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

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

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

Healthcare organizations adopt evidence-based practice (EBP) interventions to enhance patient outcomes through the provision of quality and patient-centered care. Effective implementation of the EBP proposed project requires these organizations to identify both facilitators and barriers through use of tools that evaluate readiness and culture for change (Melnyk et al., 2022). The organizational culture and readiness assessment is a critical step in ascertaining if the organization is prepared for the EBP implementation. Dearing (2018) advances the need for EBP project implementers to use simple tools to assess the culture and readiness of an entity to implement EBP. The purpose of this paper is to provide the outcomes of the organizational culture and readiness assessment to implement the proposed EBP project.

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Organization’s Culture and Level of Readiness

Organization’s culture is a vital part of its readiness for change as it has values and attributes, assumptions, and common goals that all stakeholders share and focus on in their operations and processes. The leadership structure in the organization is supportive of the change while the culture is also change-oriented. The leadership encourages participation of all providers, especially nurses who have new ideas. The culture supports change because it values innovative ways of offering patient care. The mission and the values of the organization like transformative care provision based on integrity, respect, and honesty imply that the organization has an effective culture. The evaluation also shows that the organization and its leadership value inter-professional collaboration and engagement of team through effective communication (DeNisco, 2021). The employees’ perception in the organization is positive as many believe in making change a normal occurrence for better outcomes and care delivery. Therefore, the EBP project will enhance the level of readiness for the organization to implement more projects to improve quality of care delivered to patients.

Organizational Readiness & Degree of Support by the Culture

Organizational culture also impacts the evaluation of readiness in implementing the EBP project. The primary areas of assessment for the proposed change include beliefs, leadership, quality improvement, and degree of awareness. To evaluate the readiness level for the organization, the selected assessment tool is the organizational readiness to change assessment (ORCA). The tool focuses on the level of evidence for the proposed change and the entity’s capacity to execute change and the suggested context (Dearing, 2018). On the application of the survey tool, the results indicate that nursing leadership was well prepared to implement the change because it communicates the importance of EBP to the clinical staff. The implication is that based on this tool, the level of readiness in the organization is about 4.5 out of the possible 5. The results of the scale-based survey completed showed that the organization was fairly prepared to incorporate EBP in the clinical setting. The nursing team and other stakeholders, especially those supporting nursing, were aware of the need to make changes to the current processes and operations.

The culture will also support the proposed EBP since it is change-oriented, participative, and transformative. The organizational culture in the facility encourages input from all stakeholders. However, a core weakness may be its inability to establish limits and effective ways of presenting change issues. Possible barriers may include financial support and sufficient resources to implement the EBP in the facility (DeNisco, 2021). Stakeholder support will be critical as the evaluation shows increased support from all players. Again, the timing of the proposal is effective as it emerged during the evaluation that the organization has been keen on implementing initiatives aimed at improving the quality of care.

Health Care Process and System

Improving quality, safety and cost-effectiveness in this organization would require changes in the process and systems of the organization. The organization should establish processes that are patient-centered and encourage submission of opinions and views from diverse individuals and stakeholders. The organization should establish systems that leverage on health information technologies to improve assessment of patients and delivery of care (Tzeng et al., 2021). The incorporation of monitoring technology will assist nurses and physicians to adhere to the correct procedures and processes for all patients under their care. Further, patient involvement ensures that they are aware and understand their treatment plans. This will enhance their safety and ensure that they exercise their ethical principles of autonomy and beneficence. Cost efficiency approaches would also be significant for the organization. Therefore, the entity should consider patient care approaches that lead to better experiences and outcomes.

Strategies to Facilitate Readiness of the Organization

The initial strategy to facilitate change in the organization is to define and align it with the business goals of the entity. Through this approach, the organization demonstrates its readiness for change. Secondly, the organization should identify those who will be affected by the change through knowing the purpose of change and its long-term effects on the various levels of its operations (Melnyk et al., 2022). The third strategy is having an effective communication model to create awareness, enhance participation of all people, and ensure that employees do not resist change.

Stakeholders and Team Members

The EBP project will have different stakeholders with diverse roles. These include project manager, nurse leaders, organizational managers from different departments, especially the executive and quality assurance manager, the finance manager, and nurses. Patients will be also critical stakeholders as the end users of this EBP project proposal. The project manager will be in charge of all processes and operations as well as the deliverables of the initiative (Tucker et al., 2019). The nurse leaders will ensure that nurses implement the TIPS care bundle while the organizational manager will allocate financial resources. The quality assurance manager will ensure that the TIPS model leads to quality outcomes and protects patients from harm (Tzeng et al., 2021). Patients will be the end users with better outcomes aimed at preventing falls during their stay in the facility.

Information & Communication Technologies Required in the EBP Implementation

The use of TIPS bundled model to reduce falls will integrate diverse information and communication technologies to improve care delivery. These will include electronic health records, the use of patient portals, and clinical decision support systems (CDSS). The project will also require integration of telehealth and even telemedicine for patients to get alerts among other integrated technological aspects. These will improve nursing practice by allowing nurses to closely monitor patients and customize their interventions based on status and other aspects (Khasnabish et al., 2020). The use of these technologies will enhance patient participation in decision making and ensure that all providers align their treatment goals with patient preferences.

Conclusion

The readiness of an organization to implement EBP interventions is based on the effective assessment and evaluation using recommended tools. In this case, the evaluation demonstrates that the organization is ready for change based on its supportive culture and management. As such, all stakeholders and team members must integrate effective technologies to attain the goals of the proposed EBP project of using TIPS model to reduce falls among patient in medical-surgical settings.

References

Dearing, J. W. (2018). Organizational Readiness Tools for Global Health Intervention: A

Review. Frontiers in Public Health. https://doi.org/10.3389/fpubh.2018.00056

DeNisco, S. M. (2021). Advanced practice nursing: Essential knowledge for the profession.

Jones & Bartlett Learning

Khasnabish, S., Burns, Z., Couch, M., Mullin, M., Newmark, R., & Dykes, P. C. (2020). Best

practices for data visualization: creating and evaluating a report for an evidence-based fall prevention program. Journal of the American Medical Informatics Association, 27(2), 308-314. DOI: 10.1093/jamia/ocz190.

Melnyk, B. M., & Fineout-Overholt, E. (2022). Evidence-based practice in nursing &

            healthcare: A guide to best practice. Lippincott Williams & Wilkins

Tucker, S., Sheikholeslami, D., Farrington, M., Picone, D., Johnson, J., Matthews, G., … &

Cullen, L. (2019). Patient, nurse, and organizational factors that influence Evidence‐Based fall prevention for hospitalized oncology patients: an exploratory study. Worldviews on Evidence‐Based Nursing, 16(2), 111-120. DOI: 10.1111/wvn.12353.

Tzeng, H.-M., Jansen, L. S., Okpalauwaekwe, U., Khasnabish, S., Andreas, B., & Dykes, P. C.

(2021). Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) Program to Engage Older Adults in Fall Prevention in a Nursing Home. Journal of Nursing Care Quality.  https://doi.org/10.1097/ncq.0000000000000547

APA Checklist

Appendix: APA Checklist

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, Lopes Write report, and Thinking Storm to check your writing.

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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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Criterion	1. 1: Unsatisfactory	2. 2: Less Than Satisfactory	3. 3: Satisfactory	4. 4: Good	5. 5: Excellent
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.