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

Evidence-Based Practice Project Proposal: Organizational Culture and Readiness

Nurses are responsible for improved health outcomes for patients and diverse population groups. Achieving this critical objective necessitates evidence-based practice (EBP), where nurses implement projects supported by scientific evidence. Before engaging in practice change, nurses should assess the organizational culture and readiness for change. This assessment is vital since leadership, attitude, resources, and other factors determine critical aspects, including stakeholder support, participation of nursing teams, and implementation timelines. The purpose of this paper is to analyze the culture and level of organizational readiness for change in the present organization where the evidence-based practice project is proposed.

Organizational Culture and Degree to Which Culture Supports Change

Organizational culture affects nurses’ behaviors and how they approach patient care. Ghiasi et al. (2022) described organizational culture as the shared norms or ideas that an organization develops in response to internal and external problems. These norms are institutionalized by teaching employees how the organization expects them to think and act. A critical analysis of the organization’s leadership, values, and internal relationships depicts a clan culture. Within nursing, a clan culture’s primary attributes include high internal focus and flexibility (Ghiasi et al., 2022). Such a culture supports change to a significant degree since it is people-centered and flexible, and the nursing environment management is characterized by employee participation and teamwork. Leaders are also friendly and encourage change. Although the structure is hierarchical, the present leadership promotes interprofessional collaboration to achieve patient-centered, high-quality care in safe environments. The primary mission is value-based care centered on high patient satisfaction and healthy patient-provider interactions. Open and respectful communication is highly encouraged, and the employees perceive the organization positively.

Organizational Readiness Tool and Readiness Assessment

Organizational readiness for change is a critical success factor in EBP implementation. Vax et al. (2021) described readiness as stakeholders’ willingness and perceived capacity to adopt a new practice in an organization. Therefore, high readiness implies a proportional adoption rate of evidence-based projects for improved health outcomes. The readiness assessment using the Organizational Readiness to Change Assessment (ORCA) tool revealed that the current setting is ready for change due to how leaders perceive and support change, facilitation, and the overall organizational context. The ORCA tool assesses readiness from three dimensions: evidence, context, and facilitation (Kononowech et al., 2021). A successful project should be supported by solid evidence, and the organizational culture and leadership should embrace new interventions. Facilitation is primarily about the organization’s capacity to help people change their behaviors to embrace innovation (Kononowech et al., 2021). The survey results (92.8%) indicate a high likelihood of a successful project (Appendix A).

ORDER A PLAGIARISM-FREE PAPER HERE

Strategies to Facilitate Organizational Readiness

Multiple strategies can be used independently or jointly to facilitate the organization’s readiness. They include fostering a culture of innovation and teamwork and addressing staff well-being concerns. O’Hara et al. (2022) found that a culture of innovation is essential to improving healthcare quality and safety through action plans that accelerate new methods. Teamwork encourages diverse nursing professionals to collaborate and address current issues through evidence-based interventions. According to Pomare et al. (2020), change readiness is proportional to staff well-being. Therefore, addressing it improves job satisfaction and the psychological impact of organizational change.

Organizational Culture in Evidence-Based Practice Change

The organization’s clan culture will fully support and sustain an evidence-based practice change. This culture encourages organizational change driven by teamwork and employee engagement (Ghiasi et al., 2022). Although it creates a sense of community, such a culture could slow decision-making since it values diverse opinions from team members. Potential barriers include the availability of nursing teams to offer human support due to their busy schedules. Stakeholder support is predicted to be high since the project is results-oriented regarding patient care. The timing is also appropriate and does not rely on considerable resource facilitation.

Health Care Process and Systems Recommended for Improving Quality, Safety, Cost-Effectiveness

Processes to improve quality, safety, and cost-effectiveness include scaling up knowledge translation, providing virtual care, and health education programs (Hill et al., 2020; Haleem et al., 2021). Such interventions help to reduce healthcare costs while improving access and health knowledge. Technological systems to support telehealth/telemedicine and data-driven practice are essential for better quality and safety (Haleem et al., 2021). Their role is to reduce medical errors, enhance efficiency, and ensure accurate, timely patient care.

Stakeholders and Team Members Needed

The proposed EBP project recommends weekly exercises for older adults with type 2 diabetes. Stakeholders include the organizational leadership, policymakers, nursing professionals, and patients since the project affects them directly (Triplett et al., 2022). Team members include colleagues and family members. The organizational leaders’ primary mandate is to support the project through approval, essential resources, and informed guidance. Nursing colleagues and family members will guide and support patients in implementing the weekly exercise program, evaluate outcomes, and report progress.

Information and Communication Technologies Needed for Implementation

Essential information and communication technologies for the proposed project include wearables, diabetes monitoring tools, and smartphones for recording and reporting health data. The internal stakeholders will integrate them into the setting through information and communication technology (ICT) infrastructure that remotely allows data/information exchange. In this case, the implementation team will observe patients remotely and guide them as health data necessitates. The recommended technologies seek to enable older adults with type 2 diabetes to improve functional fitness and independence. Therefore, they will improve nursing practice by preventing issues associated with functional decline at this critical age, mainly falls, increased clinical visits, and poor mental health (Cui et al., 2023). Such outcomes indicate improved care delivery for individuals and populations since they are associated with healthy and productive living and more independence.

Conclusion

Nurses improve health outcomes by identifying clinical issues and responding by implementing evidence-based interventions. A culture ready for EBP is crucial for successfully implementing evidence-based projects. The organization’s clan culture fosters teamwork and encourages innovation. Besides, the ORCA tool reveals substantial evidence backing the project, high facilitation, and an organizational context supporting change.

References

Cui, Y., Liu, B., Qin, M. Z., Liu, Q., Ye, H., & Zhou, J. (2023). Effects of early mental state changes on physical functions in elderly patients with a history of falls. BMC Geriatrics, 23(1), 564. https://doi.org/10.1186/s12877-023-04274-6

Ghiasi, A., Lord, J., Banaszak-Holl, J., Davlyatov, G., Hearld, L., & Weech-Maldonado, R. (2022). Organizational culture and high Medicaid nursing homes financial performance. Journal of Long-Term Care, (2022), 142–153. https://doi. org/10.31389/jltc.115

Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors International, 2, 100117. https://doi.org/10.1016/j.sintl.2021.100117

Hill, J. E., Stephani, A. M., Sapple, P., & Clegg, A. J. (2020). The effectiveness of continuous quality improvement for developing professional practice and improving health care outcomes: a systematic review. Implementation Science, 15, 1-14. https://doi.org/10.1186/s13012-020-0975-2

Kononowech, J., Hagedorn, H., Hall, C., Helfrich, C. D., Lambert-Kerzner, A. C., Miller, S. C., Sales, A. E., & Damschroder, L. (2021). Mapping the organizational readiness to change assessment to the Consolidated Framework for Implementation Research. Implementation Science Communications, 2(1), 19. https://doi.org/10.1186/s43058-021-00121-0

O’Hara, S., Ackerman, M. H., Raderstorf, T., Kilbridge, J. F., & Melnyk, B. M. (2022). Building and sustaining a culture of innovation in nursing academics, research, policy, and practice: Outcomes of the National Innovation Summit. Journal of Professional Nursing, 43, 5-11. https://doi.org/10.1016/j.profnurs.2022.08.001

Pomare, C., Ellis, L. A., Long, J. C., Churruca, K., Tran, Y., & Braithwaite, J. (2020). “Are you ready?” Validation of the Hospital Change Readiness (HCR) Questionnaire. BMJ Open, 10(8), e037611. https://doi.org/10.1136/bmjopen-2020-037611

Triplett, N. S., Woodard, G. S., Johnson, C., Nguyen, J. K., AlRasheed, R., Song, F., Stoddard, S., Mugisha, J. C., Sievert, K., & Dorsey, S. (2022). Stakeholder engagement to inform evidence-based treatment implementation for children’s mental health: a scoping review. Implementation Science Communications, 3(1), 82. https://doi.org/10.1186/s43058-022-00327-w

Vax, S., Farkas, M., Russinova, Z., Mueser, K. T., & Drainoni, M. L. (2021). Enhancing organizational readiness for implementation: Constructing a typology of readiness-development strategies using a modified Delphi process. Implementation Science: IS, 16(1), 61. https://doi.org/10.1186/s13012-021-01132-0

ORDER A PLAGIARISM-FREE PAPER HERE

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.
• Propose strategies to better facilitate the readiness of the organization.
• Discuss the degree to which the organizational culture will support and sustain an evidence-based practice change. Consider strengths and weaknesses, potential barriers, stakeholder support, timing of the proposal, and resources.
• Discuss what health care process and systems you would recommend for improving quality, safety, and cost-effectiveness for 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, located in Class Resources, for an overview of the evidence-based practice project proposal assignments.

You are required to cite a minimum of 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,” located in Class Resources, 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

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

ORDER A PLAGIARISM-FREE PAPER HERE

LISTGRID

PRINT TO PDF

Rubric Criteria

Total100 points

© 2024. Grand Canyon University. All Rights Reserved.