NUR 590 Benchmark Assignment – Evidence-Based Practice Project Proposal: Organizational Culture and Readiness Essay

NUR 590 Benchmark Assignment – Evidence-Based Practice Project Proposal: Organizational Culture and Readiness Essay

Benchmark – Evidence-Based Practice Project Proposal: Organizational Culture and Readiness Essay

Assessment Description

In order to successfully implement a change within an organization, the change agent must assess the organization’s culture and readiness for change. In 750-1,000 words, analyze the culture and level of readiness of the organization for which your evidence-based practice project is proposed. You will use the assessment of the organization’s culture and readiness 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:

  1. Describe the organization’s culture 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.
  2. Select an organizational readiness tool and assess the level or readiness for change within your organization. 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.
  3. Discuss what health care process and systems you would recommend for improving quality, safety, and cost-effectiveness for the organization.
  4. Propose strategies to better facilitate the readiness of the organization.
  5. Identify the stakeholders and team members for the project. Include what their duties will be in the evidence-based practice project proposal.
  6. 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.

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.

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.

NUR 590 Topic 4 DQ 1

Explain whether you would select a qualitative or quantitative design to collect data and evaluate the effectiveness of your evidence-based practice project proposal. Identify which data collection tool you would specifically use and explain why this design is best for your evidence-based practice project proposal.

My PICOT: In patients with a central line (P), does use of a central line care bundle (I), when compared to no use of a central line care bundle (C), lead to lower central line associated blood infection (CLABSI) rates (O), over the course of three months (T)?

 

Careful identification of study intentions and meaningful data collection is an essential piece in the evidence-based practice study design process. Though daunting, statistics “play a key role in health and human related research… statistical analysis assists in arriving at right conclusions which then promotes generalization or application of findings to the whole population of interest in the study,” (Rebekah & Ravindran, 2021, p 62). My PICOT intervention aims to reduce the rate of CLABSI occurrence over the course of three months. This quantitative evaluation leads me to design a quantitative evidence-based practice study that considers the numbers and rates of CLABSI occurrence and whether or not implementing a standard bundle will effectively reduce these. Additionally, statistical analysis is essential to give meaning and a story behind a great deal of numbers, with ultimate positive impact on patient popultaion outcomes (Rebekah & Ravindran, 2021). Inferential statistics allow for statistical analysis of data collected to then draw conclusions from specific interventions or scenarios.

 

My PICOT data collection does not require an intermediate or advanced statistical software. Instead, I would use an Excel document to collect information on a randomized control trial approach to patient information, whether or not the intervention of a central line care bundle was implemented or not, and if CLABSI rates were seen to be decreased compared to those without use of a central line care bundle. This would need to be done with access to patient health records in EPIC, to review documentation as well as nurse interventions actually being performed with this patient group. Using basic excel formulas, analysis is able to be performed on this somewhat simple comparison (Rebekah & Ravindran, 2021). I anticipate the largest challenge will be identifying those who will participate in the study, and if it can be done in a randomized fashion.

 

References

 

Rebekah, G. & Ravindran, V. (2021). Statistical analysis in nursing research. Indian Journal of Continuing Nursing Education, 19(1), p 62-69.

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 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

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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).

https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006247-202005000-00002&LSLINK=80&D=ovft

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.

View Resource

Agency for Healthcare Research and Quality

Explore the Agency for Healthcare Research and Quality (AHRQ) website.

http://www.ahrq.gov/

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., fr

… Read More

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=137966882&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost

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

… Read More

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5840160/

The Checklist: Recognize Limits, but Harness Its Power

Read “The Checklist: Recognize Limits, but Harness Its Power,” by Grif Alspach, from Critical Care Nurse (2017).

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=125112053&site=ehost-live&scope=site

6 Steps for Transforming Organizational EBP Culture

Read “6 Steps for Transforming Organizational EBP Culture,” by Ogiehor-Enoma, Taqueban, and Anosike, from Nursing Management

… Read More

https://lopes.idm.oclc.org/login?url=http://gateway.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&NEWS=N&PAGE=fulltext&AN=00006247-201005000-00004&LSLINK=80&D=ovft

The Cochrane Collaboration

Explore the Cochrane Collaboration website.

http://www.cochrane.org/

Advanced Practice Nursing: Essential Knowledge for the Profession

Read Chapters 23 and 24 in Advanced Practice Nursing: Essential Knowledge for the Profession.

View Resource

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 Mat

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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, an

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https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=143440827&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost

JBI EBP Resources

Use the JBI EBP Resources to search for EBP resources related to your project.

https://jbi.global/ebp

Cochrane Library

Explore the Cochrane Library website.

http://www.thecochranelibrary.com/view/0/index.html

Readiness Assessment

Read “Readiness Assessment” (2015), located on the Agency for Healthcare Research and Quality (AHRQ) website.

https://www.ahrq.gov/tea

Benchmark – Evidence-Based Practice Project Proposal: Organizational Culture and Readiness – Rubric

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Organizational Culture and Degree to Which Culture Supports Change

12 points

Criteria Description

Organizational Culture and Degree to Which Culture Supports Change

  1. 5: Excellent

12 points

The organizational culture and the degree to which it supports change is thoroughly discussed. The various aspects of the culture are included. Thorough explanations and strong supporting research are provided.

  1. 4: Good

11.04 points

The organizational culture and the degree to which it supports change is discussed. Key aspects of the culture are included. In general, explanations and support are provided. Minor detail is needed for clarity or support.

  1. 3: Satisfactory

10.56 points

The organizational culture and the degree to which it supports change is summarized. Some key aspects of the culture are outlined but lack explanation and supporting research.

  1. 2: Less Than Satisfactory

9.6 points

The discussion of organizational culture and the degree to which it supports change is incomplete.

  1. 1: Unsatisfactory

0 points

The organizational culture and the degree to which it supports change is not discussed.

Organizational Readiness Tool and Readiness Assessment

13 points

Criteria Description

Organizational Readiness Tool and Readiness Assessment

  1. 5: Excellent

13 points

The organizational readiness tool is identified, and the survey results are presented. The degree to which the culture will support and sustain an evidence-based practice changes is thoroughly discussed. Strengths and weaknesses, potential barriers, stakeholder support, timing of the proposal, and resources are clearly considered. Thorough explanations and strong supporting research are provided.

  1. 4: Good

11.96 points

The organizational readiness tool is identified, and the survey results are presented. The degree to which the culture will support and sustain an evidence-based practice changes is discussed. Strengths and weaknesses, potential barriers, stakeholder support, timing of the proposal, and resources are generally considered. Some minor rationale is needed.

  1. 3: Satisfactory

11.44 points

The organizational readiness tool is identified, and the survey results are summarized. The degree to which the culture will support and sustain evidence-based practice changes is generally discussed. The narrative lacks explanation and supporting research.

  1. 2: Less Than Satisfactory

10.4 points

The organizational readiness tool is identified. The survey results and interpretation are incomplete.

  1. 1: Unsatisfactory

0 points

An organizational readiness tool is not selected; the level or readiness is not assessed.

Health Care Process and Systems Recommended for Improving Quality, Safety, Cost-Effectiveness (B)

10 points

Criteria Description

Health Care Process and Systems Recommended for Improving Quality, Safety, and Cost-Effectiveness (C.3.1)

  1. 5: Excellent

10 points

The health care process and systems recommended for improving quality, safety, and cost-effectiveness for the organization is thoroughly discussed. Thorough explanations and strong supporting research are provided.

  1. 4: Good

9.2 points

The health care process and systems recommended for improving quality, safety, and cost-effectiveness for the organization is discussed. Minor detail is needed for clarity or support.

  1. 3: Satisfactory

8.8 points

A summary on what health care process and systems are recommended for improving quality, safety, and cost-effectiveness for the organization is presented. The narrative lacks explanation and supporting research.

  1. 2: Less Than Satisfactory

8 points

A discussion on what health care process and systems are recommended for improving quality, safety, and cost-effectiveness for the organization is incomplete.

  1. 1: Unsatisfactory

0 points

A discussion on what health care process and systems are recommended for improving quality, safety, and cost-effectiveness for the organization is omitted.

Strategies to Facilitate Organizational Readiness

10 points

Criteria Description

Strategies to Facilitate Organizational Readiness

  1. 5: Excellent

10 points

Strategies to better facilitate the readiness of the organization are proposed. Minor detail is needed for clarity or support.

  1. 4: Good

9.2 points

Clear strategies to better facilitate the readiness of the organization are proposed. Thorough explanations and strong supporting research are provided.

  1. 3: Satisfactory

8.8 points

General strategies to better facilitate the readiness of the organization are proposed. The strategies lack explanation and supporting research.

  1. 2: Less Than Satisfactory

8 points

Strategies to better facilitate the readiness of the organization are incomplete.

  1. 1: Unsatisfactory

0 points

Strategies to better facilitate the readiness of the organization are not proposed.

Stakeholders and Team Members Needed

10 points

Criteria Description

Stakeholders and Team Members Needed

  1. 5: Excellent

10 points

The stakeholders and team members for the project, including their respective duties, are thoroughly identified.

  1. 4: Good

9.2 points

Key stakeholders and team members for the project, including their respective duties, are identified. Minor detail is needed for clarity or support.

  1. 3: Satisfactory

8.8 points

Some key stakeholders and team members for the project, including their respective duties, are outlined.

  1. 2: Less Than Satisfactory

8 points

Stakeholders and team members for the project are only partially identified.

  1. 1: Unsatisfactory

0 points

Stakeholders and team members for the project are omitted.

Information and Communication Technologies Needed (B)

10 points

Criteria Description

Information and Communication Technologies Needed (C.3.3)

  1. 5: Excellent

10 points

The information and communication technologies needed for implementation and how they will be integrated in the setting by the internal stakeholders are discussed. How they will help improve nursing practice and care delivery for individuals and populations for the intervention is explained. Minor detail is needed for clarity or support.

  1. 4: Good

9.2 points

The information and communication technologies needed for implementation and how they will be integrated in the setting by the internal stakeholders are clearly discussed. How they will help improve nursing practice and care delivery for individuals and populations for the intervention is thoroughly explained. Clear support is provided.

  1. 3: Satisfactory

8.8 points

The information and communication technologies needed for implementation and how they will be integrated in the setting by the internal stakeholders are summarized. More explanation is need for how these will help improve nursing practice and care delivery for individuals and populations for the intervention.

  1. 2: Less Than Satisfactory

8 points

The information and communication technologies needed for implementation and how they will be integrated in the setting by the internal stakeholders are only partially explained.

  1. 1: Unsatisfactory

0 points

The information and communication technologies needed for implementation and how they will be integrated in the setting by the internal stakeholders are omitted.

Required Sources

5 points

Criteria Description

Required Sources

  1. 5: Excellent

5 points

Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.

  1. 4: Good

4.6 points

Number of required sources is met, but sources are outdated or inappropriate.

  1. 3: Satisfactory

4.4 points

Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.

  1. 2: Less Than Satisfactory

4 points

Number of required sources is only partially met.

  1. 1: Unsatisfactory

0 points

Sources are not included.

Thesis Development and Purpose

7 points

Criteria Description

Thesis Development and Purpose

  1. 5: Excellent

7 points

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

  1. 4: Good

6.44 points

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

  1. 3: Satisfactory

6.16 points

Thesis is apparent and appropriate to purpose.

  1. 2: Less Than Satisfactory

5.6 points

Thesis is insufficiently developed or vague. Purpose is not clear.

  1. 1: Unsatisfactory

0 points

Paper lacks any discernible overall purpose or organizing claim.

Argument Logic and Construction

8 points

Criteria Description

Argument Logic and Construction

  1. 5: Excellent

8 points

Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

  1. 4: Good

7.36 points

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

  1. 3: Satisfactory

7.04 points

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

  1. 2: Less Than Satisfactory

6.4 points

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

  1. 1: Unsatisfactory

0 points

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Mechanics of Writing

5 points

Criteria Description

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

  1. 5: Excellent

5 points

Writer is clearly in command of standard, written, academic English.

  1. 4: Good

4.6 points

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

  1. 3: Satisfactory

4.4 points

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

  1. 2: Less Than Satisfactory

4 points

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

  1. 1: Unsatisfactory

0 points

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Paper Format (Use of appropriate style for the major and assignment)

5 points

Criteria Description

Paper Format (Use of appropriate style for the major and assignment)

  1. 5: Excellent

5 points

Template is fully used; There are virtually no errors in formatting style.

  1. 4: Good

4.6 points

All format elements are correct.

  1. 3: Satisfactory

4.4 points

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

4 points

Template is used, and formatting is correct, although some minor errors may be present.

  1. 1: Unsatisfactory

0 points

Template is not used appropriately, or documentation format is rarely followed correctly.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to as

5 points

Criteria Description

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

  1. 5: Excellent

5 points

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

  1. 4: Good

4.6 points

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

  1. 3: Satisfactory

4.4 points

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

  1. 2: Less Than Satisfactory

4 points

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

  1. 1: Unsatisfactory

0 points

Sources are not documented.

 

 

 

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