Organizational Culture and Readiness Assessment

The implementation of the change projects in organizations requires that the organizational culture and readiness are assessed to ensure that the project can be implemented successfully with little to no resistance (Melnyk & Fineout-Overholt, 2018). Therefore, it is key to assess the organizational culture and readiness. Some of the aspects that are important to explore include the organizational core values, vision, and mission and how interprofessional collaboration and engagement can possibly support the evidence-based practice project change.

Description of the Organizational Culture

According to Mannion & Davies (2018), organizational culture entails the organization’s mission, vision, and values. Building a culture capable of promoting employee success needs the leaders to support various initiatives. Managers can assist in this respect to ensure standards and expectations are aligned to boost the chances of arriving at success. Another important aspect entails engaging the stakeholders that have the capacity to influence the employee attitude and organizational culture to promote and enhance the quality of patient care.

The organization has a mission of nurturing the healing ministry of the church supported by research and education. The mission also emphasizes social justice and human dignity to help in formulating healthier communities. In addition, the organization’s vision is to live the core values and mission, improve the health of the communities, and pioneer systems and models to boost care delivery. The organization’s core values include excellence, compassion, integrity, and reverence. The organization also has leaders with a lot of experience and is mission-driven to promote healthcare. The implication is that the organization can offer a conducive environment that promotes the implementation of the change project.

The Organizational Readiness Tool

An appropriate organizational readiness tool is key when assessing the readiness of an organization in terms of supporting project implementation. Therefore, the selected tool is the TeamStepps tool. This tool is appropriate for healthcare professionals focusing on improving patient safety through an evidence-based teamwork system (“AHRQ,” 2019). Upon using the assessment tool to assess the readiness of the organization, the survey results indicated that the organization is ready for the change implementation. Hence there are higher chances that the implementation of the proposed project would be successful. In addition, the assessment done using the tool revealed that there will be a need to continually monitor if there are any changes to the answers given in reply to the survey questions. Even though the assessment revealed several positives, the only concern is that it was not clear to which extent will the senior leaders would support the project. However, one fact that would counter any potential weakness is that the nurses and the anesthesiologists who are part of the project are supportive.

The Health Care Process

The health care process in place can hugely influence the implementation of a change project. Our organization uses Six Stigma as the health care process to enhance the cost-effectiveness, safety, and quality within the organization, as this method is effective in reducing waste within the system. The unit also uses a huddle board to measure the ongoing metrics, which allows for the identification of the best practice, which is then embedded into the workflow. The huddle board uses the gathered data from front line drivers through a continuous-learning loop, enabling teams to update improvements throughout the organization, which leads to a reduction of waste, and decreasing cost (HealthCatalyst, 2021).

The Proposed Strategies

It is important to explore strategies that can be key in facilitating the organization’s readiness for the change process. Therefore, the chosen strategy is shared governance. Since the organization is a Magnet designated organization, there are multiple councils available in the facility that supports information sharing. As such, using the shared governance council in the implementation process is key to enhancing the organization’s readiness (Medeiros, 2020).

The Stakeholders and Team Members

Stakeholders and team members entail an important part of the organization hence the implementation of the proposed project. Therefore, it is important that the team members and the internal stakeholders collaborate to enhance the success of EBP change implementation. Such collaboration helps facilitate buy-in and commitment, sharing of resources and experiences, as well as visions to ensure that there is a balance (Ost et al., 2020). The stakeholders would include senior leadership, such as the director and/or VP as the leading champions for the project; other stakeholders would include the anesthesiology team, which would assess the patients for indicators of opioid or non-opioid pain management. Team members would include the change leader, who would monitor the process to ascertain if the changes implemented needed modifications. The coach or mentor would involve the employees in the change process hence making them take ownership. The process owner is the team member that oversees the process and should be able to communicate effectively to allow for buy-in from the stakeholders and other team members (Ost et al., 2020).

Information and Communication Technologies

Utilization of information and communication technologies help are key in implementing EBP change. Therefore, as part of the plan, Six Sigma and Lean Management are to be used in implementing the EBP as it fosters the dissemination of information and communication throughout the practice change by applying the DMAIC process. Through this process, the project objectives are identified, input and outcome measurements and establishment of a baseline of what is to be measured are accomplished. The analysis of the collected data is then followed by the team identifying the root causes or defects that impacts the process and then formulating strategies to improve (Selim, 2019).

The implementation of the controlled process can enhance the improvement of care delivery and nursing practice to support teamwork and enhance care delivery among patients in the PACU. It is hoped that the utilization of the data and outcomes of this change project will enable the patients in the PACU to verbalize pain control using the rating scale when using the non-opioid-based medications in comparison to the use of opioid-based medications.

Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment

Details:

Before making a case for an, it is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation. Select an appropriate organizational culture survey tool and use this instrument to assess the organization’s readiness.

1. Develop an analysis of 250 words from the results, addressing your organization’s readiness level, possible project barriers and facilitators, as well as how to integrate clinical inquiry.

2. Make sure to include the rationale for the survey categories scores that were significantly high and low, incorporating details and/or examples. Also explain how to integrate clinical inquiry into the organization, providing strategies that strengthen the organizations weaker areas.

3. Submit a summary of your results. The actual survey results do not need to be included.

Prepare this assignment according to the APA guidelines found in the APA Style Guide. An abstract is not required.

You are required to submit this assignment to Turnitin.

Upon receiving feedback from the instructor, revise “Section A: Organizational Culture and Readiness Assessment” for your final paper submission. This will be a continuous process throughout the course for each section.

Evidence-Based Practice Proposal – Section B: Problem Description

Details:

Write a paper of 500-750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following:

1. Describe the background of the problem. Tell the story of the issue and why it deserves attention.

2. Identify the stakeholders/change agents. Who, or what organizations, are concerned, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc.

3. Use the feedback from the Topic 2 main forum post and refine your PICOT question. Make sure that the question fits with your graduate degree specialization.

4. State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence-based practice is introduced to identify the expected changes.

5. 5) Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources.

6. Develop an initial reference list to assure that there is adequate literature to support your evidence-based practice project. Follow the “Steps to an Efficient Search to Answer a Clinical Question” box in chapter 3 of the textbook. Use “NUR-699 Search Method Example” to assist you.

7. 7) The majority of references should be research articles. However, national sources such as Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem.

8. Once you get into the literature, you may find there is very little research to support your topic and you will have to start all over again. Remember, in order for this to be an evidence-based project, you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted.

Prepare this assignment according to the APA guidelines found in the APA Style Guide. An abstract is not required.

You are required to submit this assignment to Turnitin.

Upon receiving feedback from the instructor, refine “Section B: Problem Description” for your final submission. This will be a continuous process throughout the course for each section.

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