NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Papers

NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Papers

Q1

Implementation of change initiatives is usually carried out in healthcare environments with a major focus on improving patient care outcomes. Such change initiatives have to undergo various steps, such as implementation. For a successful implementation, it is important to evaluate or assess the organization’s readiness to accept such a change. Therefore, various tools can be used to achieve such an aim. The use of assessment tools helps the organization to view and explore various aspects of the organization, which can then show how ready the organization is regarding the implementation of a change initiative (Miake-Lye et al., 2020). Examples of organizational readiness assessment tools include the System-Wide Integration of the EBP survey tool and the Organizational Readiness to Change Assessment (ORCA) tool

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System-Wide Integration of the EBP survey tool is an assessment tool is tool that has been applied in assessing how an organization can cope with changes. It is used to explore the staff and leaders’ understanding of an impending change (Melnyk et al.,2022). On the other hand, the Organizational Readiness to Change Assessment (ORCA) tool is used to evaluate the importance of evidence associated with the change outcomes. Through the use of the tool, it is possible to evaluate the organization by assessing medical practice, clinical experience, and patient preference (Kononowech et al.,2021). Therefore this tool can be used to present the organization’s assessment in terms of its characteristics.

System-Wide Integration of the EBP survey tool was applied in the assessment of the organization’s culture due to its robustness in assessing the organization’s culture and readiness for change (Melnyk et al.,2022). It was the best for the organization because it was key in assessing the staff and leadership’s view of evidence-based practice implementation as well as their readiness for a potential change.

References

Kononowech, J., Hagedorn, H., Hall, C., Helfrich, C. D., Lambert-Kerzner, A. C., Miller, S. C., … & Damschroder, L. (2021). Mapping the organizational readiness to change assessment to the Consolidated Framework for Implementation Research. Implementation Science Communications, 2(1), 1-6. https://doi.org/10.1186/s43058-021-00121-0

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

Miake-Lye, I. M., Delevan, D. M., Ganz, D. A., Mittman, B. S., & Finley, E. P. (2020). Unpacking organizational readiness for change: an updated systematic review and content analysis of assessments. BMC Health Services Research, 20(1), 1–13. https://doi.org/10.1186/s12913-020-4926-z

DQ2

Implementation of EBP is one of the most important aspects of the EBP cycle. It is important to explore potential issues that can impact the implementation of the project. One such is the lack of motivation by the nursing staff. The use of the proposed CAUTI bundle would require adequate training and change of operations by the nurses. Therefore, they may look at the new intervention as an additional workload (Mathieson et al.,2019). However, they will be supported to ensure that they don’t resist the proposed change but embrace it. The other potential issue is a lack of support by individuals not ready for the change effort, especially the staff and leaders who indicated that they are not ready for change.

It will be important to create and sustain a higher level of readiness to change. Therefore, it will be key to use various strategies. One strategy is consistent training and education regarding the use of the new CAUTI bundle to help control CAUTI rates. Education and training will offer the staff a chance to be updated on the new aspects and continue following the laid down protocols or guidelines (Kilbourne et al.,2019).

Research and literature will be used to ensure that the change is based on the current evidence. A comprehensive literature review will be carried out to help reveal the existing strategies which are being used in controlling CAUTI. This will ensure that the best and the most current evidence is used or applied. The current research will also be used by reviewing the current data on the rates of CAUTI and how the current research helps in reducing such rates. This will also ensure that the most effective aspect, which has been predicted to be the use of bundle care, will be used in patient care (Grove & Gray, 2018).

References

Grove, S. K., & Gray, J. R. (2018). Understanding nursing research e-book: Building an evidence-based practice. Elsevier health sciences.

Kilbourne, A. M., Goodrich, D. E., Miake-Lye, I., Braganza, M. Z., & Bowersox, N. W. (2019). Quality enhancement research initiative implementation roadmap: toward sustainability of evidence-based practices in a learning health system. Medical Care, 57(10 Suppl 3), S286. https://doi.org/10.1097%2FMLR.0000000000001144

Mathieson, A., Grande, G., & Luker, K. (2019). Strategies, facilitators and barriers to implementation of evidence-based practice in community nursing: a systematic mixed-studies review and qualitative synthesis. Primary Health Care Research & Development, 20, e6. Doi: 10.1017/S1463423618000488

DQ 1

Assessment Description

Compare two organizational readiness tools. Identify the tool you selected and explain why it is most appropriate for assessing your organization.

DQ 2

Assessment Description

Do you foresee any issues with the proposed implementation of your project? Identify a strategy to help create or sustain a higher level of readiness to change with your organization and discuss how current research or literature will be used to ensure that change is based on current evidence.