Benchmark – Evidence-Based Practice Project Proposal Organizational Culture and Readiness
The promotion of safety, quality, and efficiency is important in nursing practice The achievement of these care outcomes depends largely on the Evidence-based interventions are effective in minimizing patient harm and enhancing quality and efficiency of care. Generally, nurses should demonstrate competencies in translating evidence into practice. Safety issues such as medication administration errors threaten the health and wellbeing of the patients. Medication administration errors have significant adverse effects on the health of the patients. They include prolonged hospital stay, unintended harm, increased costs of care, and mortality. Health information technologies are effective in preventing and reducing medication administration errors. Therefore, this project proposes using integrated health information systems to reduce the risk and rate of medication administration errors in critically ill patients.
Problem Statement
Patients in critical condition are increasingly vulnerable to care process errors, including medication administration errors. Medication administration errors are flaws in medication administration that result in a difference between the drugs administered and the drugs that were supposed to be administered. Medication administration errors are common in critically ill patients’ care due to factors such as multiple medication administration, complex patient care needs, health status unpredictability, and distractions (Barakat & Franklin, 2020). Medication administration errors harm patient health by causing unintended harm, lengthening hospital stays, increasing healthcare costs, and raising operational costs in healthcare due to increased resource utilization (Devin et al., 2020). Nurses are responsible for the majority of medication administration errors due to their primary role in medication administration (Alomari et al., 2020). Medication administration errors have been increasing on the job site. Despite this, it has not looked into potential solutions, such as the use of integrated health information systems. According to the evidence, integrated health information systems are extremely effective at preventing and reducing medication errors (Jheeta & Franklin, 2017). As a result, its use on the project site is required to promote safety, quality, and efficiency in patient care, which is the project’s focus.
Assessment Description
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For one to successfully execute organizational change within their workplace, the change agent must assess the organization’s culture and readiness for change. In 750-1,000 words, analyze the culture and level of of the . You will use the assessment of the organization’s
culture and in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal.
Include the following:
- and explain to what degree the culture supports change. Consider organizational and leadership structure, mission and values, interprofessional collaboration/team engagement, communication, perception of the organization by employees, etc.
- . Identify the readiness tool and summarize the survey results. Discuss the degree to which the culture will support and sustain an evidence-based practice change. Consider strengths and weaknesses, potential barriers, stakeholder support, timing of the proposal, and resources. Provide rationale.
- Discuss what health care process and systems you would recommend for improving quality, safety, and cost-effectiveness for the organization.
- Propose strategies to better facilitate the .
- Identify the stakeholders and team members for the project. Include what their duties will be in the evidence-based practice project proposal.
- Explain what information and communication technologies are needed for the implementation and how they will be integrated in the setting by the internal stakeholders. Explain how these will help improve nursing practice and care delivery for individuals and populations for your intervention.
Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.
You are required to cite a minimum four peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content. Benchmark – Evidence-Based Practice Project Proposal Organizational Culture and Readiness
Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper. Benchmark – Evidence-Based Practice Project Proposal Organizational Culture and Readiness
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Benchmark – Evidence-Based Practice Project Proposal Organizational Culture and Readiness
Week 3 Assignment (NUR 590 Evidence-Based Practice Project Assignments)
Evidence-Based Practice Proposal – Section C: Solution Description
Write a paper of 500-750 words for your proposed evidence-based practice project solution. Address the following criteria:
Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, if it may be too costly, or if there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your problem statement before continuing.
Organization Culture: Explain the way(s) in which the proposed solution is consistent with the and resources.
Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the problem statement.
Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations that may need to be addressed.
Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, or professional expertise.
You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section.
NUR 590 Evidence-Based Practice Project
Week 4 Assignment – Evidence-Based Practice Proposal – Section D: Change Model
Roger’s diffusion of innovation theory is an excellent theoretical framework for an EBP project. Students can also use change models like Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models, such as a utilization model (Stetler’s model) and EBP models (the Iowa model and the ARCC model), can serve as a framework for implementing your evidence-based proposal in clinical practice. Use one of the models listed above to guide your implementation through each of the stages, phases, or steps outlined in the model.
Discuss applying one of the change models to the implementation plan in 500-750 words (excluding the title page and references page):
Identify and discuss the selected model or theoretical framework’s relevance to your project.
Examine each stage of the change model/framework.
Describe how you would implement each stage in your proposed plan.
Create a conceptual model of the project as well. Although you will not submit the conceptual model you created in Topic 4 with the narrative, you will include it in the final paper’s appendices.
To complete this assignment, you must cite three to five sources. Sources must be recent (5 years) and relevant to the assignment criteria and nursing content.
Prepare this assignment in accordance with the APA Style Guide, which can be found in the Student Success Center. There is no need for an abstract.
A rubric is used for this assignment. Please review the rubric before beginning the assignment to become acquainted with the requirements for successful completion.
This assignment must be submitted to LopesWrite. Please follow the steps outlined in the Student Success Center.
Please keep in mind that you will receive feedback from the instructor after submitting the assignment. Use this feedback to improve your final paper submission. This will be a continuous process for each section throughout the course.
NUR 590 Evidence-Based Practice Project Week 5 Assignment
Evidence-Based Practice Proposal – Section E: Implementation Plan
In 1,000-1,500 words, provide a description of the methods to be used to implement the proposed solution. Include the following:
Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval forms in Topic 5 with the narrative, you will include the consent or approval forms in the appendices for the final paper.
Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, you will include the timeline in the appendices for the final paper.
Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, you will include the resource list in the appendices for the final paper.
Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, you will include the instruments in the appendices for the final paper.
Explain the process for delivering the (intervention) solution and indicate if any training will be needed.
Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, you will include the data collection tools in the appendices for the final paper.
Describe the strategies to deal with the management of any barriers, facilitators, and challenges.
Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer-related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, you will include the budget plan in the appendices for the final paper.
Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.
You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section.
NUR 590 Evidence-Based Practice Project
Week 6 Assignment (NUR 590 Evidence-Based Practice Project Assignments)
Evidence-Based Practice Proposal – Section F: Evaluation of Process
In 500-750 words, develop an evaluation plan to be included in your final evidence-based practice project. Provide the following criteria in the evaluation, making sure it is comprehensive and concise:
Describe the rationale for the methods used in collecting the outcome data.
Describe the ways in which the outcome measures evaluate the extent to which the project objectives are achieved.
Describe how the outcomes will be measured and evaluated based on the evidence. Address validity, reliability, and applicability.
Describe strategies to take if outcomes do not provide positive results.
Describe implications for practice and future research.
You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section.
NUR 590 Topic 7 DQ 1
Propose strategies for disseminating your evidence-based practice project proposal. Consider the necessary stakeholders who need to review or approve the proposal (both internal and external) and what methods you will use to communicate.
Disseminating evidence to stakeholders and decision makers within the organization is crucial to getting the proposed solution implemented throughout the organization. The evidence must have evidence based research that supports the proposed solution and must show how the solution will improve the performance of the organization. After the completion of a research or evidence based project, the information must be disseminated amongst the staff. The purpose behind performing a research project or evidence based project is to create change and to advance patient care. The information that is distributed amongst the staff is quite important. Having a dissemination plan is so vital because there are barriers. The barriers can involve not having the education or information readily available, costs of disseminating the information to staff, and staff being resistant to the new change or information. Using a tool for a dissemination plan will help guide the researcher find all the components necessary to form a formal dissemination plan that specifically reflects the user’s needs and interests (Carpenter, Nieva, Albaghal, & Sorra, 2014). The tool provides six useful components on successfully disseminating the research findings. The components consist of defining the research, identifying target users, working with dissemination partners, communicating the research, communicating the research, evaluating the success of the dissemination process, and developing an action plan (Carpenter, Nieva, Albaghal, & Sorra, 2014). Utilizing the tool will not only provide better outcomes for the researcher but the staff members that are receiving the new information. External Stakeholders would be investors and donors. Internal stakeholders to reach out to would be executive and managers.
Reference:
Carpenter,D., Nieva, V., Albaghal, T. & Sorra, J. (2014). Development of a Planning Tool to Guide Research Dissemination. Retrieved from: http://www.ncbi.nlm.nih.gov/books/NBK20603/
Dissemination is spreading evidence-based practice information to a variety of clinical settings to increase understanding and adoption of new or changed evidence-based practice. Proposing evidence-based practice projects in a diverse but related setting allows for the uptake of stakeholder support that would increase resources to conduct more complex studies and implement enhanced interventions. Stakeholders are very important as not only can studies require financial backing for equipment, clinical resources and personnel, but also require stakeholders that can understand the gravity a project or proposal has on improving patient related health outcomes (Cunningham-Erves, Mayo-Gamble, Vaughn, Hawk, Helms, Barajas & Joosten, 2020).
Considering my evidence-based project, internal stakeholders would primarily be health care facilities and specifically the outpatient/public nutrition department. Approval would be needed from a health care facility in order to obtain consents and access to the target population and because consent and privacy must be ethically followed approval from a health care facility may already have detailed policies regarding such proposals. Direct communication with administration and the nutrition department will be ideal to maintain good faith in stakeholder support as the project is tailored towards the nutritional field (Warren, Constantinides, Blake & Frongillo, 2021).
External stakeholders would include support from those outside of the health care facility such as local or public dieticians/nutritionists, patients, and public education programs. You can also include digital or virtual stakeholders that could support structured and guided ways to use technology for diet modification and nutritional information. While direct communication for public services and patients can be facilitated, technological stakeholder support may need technical communication for improvements and utilization (Warren, Constantinides, Blake & Frongillo, 2021).
References:
Jennifer Cunningham‐Erves, Tilicia Mayo‐Gamble, Vaughn, Y., Hawk, J., Helms, M., Barajas, C., & Joosten, Y. (2020). Engagement of community stakeholders to develop a framework to guide research dissemination to communities. Health Expectations, 23(4), 958-968. http://dx.doi.org.lopes.idm.oclc.org/10.1111/hex.13076
Warren, A. M., Constantinides, S. V., Blake, C. E., & Frongillo, E. A. (2021). Advancing knowledge about stakeholder engagement in multisectoral nutrition research. Global Food Security, 29. https://doi-org.lopes.idm.oclc.org/10.1016/j.gfs.2021.100521
Week 7 Assignment Benchmark – Evidence-Based Practice Proposal Final Paper
Throughout this course, you have developed a formal, evidence-based practice proposal.
The proposal is the plan for an evidence-based practice project designed to address a problem, issue, or concern in the professional work setting. Although several types of evidence can be used to support a proposed solution, a sufficient and compelling base of support from valid research studies is required as the major component of that evidence. Proposals must be submitted in a format suitable for obtaining formal approval in the work setting. Proposals will vary in length depending upon the problem or issue addressed (3,500 and 5,000 words). The cover sheet, abstract, references pages, and appendices are not included in the word count.
Section headings for each section component are required. Evaluation of the proposal in all sections will be based upon the extent to which the depth of content reflects graduate-level critical thinking skills.
This project contains seven formal sections:
Section A: Organizational Culture and Readiness Assessment
Section B: Proposal/Problem Statement and Literature Review
Section C: Solution Description
Section D: Change Model
Section E: Implementation Plan
Section F: Evaluation of Process
Each section (A-F) will be submitted as a separate assignment in Topics 1-6 so your instructor can provide feedback (refer to applicable topics for complete descriptions of each section).
The final paper submission in Topic 7 will consist of the completed project (with revisions to all sections), title page, abstract, compiled references list, and appendices. Appendices will include a conceptual model for the project, handouts, data and evaluation collection tools, a budget, a timeline, resource lists, and approval forms, as previously assigned in individual section assignments.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
NUR 590 Evidence-Based Practice Project
Week 8 Assignment (NUR 590 Evidence-Based Practice Project Assignments)
Evidence-Based Practice Presentation
Develop a 10-15-slide presentation with comprehensive speaker’s notes that covers all of the major areas of your evidence-based practice proposal.
You will need to post a rough draft of your evidence-based practice presentation to the Main Forum in Topic 8 DQ 1 for peer feedback.
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references compiled from the final project should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite. NUR 590 Evidence-Based Practice Project Assignments
Topic 2 DQ 1
Compare two organizational readiness tools. Identify the tool you selected and explain why it is most appropriate for assessing your organization.
“The ability of non-governmental organizations, government agencies, and corporations to deliver and support the availability and use of interventions for improved global public health depends on their readiness to do so” (Dearing, 2018). The COVID-19 pandemic proved that my organization as well as many healthcare organizations were not and are not ready for such public health crisis. What my organization experienced (the chaos and dysfunction) makes me question our organization readiness and whether we are even ready to implement my change proposal to increase more nurses. I say this because, when the pandemic began the organization was already cutting essential resources in the name of cost savings without properly conducting a cost benefit analysis. Our organization was short of qualified registered nurses and they refused to hire more nurses because they did not want to allocate the funds to do so even though they had enough money to hire more nurses. When it comes to presenting my idea, I foresee a backlash from upper management when it comes to allocating the funds to hire more nurses. A strategy I would propose comes from the TeamSTEPPS assessment tool. One of the steps would involve conducting a “briefing for senior leaders and key stakeholders about the TeamSTEPPS program, including its purpose and goals, what’s required from an organizational perspective, and what’s required of them to make the initiative a success; making sure they are aware of what will be needed for your organization to gain the benefits from TeamSTEPPS and allow them to make an informed decision” (Agency for Healthcare Research and Qualty, 2016). There is an abundance of current research that supports having strong nurse staffing levels and my goal is to produce the data to directly links staffing levels to patient care outcomes.
References:
Dearing, J. (2018). Organizational Readiness Tools for Global Health Intervention: A Review. Frontiers in Public Health. (6):58. Retrieved from
Agency for Healthcare Research and Quality (AHRQ). (2016). Tips and Suggestions for Enhancing Organizational Readiness. Retrieved from https://www.ahrq.gov/teamstepps/readiness/abouttips.htm
Organizational readiness can be used to learn the degree of motivation within candidates or potential organizations when implementing a process, determining particular capabilities, assisting in improving organizational capacities, and help to bring more value to their clients (Dearing, 2018). The Organizational Readiness to Change Assessment (ORCA) is an assessment tool that determines the strength and evidence provided for the intended change ro innovation, quality of the organization’s process to support change, and the organization’s capacity to facilitate and carry out change (The National Collaborating Centre for Methods and Tools, 2017). This tool helps to assess an organization’s strengths and weaknesses to support and implement evidence based practice changes. Organizational Readiness for Implementing Change (ORIC) is a readiness tool used to assess and measure the organization’s readiness for implementation and change in a healthcare setting. Not only can this tool assess the organization’s willingness to initiate a change it also observes and determines the organization’s commitment (Storkholm, 2014). For my organization I would use the ORCA too. While the ORIC can determine the organizations commitment, it focuses mainly on individuals and not the entire healthcare setting as a whole. In comparison, the ORCA can determine an organization’s strengths and weaknesses beyond the individuals initiating the change, but rather as a healthcare institution as a whole. An organization may have committed individuals but if they do not have proper funding, resources, management, supplies, equipment etc, the change will not be effective or beneficial for staff or patients.
References
Dearing, J. W. (2018). Organizational readiness tools for global health intervention: a review. Frontiers in public health, 6, 56.
The National Collaborating Centre for Methods and Tools. (2017). Organizational Readiness to Change Assessment (ORCA) tool | Resource Details | National Collaborating Centre for Methods and Tools. Nccmt.ca.
Storkholm, M.H., Mazzocato, P., Tessma, M.K. et al. Assessing the reliability and validity of the Danish version of Organizational Readiness for Implementing Change (ORIC). Implementation Sci 13, 78 (2018). https://doi.org/10.1186/s13012-018-0769-y
Benchmark Information
This benchmark assignment assesses the following programmatic competencies:
MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing
3.1: Assess health care processes and systems to recommend measures for improving quality, safety, and cost-effectiveness across an organization.
3.3: Integrate appropriate information and communication technologies to improve nursing practice and care delivery for individuals and populations.
Resources
The Checklist: Recognize Limits, but Harness Its Power
Benchmark – Evidence-Based Practice Project Proposal Organizational Culture and Readiness Read “The Checklist: Recognize Limits, but Harness Its Power,” by Grif Alspach, from Critical Care Nurse (2017).
Evidence-Based Practice in Nursing and Healthcare : A Guide to Best Practice
Read Chapters 15 and 18 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice.
Welcome to NUR 590 Evidence-Based Practice Project!
Hello Everyone!
Welcome to NUR 590! My name is Dr. W and I will be your instructor for this course. During this course, you will be writing your evidence-based project proposal. Every week you will be writing a section of the proposal and submitting it into the assignments forum. I will provide feedback for you with each section. Please revise your sections according to my feedback and save the revisions. During week 7 you will compose the final draft of the proposal with the revised sections and the other required parts of the proposal that are described in the assignment guidelines. All of your writing must be followed by the APA 7th edition guidelines. Please purchase a hard copy of the APA manual 7th edition. I will have my copy and make references to the pages in the APA manual 7th edition in order for you to make your revisions. During the first two weeks of the course, I will post computer-assisted technique (CAT) questions for you to review APA 7th edition guidelines. The remainder of the CAT questions will be about the discussion questions.
Please become familiar with your syllabus during the first week. Please post something about yourself in the class introduction forum. There are some important due dates that are required with your initial response to the discussion questions. All initial responses to discussion question one are due on Saturday of each week by 11:59 pm Arizona time. If a response is late, 0.5 point will be deducted for each day late. The first deduction will be due to not submitting your response by the date and time. The initial response to discussion question two will be due on Monday of each week by 11:59 pm Arizona time. The same penalty applies to discussion question two as discussion question one. Each initial response must be a substantive response and is worth a total of 5 points for each discussion question. You will have a total of 20 participation points each week. Your participation points must be substantive and include at least three responses to your classmates and/or the CAT questions. ALL THREE RESPONSES MUST BE POSTED ON AT LEAST THREE SEPARATE DAYS OR POINTS WILL BE DEDUCTED!!! Please adhere to all guidelines. The due dates for the assignments will be every Wednesday by 11:59 pm Arizona time. There will be a 10% penalty for each late assignment submission. Please communicate with me with any questions or concerns. You may send me a private forum (which only I have access to), a Question to Instructor forum (which all members of the class can read), or you may text me at (406) 600-0884. Please only text me between the hours of 8 am and 8 pm Eastern Daylight Time. I will respond as quickly as I can.
Every week I will post scripture verses in the announcements. This week’s scripture verses come from Ephesians 4.
A Multisite Health System Survey to Assess Organizational Context to Support Evidence-Based Nursing
Read “A Multisite Health System Survey to Assess Organizational Context to Support Evidence-Based Nursing,” by Pitmann et al., from Wor
…
Supporting the Uptake of Nursing Guidelines: What You Really Need to Know to Move Nursing Guidelines Into Practice
Read “Supporting the Uptake of Nursing Guidelines: What You Really Need to Know to Move Nursing Guidelines Into Practice,” by Matthew-Maich
…
Readiness Assessment
Read “Readiness Assessment” (2015), located on the Agency for Healthcare Research and Quality (AHRQ) website.
The Cochrane Collaboration
Explore the Cochrane Collaboration website.
Advanced Practice Nursing: Essential Knowledge for the Profession
Read Chapters 23 and 24 in Advanced Practice Nursing: Essential Knowledge for the Profession.
Cochrane Library
Explore the Cochrane Library website.
Organizational Readiness Tools for Global Health Intervention: A Review
Read “Organizational Readiness Tools for Global Health Intervention: A Review,” by Dearing, from Frontiers in Public Health (2018)
…
Agency for Healthcare Research and Quality
Explore the Agency for Healthcare Research and Quality (AHRQ) website.
Cultivate a Culture of Excellence at the Point of Care
Read “Cultivate a Culture of Excellence at the Point of Care,” by Medeiros, from Nursing Management (2020).
6 Steps for Transforming Organizational EBP Culture
Read “6 Steps for Transforming Organizational EBP Culture,” by Ogiehor-Enoma, Taqueban, and Anosike, from Nursing Management (2010
…
JBI EBP Resources
Use the JBI EBP Resources to search for EBP resources related to your project.
Aligning Organizational Culture and Infrastructure to Support Evidence-Based Practice
Read “Aligning Organizational Culture and Infrastructure to Support Evidence-Based Practice,” by Ost, Blalock, Fagan, Sweeney, and Miller-H
Organizational Culture and Readiness
The culture of an organization affects the change process. It shapes the attitudes and support that the adopters have towards the change. Organizational stakeholders should support the creation of an enabling culture for change. Therefore, this section examines the culture and readiness of the organization for change.
Organizational Culture
The organization’s analysis showed it has a positive culture that will facilitate the success of the proposed project. First, the organization has effective leadership, as seen from the leaders and managers encouraging teamwork in the provision of patient care. The mission and vision of the organization support innovation in healthcare practice. The organization has allocated resources for use in quality improvement initiatives to improve patient care outcomes. The employee level of responsibility is also high in the organization, leading to enhanced undertaking of the organizational tasks. Open communication is also practiced where staffs have the freedom to express their ideas and views on issues related to patient care (Bouckenooghe et al., 2019).
Organizational Readiness Assessment
Researchers have used the tool by the Capacity Building Center for States to assess organizational readiness. The tool comprises of three sections that include readiness items, checklist for key change as well as implementation milestones and summary of readiness findings and organizational areas to improve. The assessment results showed that the organization was ready for the change, as seen from its scores of ‘strongly agreed’ and ‘partially agreed’ in the assessment. The highest scores were seen in resource availability, supportive structures, leadership, staff capacity, and climate. Moderate scores were seen in receptivity to change, compatibility, and simplicity of management.
Organizational strengths, weaknesses, and opportunities were identified from the assessment. The presence of adequate resources for implementation of the change was one of the strengths. It also showed organizational strengths of effective leadership and competent staffs that could support the change. The lack of effective management in the organization was the identified weakness since the organization lacks simplistic management systems for change. Staff shortage was identified as a threat that may make it difficult to implement change due to high workload facing the existing personnel. However, a focus on aspects such as the effective use of resources and timing of change will be used to address the above issues.
Recommended Care Process and Systems
Integrated health information technology is recommended for the organization, as it can eliminate the risk of medication errors in the organization. The integrated systems expand the provider access to patient data for accurate decision-making. As a result, adverse events in medications use will be minimized. Training the healthcare providers on the use of integrated health information systems is the recommended change in organizational processes to develop their competencies (Bouckenooghe et al., 2019).
Strategies to Facilitate Readiness of the Organization
Training of the healthcare givers will be offered to enhance competencies and readiness for change. Active stakeholder participation will be encouraged to ensure their empowerment to support the change. Openness, transparent communication will be encouraged for trust and honesty among the implementers of change (Doll et al., 2017).
Stakeholders and Team Members
Nurses, nurse managers, physicians, pharmacists, and information technology experts will implement the project. The role of nurses will be to provide insights into the system requirements needed for efficient its efficient use. They are also the direct users of the integrated systems for medication administration. Nurse Managers will oversee the implementation process of the change and offer feedback on the effectiveness of the change process. Physicians and pharmacists will provide information about the system needs that require prioritization (Hussey & Kennedy, 2021). Information technology experts will offer the needed technical support for the use of integrated health systems.
Information and Communication Technologies
Integrated electronic health records will be needed for the implementation of the change initiative. There will be the upgrading of the existing systems to enhance efficiency in medication processes.
