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    Author: Malene Townsend

    Image of 2 men talking at a desk. Why Honest Conversations Feel Risky When Power Isn’t Equal at Work

    Why Honest Conversations Feel Risky When Power Isn’t Equal at Work

    Honest conversations at work involve speaking openly about concerns, needs, boundaries, or disagreements in situations where outcomes matter to you. When power is unequal, honesty…

    Malene Townsend March 29, 2026
    Why Patient and Family Engagement Is Critical in HAI Risk Reduction. Image of young patient and her mother sitting listening to their healthcare provider

    Why Patient and Family Engagement Is Critical in HAI Risk Reduction

    Healthcare-associated infection (HAI) prevention is often discussed through the lens of policies, bundles, audits, and staff compliance. While these elements are essential, one critical factor…

    Malene Townsend March 19, 2026
    Why Good Healthcare Workers Still Miss Hand Hygiene Opportunities. Image of a group of healthcare workers

    Why Good Healthcare Workers Still Miss Hand Hygiene Opportunities

    Hand hygiene is one of the most discussed expectations in healthcare. It is taught in orientation, reinforced through annual education, measured through audits, and displayed…

    Malene Townsend February 27, 2026
    Using Data to Motivate Infection Prevention Improvement. Image of bar charts

    Using Data to Motivate Infection Prevention Improvement

    Why Improvement Efforts Stall Even When Staff Care Healthcare teams rarely resist improvement because they do not care about patients. Most healthcare workers deeply value…

    Malene Townsend February 27, 2026
    Why Leader Presence Matters in Infection Prevention Culture. Image of healthcare leader sitting among

    Why Leader Presence Matters in Infection Prevention Culture

    Why Leader Presence Matters in Infection Prevention Culture Infection prevention culture is not built through policies alone. It is built through visibility, participation, trust, and…

    Malene Townsend February 27, 2026
    Image showing the Emerge in Time Model from Recognize (Egg stage) to Go (flight stage)

    The Emerge In Time Model

    The Emerge In Time Model is a six-stage personal growth framework inspired by the butterfly’s lifecycle, showing how awareness, nourishment, release, protection, resilience, and sustained…

    Malene Townsend February 27, 2026
    Beyond Audits and Accountability Using Nudge Theory to Improve Hand Hygiene Compliance. Image of a mother elephat using her trunk to gently guide her young

    Beyond Audits and Accountability: Using Nudge Theory to Improve Hand Hygiene Compliance

    Healthcare organizations have invested substantial resources into hand hygiene programs through education, audits, observations, scorecards, and compliance reporting. Yet despite decades of effort, hand hygiene…

    Malene Townsend February 27, 2026
    Beyond the Unit Engaging Off-Unit and Across-Unit Staff in Hand Hygiene and Infection Prevention. Image of a hand sanitizer bottle with a person pressing it

    Beyond the Unit: Engaging Off-Unit and Across-Unit Staff in Hand Hygiene and Infection Prevention

    Hand hygiene improvement efforts often focus on unit-based clinical teams. Nurses, patient care assistants, and unit leaders receive regular compliance updates, participate in audits, and…

    Malene Townsend February 27, 2026
    The Tiny Workflow Gaps That Become Big Infection Risks. Image of healthcare worker in PPE

    The Tiny Workflow Gaps That Become Big Infection Risks

    Why Small Breakdowns Matter More Than We Think When healthcare-associated infections (HAIs) occur, investigations often focus on major failures: missed isolation precautions, contaminated equipment, or…

    Malene Townsend February 10, 2026

    Case Study: Cognitive Load and Patient Deterioration

    Introduction This exercise is designed to help you practice using the TRACE Framework to investigate a healthcare-associated infection event from a systems perspective. In Part…

    Malene Townsend July 5, 2023
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