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

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

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

Organizational Culture and Readiness Sample Essay

The evidence-based practice process entails various steps which have to be followed for the success of the project. One such stage is the implementation phase, which is arguably the most important stage. Implementing such a change in an organization requires that the change implementers assess the organization’s culture and readiness for change (Ost et al.,2020). Such an assessment is key in making the necessary adjustments that would enhance the chances of the project’s success. The assessment of an organization’s culture can be accomplished using various tools, which can be picked depending on the need at hand. Therefore, the purpose of this assignment is to present the findings of the assessment of the organization’s culture and readiness for the implementation of the proposed intervention.

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

The Organization’s Culture and The Degree It Supports Change

            A positive organizational culture supports the implementation of change. As such, it is key to assessing the organization and how it supports change (Cleary‐Holdforth et al.,2021). The organization’s leaders have shown indications of offering support to initiatives such as the EBP process with a major focus on improving the organization’s performance and patient outcomes. In addition, the organization targets to gain magnet status hence supporting change initiatives. The organization’s mission and aim is to provide exemplary and excellent patient care services at affordable cost by employing the latest strategies of care. The organization also urges staff and other employees to offer support for the mission and vision and embrace positive change within the organization. As part of the organization’s focus, interprofessional teams and collaborations are encouraged to improve patient outcomes. As such, the organization’s culture supports EBP and is ready for change.

The Selected Organizational Readiness Tools and Summary of Results

            The selected tool is the organizational culture and readiness for the System-Wide Integration of the EBP survey tool, which has been shown to be effective in assessing an organization’s capacity to cope and adapt to potential changes (Melnyk et al.,2022). The tool was key in exploring the leaders’ and staff’s understanding of the potential change of using the new CAUTI bundle. From the survey conducted, important results were revealed. Around 91% of the employees indicated that they support the proposed change, an indication that only a minority were not supporting the initiative. The majority of the organization’s leaders were also ready to support change, as up to 80% of the leaders showed a willingness to support the proposed change. The majority of the leaders and staff support the proposed change; hence the organization’s culture would support and sustain the proposed change.

Even though the culture supports the proposed change, it is worth noting that there are potential barriers and weaknesses that may derail implementation. For example, lack of support by minority leaders as staff can be a major drawback. The assessment will also be key in exploring the staff knowledge in using the proposed CAUTI bundle, which will then help to formulate strategies for improving their knowledge. The leaders supporting the initiative will play an important role in availing the required resources and supporting the project through making effective decisions and formulating change champions who can then help on driving the change initiative as appropriate.

Suggestions for Health Care process and Systems For Improvement

            The use of a CAUTI bundle has been proposed to help solve the practice gap identified at the facility. Hence one of the strategies is to collaborate with healthcare organizations that are already using the CAUTI bundle. Such collaborations will help the organization improve outcomes (Luckenbaugh & Auffenberg, 2018). Interprofessional collaboration within the organization will also be key for improvement and in helping in the successful implementation of the project as well as its sustenance.

Strategies To Facilitate The Readiness

Improving readiness can be key in change implementation. The current patient care initiative has not been effective in improving patient outcomes, which calls for change implementation. Such statistics on increased rates of CAUTI will be used to let the staff know why it will be key to accept the change (Advani & Fakih, 2019). Education will also be used as a way of preparing the staff for the impending change.

The Project’s Key Stakeholders and Team Members

            Identifying stakeholders and team members is important for the success of the project. The implication is that such stakeholders and team members should be identified in time. The stakeholders include physicians, nurses, unit leaders, nurse managers, patients, and their families (Melnyk et al.,2022). As part of the project, every stakeholder has a significant role to play.

The Information and Communication Technologies Needed For Implementation

Information communication technology is important in the implementation process. One of the tools to be used is electronic health records. Electronic health records will be used to obtain existing data and to collect the required data (Melnyk et al.,2022). The collected data will be analyzed to help determine the effectiveness of implementing the CAUTI care bundle.

Conclusion

The nature of an organization’s culture impacts how an EBP can be implemented in the organization. Hence it is important to assess the culture. The assessment carried out showed that the organization’s culture supports EBP. It also revealed that the staff and the leaders are ready for change

References

Advani, S. D., & Fakih, M. G. (2019). The evolution of catheter-associated urinary tract infection (CAUTI): is it time for more inclusive metrics?. Infection Control & Hospital Epidemiology, 40(6), 681-685. Doi: doi:10.1017/ice.2019.43

Cleary‐Holdforth, J., O’Mathúna, D., & Fineout‐Overholt, E. (2021). Evidence‐based practice beliefs, implementation, and organizational culture and readiness for EBP among nurses, midwives, educators, and students in the Republic of Ireland. Worldviews on Evidence‐Based Nursing, 18(6), 379-388. https://doi.org/10.1111/wvn.12543

Luckenbaugh, A. N., & Auffenberg, G. B. (2018). Leveraging the clinical collaborative model to drive value improvement. Current Opinion in Urology, 28(4), 348-353. https://doi.org/10.1097/01.numa.0000372027.22111.c5

Melnyk, B. M., Hsieh, A. P., & Mu, J. (2022). Psychometric properties of the Organizational Culture and Readiness Scale for System‐Wide Integration of Evidence‐Based Practice. Worldviews on Evidence‐Based Nursing, 19(5), 380-387. https://doi.org/10.1111/wvn.12603

Ost, K., Blalock, C., Fagan, M., Sweeney, K. M., & Miller-Hoover, S. R. (2020). Aligning organizational culture and infrastructure to support evidence-based practice. Critical Care Nurse, 40(3), 59–63. https://doi.org/10.4037/ccn2020963

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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.

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.

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Rubric Criteria

Total100 points

Criterion	1. 1: Unsatisfactory	2. 2: Less Than Satisfactory	3. 3: Satisfactory	4. 4: Good	5. 5: Excellent
Mechanics of Writing Mechanics of Writing (includes spelling, punctuation, grammar, language use)	0 points Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.	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.	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.	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.	5 points Writer is clearly in command of standard, written, academic English.
Health Care Process and Systems Recommended for Improving Quality, Safety, Cost-Effectiveness (B) Health Care Process and Systems Recommended for Improving Quality, Safety, and Cost-Effectiveness (C.3.1)	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.	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.	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.	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.	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.
Organizational Culture and Degree to Which Culture Supports Change Organizational Culture and Degree to Which Culture Supports Change	0 points The organizational culture and the degree to which it supports change is not discussed.	9.6 points The discussion of organizational culture and the degree to which it supports change is incomplete.	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.	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.	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.
Organizational Readiness Tool and Readiness Assessment Organizational Readiness Tool and Readiness Assessment	0 points An organizational readiness tool is not selected; the level or readiness is not assessed.	10.4 points The organizational readiness tool is identified. The survey results and interpretation are incomplete.	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.	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.	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.
Required Sources Required Sources	0 points Sources are not included.	4 points Number of required sources is only partially met.	4.4 points Number of required sources is met, but sources are outdated or inappropriate.	4.6 points Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.	5 points Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.
Paper Format (Use of appropriate style for the major and assignment) Paper Format (Use of appropriate style for the major and assignment)	0 points Template is not used appropriately, or documentation format is rarely followed correctly.	4 points Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.	4.4 points Template is used, and formatting is correct, although some minor errors may be present.	4.6 points Template is fully used; There are virtually no errors in formatting style.	5 points All format elements are correct.
Strategies to Facilitate Organizational Readiness Strategies to Facilitate Organizational Readiness	0 points Strategies to better facilitate the readiness of the organization are not proposed.	8 points Strategies to better facilitate the readiness of the organization are incomplete.	8.8 points General strategies to better facilitate the readiness of the organization are proposed. The strategies lack explanation and supporting research.	9.2 points Strategies to better facilitate the readiness of the organization are proposed. Minor detail is needed for clarity or support.	10 points Clear strategies to better facilitate the readiness of the organization are proposed. Thorough explanations and strong supporting research are provided.
Thesis Development and Purpose Thesis Development and Purpose	0 points Paper lacks any discernible overall purpose or organizing claim.	5.6 points Thesis is insufficiently developed or vague. Purpose is not clear.	6.16 points Thesis is apparent and appropriate to purpose.	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.	7 points Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to as Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)	0 points Sources are not documented.	4 points Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.	4.4 points Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.	4.6 points Sources are documented, as appropriate to assignment and style, and format is mostly correct.	5 points Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Stakeholders and Team Members Needed Stakeholders and Team Members Needed	0 points Stakeholders and team members for the project are omitted.	8 points Stakeholders and team members for the project are only partially identified.	8.8 points Some key stakeholders and team members for the project, including their respective duties, are outlined.	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.	10 points The stakeholders and team members for the project, including their respective duties, are thoroughly identified.
Argument Logic and Construction Argument Logic and Construction	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.	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.	7.04 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.	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.	8 points Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Information and Communication Technologies Needed (B) Information and Communication Technologies Needed (C.3.3)	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.	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.	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.	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 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.	10 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.