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

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

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

Organizational Culture and Readiness

Implementing change initiatives in the care environment is key to improving patient outcomes, the delivery of healthcare services, and improving the staff working conditions. The successful implementation of such initiatives needs an appropriate organizational culture with the right resources and framework in place. Therefore, it is important to perform an assessment that can reveal the organization’s readiness for the project’s implementation (Ost et al.,2020). Such an assessment requires a valid tool that can be important in assessing the organization’s culture for readiness in implementing EBP. As such, the purpose of this assignment is to assess the organizational culture and its readiness for EBP implementation. The assessment was performed using a validated tool; thus, such findings are discussed in the next sections.

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The Organization’s Culture and The Degree It Supports Change

As discussed earlier, the implementation of change initiatives is important in improving patient outcomes. However, a successful implementation is enhanced by a positive organizational culture that supports EBP by providing a conducive environment and eliminating potential barriers (Hayirli et al.,2021). The proposed changes should also align with the organization’s vision, values, and mission. The organization leaders at the current institution are supportive and are ready to support EBP implementation to help the organization grow and offer exemplary patient care services. The pursuit of magnet status has set the organization on the path of supporting EBP initiatives.

The organization’s mission is to offer improved and equitable patient care to everyone, especially the underserved population. The leaders have shown the urge to support this mission by supporting EBP initiatives and eliminating a potential barrier to achieving quality and safe patient care. The organization also has, for a long time, been supporting interprofessional teams to work together and offer acceptable levels of patient care to patients and reduce adverse events such as patient falls. Therefore the level of readiness of the organization can be considered as high.

The Organizational Readiness Tool and a Summary of The Assessment Results

Assessment tools can be used to effectively assess the organization’s readiness. Therefore, the organizational culture and readiness for the System-Wide Integration of the EBP survey tool were used in the assessment (Patton et al.,2022). The tool has been shown to be effective in an organization’s readiness assessment. Therefore, it was used to assess the organization’s ability to promote EBP and the assessment of the understanding of the staff and leaders on the proposed change of using automated fall detectors to control or reduce patient falls.

The survey carried out revealed important results in terms of how ready the organization was in reference to the proposed solution. From the results, it was noted that up to 87% of the employees support the proposed initiative. The implication is that the majority of the employees are ready for the change and are positive that change would be vital in improving the quality of patient care services in the organization. Up to 73% of the organization’s leadership also supported the proposed initiatives. Therefore, again, a majority of the leaders are certain that the proposed solution would positively impact the organization. As such, the fact that the majority of the individuals in the organization support change, the culture would support and sustain the proposed EBP change (Patton et al.,2022).

It is evident from the assessment that the culture in place would support the EBP implementation. However, there are other aspects, such as strengths and weaknesses, potential barriers, stakeholder support, and resources, that should be explored. Among the potential challenges is a lack of support from the leaders and employees who are negative about the change. Through the assessment, it will be possible to have an idea of the weakness and strengths of nurses’ skills related to the use of automated fall detectors. It is also important to note that management support will be key to the success of the implementation. The leaders will play a critical role in decision-making and creating a team of champions to drive the change forwards as appropriate.

The Recommended Health Care Process and Systems

The patient care gap identified at the organization led to the proposal of implementing automated fall detectors to help reduce the incidences of patient falls. Therefore, it will be key to partner and collaborate with organizations that have successfully used the system to improve patient outcomes. Therefore, the experiences of such an organization will be important for our organization to avoid potential pitfalls and maximize strengths. Collaboration and partnership within the organization will also be important in achieving the project goals and objectives (Luckenbaugh & Auffenberg, 2018). Therefore, these processes would help the organization improve cost-effectiveness, safety, and quality

The Strategies For Facilitating Readiness

It is important to facilitate and improve readiness. Therefore, appropriate resources will be used in the proposed initiative with a major focus on achieving the formulated goals. The current practice has not been effective in reducing falls among admitted patients. Therefore, the fall statistics will be used to explain to the stakeholders why the new intervention is necessary and why it needs to succeed. The project implementers will also educate the staff on the new initiative and how to use the automated fall detectors as appropriate to help improve their readiness.

The Project Stakeholders and Team Members

Timeous identification of the stakeholders and team members is key to the success of the project. Therefore, various stakeholders were identified. The stakeholders in this project include patients, nurse managers, the management team, the nurses, and the physician. Every stakeholder has a significant role to play in the project.

The Needed Communication Strategies For the Project

Various strategies will be used in the project to ensure its success. One such is the use of electronic health records. Electronic health records will play a major role in the project since they will be used to support data collection. Such data will be applied in determining the efficacy of the project and making decisions regarding the new intervention. The use of such strategies will help eliminate potential errors that would occur without their use (Ost et al.,2021). The automated fall alerts will also be used as a communication strategy as the alerts will be directed through various channels to the nurses, who will then be expected to act immediately and prevent possible falls.

Conclusion

It is important to assess organizational readiness for the implementation of an EBP. Therefore, the assessment revealed that the organization is ready for implementation of the proposed project. The majority of the leaders and employees support the proposed project. Hence there are higher chances of the project succeeding.

References

Hayirli, T. C., Meara, J. G., Barash, D., Chirangi, B., Hellar, A., Kenemo, B., … & Kapologwe, N. A. (2021). Development and content validation of the Safe Surgery Organizational Readiness Tool: A quality improvement study. International Journal of Surgery, 89, 105944. https://doi.org/10.1016/j.ijsu.2021.105944

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

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

Patton, L. J., Garcia, M., Young, V., Bradfield, C., Gosdin, A., Chen, P., … & Tidwell, J. (2022). Exploring nurse beliefs and perceived readiness for system wide integration of evidence-based practice in a large pediatric health care system. Journal of Pediatric Nursing, 63, 46-51 https://doi.org/10.1016/j.pedn.2021.12.018

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Appendix: APA Writing Checklist

Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.

☒ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.

☒  The title page is present. APA format is applied correctly. There are no errors.

☒ The introduction is present. APA format is applied correctly. There are no errors.

☒ Topic is well defined.

☒ Strong thesis statement is included in the introduction of the paper.

☒ The thesis statement is consistently threaded throughout the paper and included in the conclusion.

☒ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.

☒ All sources are cited. APA style and format are correctly applied and are free from error.

☒ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.

Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.

Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.

Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.

Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.

Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.

☒ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.
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:
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.

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.

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 readiness of the organization.

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.

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.

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

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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.

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.
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.

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.

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.
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.

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.

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.

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.

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.
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.

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.