D.

(2009). Why don’t well-educated adults understand accumulation? A challenge to researchers, educators, and citizens. Organizational Behavior and Human Decision Processes. https://doi.org/10.1016/j.obhdp.2008.03.003

13.

Dasgupta

Das

Chawan

N. S.

Hazra

(2015). Nosocomial infections in the intensive care unit: Incidence, risk factors, outcome and associated pathogens in a public tertiary teaching hospital of Eastern India. Indian Journal of Critical Care Medicine, 19(1), 14–20. https://doi.org/10.4103/0972-5229.148633

14.

De Angelis

Murthy

Beyersmann

Harbarth

. (2010). Estimating the impact of healthcare-associated infections on length of stay and costs. In Clinical Microbiology and Infection. https://doi.org/10.1111/j.1469-0691.2010.03332.x

15.

De MacEdo

R. D. C. R.

Oliveira Jacob

E. M.

Da Silva

V. P.

Santana

E. A.

De Souza

A. F.

Gonçalves

Marra

A. R.

Pavão Dos Santos

O. F.

Cendoroglo

Edmond

M. B

. (2012). Positive deviance: Using a nurse call system to evaluate hand hygiene practices. American Journal of Infection Control, 40(10), 946–950. https://doi.org/10.1016/j.ajic.2011.11.015

16.

Deshpande

Cadnum

J. L.

Fertelli

Sitzlar

Thota

Mana

T. S.

Jencson

Alhmidi

Koganti

Donskey

C. J.

(2017). Are hospital floors an underappreciated reservoir for transmission of health care-associated pathogens? American Journal of Infection Control. https://doi.org/10.1016/j.ajic.2016.11.005

17.

Dubois

D. J.

(1980) Fuzzy Sets and Systems: Theory and Applications. Mathematics in Science and Engineering. V. 144 pp. 270-272. Elsevier Science.

18.

Dulac

Leveson

Zipkin

Friedenthal

Cutcher-Gershenfeld

Carroll

Barrett

(2005). Using system dynamics for safety and risk management in complex engineering systems. Proceedings - Winter Simulation Conference. https://doi.org/10.1109/WSC.2005.1574392

19.

Freedberg

D. E.

Salmasian

Cohen

Abrams

J. A.

Larson

E. L

. (2016). Receipt of antibiotics in hospitalized patients and risk for clostridium difficile infection in subsequent patients who occupy the same bed. JAMA Internal Medicine. https://doi.org/10.1001/jamainternmed.2016.6193

20.

Fronczek

A. E.

Rouhana

N. A.

Kitchin

J. M.

(2017). Enhancing Telehealth Education in Nursing: Applying King’s Conceptual Framework and Theory of Goal Attainment. Nursing Science Quarterly, 30(3), 209–213. https://doi.org/10.1177/0894318417708418

21.

Gould

D. J.

Navaïe

Purssell

Drey

N. S.

Creedon

(2018). Changing the paradigm: messages for hand hygiene education and audit from cluster analysis. Journal of Hospital Infection. https://doi.org/10.1016/j.jhin.2017.07.026

22.

Grecco

C. H. S.

Vidal

M. C. R.

Cosenza

C. A. N.

Dos Santos

I. J. A. L.

Carvalho

P. V. R.

(n.d.). A Fuzzy Model to Assess Resilience for Safety Management.

23.

Heron

. (2018) Deaths: Leading causes for 2016. National Vital Statistics Reports; vol 67 no 6. Hyattsville, MD: National Center for Health Statistics.

24.

H.H., F., H., A., C., K., S., L. (2011). Managing health care decisions and improvement through simulation modeling. Quality Management in Health Care.

25.

Hollnagel

(2014). Resilience engineering and the built environment. Building Research and Information. https://doi.org/10.1080/09613218.2014.862607

26.

Hollnagel

Woods

Leveson

. Resilience Engineering: Concepts and Precepts. Aldershot, England ; Burlington, VT: Ashgate, 2006. Print.

27.

Hugonnet

Chevrolet

J. C.

Pittet

(2007). The effect of workload on infection risk in critically ill patients. Critical Care Medicine, 35(1), 76–81. https://doi.org/10.1097/01.CCM.0000251125.08629.3F

28.

King

I. M.

(1981). A theory for nursing : systems, concepts, process. In A Wiley medical publication; Variation: A Wiley medical publication.; Wiley medical publication.

29.

King

I. M.

(1997). King’s theory of goal attainment in practice. Nursing Science Quarterly. https://doi.org/10.1177/089431849701000411

30.

King

I. M.

(2007). King’s conceptual system, theory of goal attainment, and transaction process in the 21st century. In Nursing Science Quarterly. https://doi.org/10.1177/0894318407299846

31.

Kleiner

B. M.

(2004). Macroergonomics as a Large Work-System Transformation Technology. In Human Factors and Ergonomics In Manufacturing. https://doi.org/10.1002/hfm.10060

32.

Klir

Yuan

(1995). Fuzzy sets and fuzzy logic (Vol. 4). New Jersey: Prentice Hall.

33.

Konstandinidou

Nivolianitou

Kiranoudis

Markatos

(2006). A fuzzy modeling application of CREAM methodology for human reliability analysis. Reliability Engineering and System Safety. https://doi.org/10.1016/j.ress.2005.06.002

34.

Kopec

D. A.

(2006). Introduction. In Environmental Psychology for Design.

35.

Kurashige

E. J. O.

Oie

Furukawa

(2016). ontamination of environmental surfaces by methicillin-resistant Staphylococcus aureus (MRSA) in rooms of inpatients with MRSA-positive body sites. Brazilian Journal of Microbiology. https://doi.org/10.1016/j.bjm.2016.04.002

36.

Latham

G. P.

Locke

E. A.

(2007). New developments in and directions for goal-setting research. European Psychologist. https://doi.org/10.1027/1016-9040.12.4.290

37.

Leite

C. R. M.

Sizilio

G. R. A.

Neto

A. D. D.

Valentim

R. A. M.

Guerreiro

A. M. G.

(2011). A fuzzy model for processing and monitoring vital signs in ICU patients. BioMedical Engineering Online, 10. https://doi.org/10.1186/1475-925X-10-68

38.

Lewis

H. W.

(2013). The foundations of fuzzy control (Vol. 10). Springer Science and Business Media.

39.

Lombard

(2006). The cognitive dimensions of future consciousness. The Futurist, v 40, pp. 47-50.

40.

Magill

S. S.

Edwards

J. R.

Bamberg

Beldavs

Z. G.

Dumyati

Kainer

M. A.

Lynfield

Maloney

McAllister-Hollod

Nadle

Ray

S. M.

Thompson

D. L.

Wilson

L. E.

Fridkin

S. K.

(2014). Multistate point-prevalence survey of health care-associated infections. New England Journal of Medicine, 370(13), 1198–1208. https://doi.org/10.1056/NEJMoa1306801

41.

Makary

M. A.

Daniel

(2016). Medical error-the third leading cause of death in the US. BMJ (Online). https://doi.org/10.1136/bmj.i2139

42.

May

D. R.

Gilson

R. L.

Harter

L. M.

(2004). The psychological conditions of meaningfulness, safety and availability and the engagement of the human spirit at work. In Journal of Occupational and Organizational Psychology (Vol. 77). www.bps.org.uk

43.

McQueen

Cockroft

Mullins

(2017). Imogene King’s Theory of Goal Attainment and the Millennial Nurse: An Important Mentoring Tool for Nurse Educators. Teaching and Learning in Nursing, 12(3), 223–225. https://doi.org/10.1016/j.teln.2017.03.003

44.

Mendel

J. M.

(1995). Fuzzy Logic Systems for Engineering: A Tutorial. Proceedings of the IEEE. https://doi.org/10.1109/5.364485

45.

Militello

L. G.

Dominguez

C. O.

Lintern

Klein

(2010). The role of Cognitive Systems Engineering in the systems engineering design process. Systems Engineering. https://doi.org/10.1002/sys.20147

46.

Muller

(2012). Fuzzy architecture assessment for critical infrastructure resilience. Procedia Computer Science. https://doi.org/10.1016/j.procs.2012.09.086

47.

Nivolianitou

Konstantinidou

(2018). A Fuzzy Modeling Application for Human Reliability Analysis in the Process Industry. In Human Factors and Reliability Engineering for Safety and Security in Critical Infrastructures (pp. 109-154). Springer, Cham.

48.

Norman

G. R.

Eva

K. W.

(2010). Diagnostic error and clinical reasoning. Medical Education, 44(1), 94–100. https://doi.org/10.1111/j.1365-2923.2009.03507.x

49.

Norris

F. H.

Stevens

S. P.

Pfefferbaum

Wyche

K. F.

Pfefferbaum

R. L.

(2008). Community resilience as a metaphor, theory, set of capacities, and strategy for disaster readiness. American Journal of Community Psychology, 41(1–2), 127–150. https://doi.org/10.1007/s10464-007-9156-6

50.

O’Boyle

C. A.

Henly

S. J.

Larson

(2001). Understanding adherence to hand hygiene recommendations: The theory of planned behavior. American Journal of Infection Control. https://doi.org/10.1067/mic.2001.18405

51.

Ohannessian

Gustin

M. P.

Bénet

Gerbier-Colomban

Girard

Argaud

Rimmelé

Guerin

Bohé

Piriou

Vanhems

(2018). Estimation of extra length of stay attributable to hospital-acquired infections in adult ICUs using a time-dependent multistate model. Critical Care Medicine. https://doi.org/10.1097/CCM.0000000000003131

52.

Otter

J. A.

Yezli

Salkeld

J. A. G.

French

G. L.

(2013). Evidence that contaminated surfaces contribute to the transmission of hospital pathogens and an overview of strategies to address contaminated surfaces in hospital settings. American Journal of Infection Control. https://doi.org/10.1016/j.ajic.2012.12.004

53.

Pagliacci

Righi

Russo

Casoni

Farinosi

Fortunati

Garzillo

Guggenheim

Lauriola

Oppi

Pedr

(2016). Enhancing the resilience of social infrastructures: issues on agents, artefacts and processes. Proceedings of the 2016 Modena Workshop. In IDEAS Working Paper Series from RePEc. https://doi.org/http://dx.doi.org/""

54.

Petiprin

(2016). Goal attainment. Retrieved from the Nursing Theory website: https://nursing-theory.org/nursing-theorists/Imogene-King.php

55.

Primo

M. G. B.

Guilarde

A. O.

Martelli

C. M. T.

Batista

L. J.

Turchi

M. D.

(2012). Healthcare-associated Staphylococcus aureus bloodstream infection: Length of stay, attributable mortality, and additional direct costs. Brazilian Journal of Infectious Diseases. https://doi.org/10.1016/j.bjid.2012.10.001

56.

Pype

Mertens

Helewaut

Krystallidou

(2018). Healthcare teams as complex adaptive systems: Understanding team behaviour through team members’ perception of interpersonal interaction. BMC Health Services Research, 18(1), 1–13. https://doi.org/10.1186/s12913-018-3392-3

57.

Reason

(2016). Managing the risks of organizational accidents. In Managing the Risks of Organizational Accidents. https://doi.org/10.4324/9781315543543

58.

Ross

T. J.

(2010). Fuzzy Logic with Engineering Applications: Third Edition. In Fuzzy Logic with Engineering Applications: Third Edition. https://doi.org/10.1002/9781119994374

59.

Seager

T. P.

Clark

S. S.

Eisenberg

D. A.

Thomas

J. E.

Hinrichs

M. M.

Kofron

& Aldersono

D. L.

(2017). Redesigning Resilient Infrastructure Research. Resilience and Risk: Methods and Application in Environment, Cyber and Social Domains, Chapter: 3, Publisher: Springer, Editors: Igor Linkov, Jose Palma Oliveira. Retrieved from Researchgate.com

60.

Shah

Castro-Sánchez

Charani

Drumright

L. N.

Holmes

A. H.

(2015). Towards changing healthcare workers’ behaviour: A qualitative study exploring non-compliance through appraisals of infection prevention and control practices. Journal of Hospital Infection, 90(2), 126–134. https://doi.org/10.1016/j.jhin.2015.01.023

61.

Shekelle

P. G.

Wachter

R. M.

Pronovost

P. J.

Schoelles

McDonald

K. M.

S. M.

Shojania

Reston

Berger

Johnsen

Larkin

J. W.

Lucas

Martinez

Motala

Newberry

S. J.

Noble

Pfoh

Ranji

S. R.

Rennke

… Winters

B. D.

(2013). Making health care safer II: an updated critical analysis of the evidence for patient safety practices. In Evidence report/technology assessment.

62.

Sikula

N. R.

Mancillas

J. W.

Linkov

McDonagh

J. A.

(2015). Risk management is not enough: a conceptual model for resilience and adaptation-based vulnerability assessments. Environment Systems and Decisions. https://doi.org/10.1007/s10669-015-9552-7

63.

Smith

S. J.

Young

Robertson

Dancer

S. J.

(2012). Where do hands go? An audit of sequential hand-touch events on a hospital ward. Journal of Hospital Infection, 80(3), 206–211. https://doi.org/10.1016/j.jhin.2011.12.007

64.

Solis-Hernandez

P. S.

Vidales-Reyes

Garza-Gonzalez

Guajardo-Alvarez

Chavez-Moreno

Camacho-Ortiz

(2015). Hospital-Acquired Infections in Elderly Versus Younger Patients in an Acute Care Hospital. International Journal of Infection, 3(1), 1–5. https://doi.org/10.17795/iji-32620

65.

Stone

P. W.

Clarke

S. P.

Cimiotti

Correa-De-Araujo

(2004). Nurses’ Working Conditions: Implications for Infectious Disease. In Emerging Infectious Diseases • www.cdc.gov/eid • (Vol. 10, Issue 11). www.cdc.gov/eid

66.

Suleyman

Alangaden

Bardossy

A. C.

(2018). The Role of Environmental Contamination in the Transmission of Nosocomial Pathogens and Healthcare-Associated Infections. In Current Infectious Disease Reports. https://doi.org/10.1007/s11908-018-0620-2

67.

Sutcliffe

(2006). LNCS 4001 - Trust: From Cognition to Conceptual Models and Design. In LNCS (Vol. 4001).

68.

The American National Standards Institute (ANSI) and The American Society of Safety Engineers (ASSE) (2016) Prevention through Design: Guidelines for Addressing Occupational Hazards and Risks in Design and Redesign Processes. ANSI/ASSE Z590.3-2011 (R2016). Park Ridge, Illinois: American Society of Safety Engineers.

69.

Vargas-Vera

Nagy

(2014). Establishing agent trust for contradictory evidence by means of fuzzy voting model: An ontology mapping case study. Computers in Human Behavior. https://doi.org/10.1016/j.chb.2013.10.032

70.

Vickery

Deva

Jacombs

Allan

Valente

Gosbell

I. B.

(2012). Presence of biofilm containing viable multiresistant organisms despite terminal cleaning on clinical surfaces in an intensive care unit. Journal of Hospital Infection. https://doi.org/10.1016/j.jhin.2011.07.007

71.

Weber

D. J.

Rutala

W. A.

Miller

M. B.

Huslage

Sickbert-Bennett

(2010). Role of hospital surfaces in the transmission of emerging health care-associated pathogens: Norovirus, Clostridium difficile, and Acinetobacter species. American Journal of Infection Control. https://doi.org/10.1016/j.ajic.2010.04.196

72.

Woods

D. D.

(2015). Four concepts for resilience and the implications for the future of resilience engineering. Reliability Engineering and System Safety. https://doi.org/10.1016/j.ress.2015.03.018

73.

Woods

D. D.

Dekker

Cook

Johannesen

Sarter

(2017). Behind Human Error. In Behind Human Error. https://doi.org/10.1201/9781315568935

74.

World Health Organization. (2011). Report on the burden of endemic health care-associated infection worldwide.

75.

Yulianto

Komariyah

Ulfaniyah

(2017). Application of fuzzy inference system by Sugeno method on estimating of salt production. AIP Conference Proceedings. https://doi.org/10.1063/1.4994442

76.

Zadeh

L. A.

(1996). Fuzzy Logic = Computing with Words. In IEEE TRANSACTIONS ON FUZZY SYSTEMS (Vol. 4, Issue 2).

77.

Zhang

Kong

Lamb

K. V.

(2019). High nursing workload is a main associated factor of poor hand hygiene adherence in Beijing, China: An observational study. International Journal of Nursing Practice. https://doi.org/10.1111/ijn.12720

78.

Zimlichman

Henderson

Tamir

Franz

Song

Yamin

C. K.

Keohane

Denham

C. R.

Bates

D. W.

(2013). Health care-associated infections: AMeta-analysis of costs and financial impact on the US health care system. JAMA Internal Medicine, 173(22), 2039– 2046. https://doi.org/10.1001/jamainternmed.2013.9763