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

Organization Culture and Readiness

Catheter-associated urinary tract infection is one of the common infections in healthcare. Preventing CAUTIs among patients is a common goal that health care organizations can achieve through EBP implementation. Change is part of any organization strategy that aligns an organization with achieving its goal (Michie et al., 2017). The success of a proposed change starts from action research that would reveal the issues and problems that require a particular change process to go through within an organization. The application of EBP in managing Catheter-associated urinary tract infections (CAUTIs) has shown a positive impact and the past. It would be important in the future management of Catheter-associated urinary tract infections. The purpose of this paper is to analyze the culture and level of readiness of the organization for which an evidence-based practice project is proposed.

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Description of Organization Culture

Culture defines the strategies used by an organization to undertake tasks. The culture developed in an organization represents norms, attitudes, values, behavior, and guidelines defining tasks. The positive and successful change in the proposed EBP practice starts from the clinic management. The level of teamwork developed within an organization describes readiness for change implementation. Employees can utilize their professional abilities and collaboration to optimize outcomes of care (Dumas &Beinecke). The use of an effective leadership style also has a role in attaining excellence. Leaders that advocate for change provide headship progress and mentorship openings for junior staff. Leading with employees in mind is one of the essential strategies that have been allowing health care organizations to adopt the current level of flexibility towards change (Michie et al., 2017). Therefore, the culture developed within an organization supports change based on the above-described aspects.

Organization Readiness Tool

Canadian Medical Association readiness tool and assessment were used to examine the organization’s readiness on EBP implementation (CMA, 2021). The tool examines different factors that affect organizational change, such as leadership, culture, information processing, human resource systems, organization structure, external environment, and management styles (Al-Hussami et al., 2018).The tool also aids in examining the professional skills of the employees towards achieving the desired goals. The organization registered high scores in almost all the assessment areas in readiness for change. The organization scored 1 in human resource systems, organizational structure, leadership, information systems, culture, and strategic direction. Besides, the organization scored 2 in other assessment areas that included external environment, employee skills, management process, and individual goals. These scores imply that the organization would support the proposed EBP implementation change.

Strengths and Weaknesses, Potential Barriers, Stakeholder Support, Timing, and Resources

The assessment done on the organization revealed several strengths that included the transformation style of leadership that would facilitate the EBP implementation process. The developed organization structure would also facilitate the implementation process to improve patients’ quality and safety outcomes. The organization has well-designed systems that will facilitate the change process. One of the main weaknesses noted by the organization is the reduced concern for the external factors affecting the company (Farokhzadian et al., 2018). The potential barriers that may hinder the implementation of the proposed EBP change include reduced awareness of the change among the staff and high employee workload. However, developed stakeholder support and precise timing of all activities towards the change would effectively overcome the barriers. The availability of resources provided by management and effective training of nurses on the importance of including CAUTIs management strategies at the clinic would lead to success. The institution has adequate sources that would facilitate the proposed change.

Healthcare Process and Systems

I would recommend adopting the Telehealth system within the organization as it positively impacts the proposed implementing process. Adopting this system allows the organization to incorporate other quality improvement measures, such as training employees on the proposed EBP change to facilitate the organization’s readiness (Gajarawala & Pelkowski, 2021). The institution has been receiving an increased number of patients in the recent past because of the pandemic. However, the system can effectively address the increased staff workload by incorporating telehealth in reducing unnecessary patient visits. Telehealth also aids in cost reduction that patients would incur by visiting the clinic regularly, and it also increases the interaction between patients and the clinic whereby need arises (Gajarawala& Pelkowski, 2021). All the recommended processes that should be included in an organization should improve quality, safety and aids in cost reduction. Training opportunities should also be geared towards strengthening excellence in the provision of services in healthcare.

Strategies to Facilitate Readiness

Open communication is one of the most important strategies that can facilitate readiness for change. The staff needs adequate communication about the change and the proposed change’s benefits on their practice.  Open communication allows the adopters and employees to express their opinions on the change. Incorporation of the concerns on the change would positively affect the implementation process (Duncombe, 2018). The other strategy is to devise active stakeholder participation in the entire process. Including stakeholders in every step of the implementation process will aid in the promotion of desired knowledge and skills needed for the proposed change. Besides, they form the main pillar that defines the success or failure of the proposed change. Lastly, training opportunities will ensure that the adopters gain the correct competencies that would favor the successful implementation of the proposed change.

Stakeholders and Team Members

All stakeholders would have a role to play in the successful implementation of the effective CAUTIs management strategies. The team and stakeholders would comprise operating room nurses, nurse managers, surgeons, finance officers, and HR personnel. Management would be tasked with the role of defining providing the necessary resources required for the success of the organization change. The employees are the main divers to the change as they apply CAUTIs management strategies practically. The operating room nurses and doctors will be actively involved in the EBP implementation process by offering services like training, supervising, and monitoring (Letica-Kriegel et al., 2019). The HR team would define the training needs of the nurses to ensure the sustainability of the change in the organization. The financial offers will be determining the financial effect of the change in the institution.

Information and Communication Technologies

Teleconferencing technology is one of the information and communication technologies that would affect the proposed change process. The nurses will need teleconferencing to share their feelings and opinions with other staff from the institution (Farokhzadian et al., 2018). The interaction between nursing would effectively design best practices in the department, and the incorporation of best practices would affect quality improvement within the institution.

Conclusion

Changing an organization requires management that recognizes individual workers’ career ambitions and can often direct juniors to vital mentoring prospects. Via these leadership behaviors, the organization creates a work culture cultivating teamwork; inspiring employees to deliver success. Those inspired by transformational leaders find gist and worth in their work and contribute to their organization’s success besides maturing to be influential leaders. Besides, availing available resources required for change also affects cultural change.

References

Al-Hussami, M., Hammad, S., & Alsoleihat, F. (2018). The influence of leadership behavior, organizational commitment, organizational support, subjective career success on organizational readiness for change in healthcare organizations. Leadership in Health Services. https://doi.org/10.1108/LHS-06-2017-0031

CMA. (2021). Organizational readiness assessment. Canadian Medical Association. Retrieved October 1, 2021, rom https://www.cma.ca/physician-wellness hub/resources/changemanagement/organizational-readiness-assessment-questionnaire, https://www.cma.ca/ physician-wellness-hub/resources/change-management/organizational-readinessassessment-questionnaire

Dumas, C., & Beinecke, R. H. (2018). Change leadership in the 21st century. Journal of Organizational Change Management. https://doi.org/10.1108/JOCM-02-2017-0042

Duncombe, D. C. (2018). A multi‐institutional study of the perceived barriers and facilitators to implementing evidence‐based practice. Journal of Clinical Nursing, 27(5-6), 1216-1226. https://doi.org/10.1111/jocn.14168

Farokhzadian, J., Nayeri, N. D., & Borhani, F. (2018). The long way ahead to achieve an effective patient safety culture: challenges perceived by nurses. BMC health services research, 18(1), 1-13.https://doi.org/10.1186/s12913-018-3467-1

Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth benefits and barriers. The Journal for Nurse Practitioners, 17(2), 218-221.https://doi.org/10.1016/j.nurpra.2020.09.013

Letica-Kriegel, A. S., Salmasian, H., Vawdrey, D. K., Youngerman, B. E., Green, R. A., Furuya, E. Y., … & Perotte, R. (2019). Identifying the risk factors for catheter-associated urinary tract infections: a large cross-sectional study of six hospitals. BMJ open, 9(2), e022137. https://doi.org/10.1136/bmjopen-2018-022137.

Michie, S., Yardley, L., West, R., Patrick, K., & Greaves, F. (2017). Developing and evaluating digital interventions to promote behavior change in health and health care: recommendations resulting from an international workshop. Journal of medical Internet research, 19(6), e7126. https://doi.org/10.2196/jmir.7126.

Appendix 1: APA Checklist Summarized

Page numbering- flush right	Yes
Title of document appears at the top of the first page of text	Yes
The introductory paragraph or section should not be labeled	Yes
Double line spacing	Yes
Margins- 1 inch	Yes
Paragraph formatting- indented and left-aligned	Yes
Punctuations after quotations	None
Section headings- level 1 headings centered and in bold, and in title case	Yes
References- in a new page. The word references centered.	Yes

BUY A CUSTOM-PAPER HERE ON;Benchmark – Evidence-Based Practice Project Proposal Organizational Culture and Readiness NUR 590

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: