Benchmark – Evidence-Based Practice Project Proposal Paper

Benchmark – Evidence-Based Practice Project Proposal Paper

Benchmark – Evidence-Based Practice Project Proposal Paper

Organizational Culture and Readiness

Integrating a new evidence-practice intervention in healthcare to improve the healthcare outcome is a significant move toward heightening the quality of healthcare delivery. However, the success of such changes requires an effective assessment of the organization’s culture and readiness for change. Gallagher-Ford and Connor (2020) contend that the assessment offers an important insight level of preparation and cultural perspective concerning the EBP implementation. This process requires a standard tool that would aid in assessing culture and the readiness for EBP implementation. However, undertaking such changes in an organization requires an effective assessment of our organization’s culture and its ability to implement the proposed EBP intervention. The purpose of this paper is to assess organizational culture and readiness by identifying an assessment tool for the effective implementation of the EBP intervention.

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Organizational Culture and Support for Change

The need to implement the change is key in improving patient outcomes. However, the success of this intervention requires an organization that is ready to support the change by reducing all barriers to the proposed change and ensuring that all requirements for the change are in place (Hayirli et al., 2021). Besides, it is essential to think about how the proposed change will aid in meeting the missions, values, and vision of Summit Health in N.J. The current management at our institution values EBP and is ready to adopt all options that would drive the hospital to excellence. The need to attain the magnet status also proves that it needs to support this EBP intervention.

The mission of our institution is to improve access to healthcare in underserved communities throughout New Jersey. The leadership team supports this mission by promoting change, eliminating barriers, and improving health access to a wide range of patients (Gallagher-Ford & Connor, 2020). The value that the organization has been aiming to achieve is improved quality and safe care. To succeed in any proposed change, the organization relies on the unity of the interprofessional team to deliver improved care to our diabetic patients. The leadership role in any organization defines the success that the organization would have in the implementation of a new process.

Readiness Assessment Tool

Organizational Cultural and Readiness for System-Wide Integration of EBP Survey tool was found as the most effective that would be effective in assessing our organization. This tool is important in the evaluation of the abilities of an organization to promote EBP intervention in the hospital setting. The tool was used in assessing the basic understanding of the leadership and the staff on the proposed change (Gallagher-Ford & Connor, 2020). Based on the tool, my organization would undergo a need analysis to examine essential skills, knowledge, and attitude toward change. From the survey conducted on the organizational readiness, the percentage of employees in support of the proposed change was 80%, implying that most of the employees were certain that the change would have an impact on raising the quality of delivery in the institution. The average score of the leadership team in support of the proposed change was 70%, implying that the leadership team is positive about the positive impact that the proposed change would have on the organization.

Various challenges are also expected, including a possible lack of support from some employees such as frontline staff who may resist change. This assessment will help us in recording the strengths and weaknesses of nurse skills in response to change and better planning. The management team’s support will also be important in driving the team on the proposed change. Support from the leadership will also be key in helping the implementation team to make the right decision and help formulate a team of champions which will enhance the implementation process

Recommended Health Care Process and Systems

The goal we are trying to meet as Summit Health is to adopt the new intervention to help patients achieve better outcomes. To achieve our goal of improved patient outcomes, our organization will partner with more established organizations which have had a successful, positive outcome similar to interventions. Their experience will be key in helping our organization accomplish the necessary health care process. The interdisciplinary team will also form a partnership with us in this journey to help us achieve better outcomes. Like the I.T. team will help us locate relevant patients to commence the process at the institution (Gallagher-Ford & Connor, 2020). Efforts to improve the quality would need to be measured to show sections that need improvement and determine new barriers affecting the proposed intervention.

Strategies to Improve Readiness

All resources will be aligned towards driving the proposed change in ensuring that the patients achieve the targeted goals. The current treatment invention of multiple daily injections (MDI) has many side effects that affect a wide range of diabetic patients. Besides, the management team will help us create a committee in charge of educating nurses and patients on the proposed treatment. This strategy will prepare nurses and patients for the new intervention and the positive outcome it would have on diabetic patients (Luckenbaugh & Auffenberg, 2018). The team will identify team leaders that can be helpful in driving quality improvement on the proposed project for our institution.

Project Stakeholders and Team Members

The stakeholders in this project will define its success or failure. The increased ability and need to see the project succeed would come from the measures and interventions placed by the stakeholders to achieve the change. Stakeholders in this project include physicians, the management team, nurse managers, and patients. The nurses will aid in recording the change in the patients after the implementation of the new proposed change (Luckenbaugh & Auffenberg, 2018). Each stakeholder has a role to play in the proposed change.

Information and Communication Technologies

Electronic health records (EHRs) system and computerized provider order entry (CPOE) for providers are the main technologies required to implement the proposed EBP. The EHRs will be important in collecting data on the patients at the hospital, while the CPOE will allow doctors to enter order sets on the framework for undertaking the therapy (Kruse et al., 2018). Besides, clinical decision support (CDS) will also be important in preventing medical errors during therapy. These technologies will be important in collecting data significant in making better decisions for the success of the change.

Conclusion

Assessing the readiness of an organization to welcome change is important in the healthcare setting. Assessing the reading of our organization to integrate an EBP intervention shows the level of acceptance and ability of the leadership team to derive the positive change in healthcare. Analysis of organization culture and its readiness to promote change shows that an organization has sufficient skills required in change implementation. Understanding the change among the professional team also aids in eliminating barriers and improving the positive outcome of the proposed change.

References

Gallagher-Ford, L., & Connor, L. (2020). Transforming healthcare to evidence-based healthcare: a failure of leadership. JONA: The Journal of Nursing Administration, 50(5), 248-250. https://doi.org/10.1097/mou.0000000000000404

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

Kruse, C. S., & Beane, A. (2018). Health information technology continues to show positive effect on medical outcomes: systematic review. Journal of Medical Internet Research, 20(2), e8793. https://doi.org/10.2196/jmir.8793

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

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Appendix

APA Checklist Summarized

Page numbering- flush right	Yes
The title of the document appears at the top of the first page of the 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 are centered.	Yes

The company for this essay will be Summit Health in NJ…no worries if you can’t do #1 out of the 6 sections. I can fill it in myself.

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

Collapse All Benchmark – Evidence-Based Practice Project Proposal: Organizational Culture And Readiness – Rubric

Collapse All

Organizational Culture and Degree to Which Culture Supports Change

12 points

Criteria Description

Organizational Culture and Degree to Which Culture Supports Change

5. 5: Excellent

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.

4. 4: Good

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.

3. 3: Satisfactory

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.

2. 2: Less Than Satisfactory

9.6 points

The discussion of organizational culture and the degree to which it supports change is incomplete.

1. 1: Unsatisfactory

0 points

The organizational culture and the degree to which it supports change is not discussed.

Organizational Readiness Tool and Readiness Assessment

13 points

Criteria Description

Organizational Readiness Tool and Readiness Assessment

5. 5: Excellent

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.

4. 4: Good

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.

3. 3: Satisfactory

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.

2. 2: Less Than Satisfactory

10.4 points

The organizational readiness tool is identified. The survey results and interpretation are incomplete.

1. 1: Unsatisfactory

0 points

An organizational readiness tool is not selected; the level or readiness is not assessed.

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

10 points

Criteria Description

Health Care Process and Systems Recommended for Improving Quality, Safety, and Cost-Effectiveness (C.3.1)

5. 5: Excellent

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.

4. 4: Good

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.

3. 3: Satisfactory

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.

2. 2: Less Than Satisfactory

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.

1. 1: Unsatisfactory

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.

Strategies to Facilitate Organizational Readiness

10 points

Criteria Description

Strategies to Facilitate Organizational Readiness

5. 5: Excellent

10 points

Clear strategies to better facilitate the readiness of the organization are proposed. Thorough explanations and strong supporting research are provided.

4. 4: Good

9.2 points

Strategies to better facilitate the readiness of the organization are proposed. Minor detail is needed for clarity or support.

3. 3: Satisfactory

8.8 points

General strategies to better facilitate the readiness of the organization are proposed. The strategies lack explanation and supporting research.

2. 2: Less Than Satisfactory

8 points

Strategies to better facilitate the readiness of the organization are incomplete.

1. 1: Unsatisfactory

0 points

Strategies to better facilitate the readiness of the organization are not proposed.

Stakeholders and Team Members Needed

10 points

Criteria Description

Stakeholders and Team Members Needed

5. 5: Excellent

10 points

The stakeholders and team members for the project, including their respective duties, are thoroughly identified.

4. 4: Good

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.

3. 3: Satisfactory

8.8 points

Some key stakeholders and team members for the project, including their respective duties, are outlined.

2. 2: Less Than Satisfactory

8 points

Stakeholders and team members for the project are only partially identified.

1. 1: Unsatisfactory

0 points

Stakeholders and team members for the project are omitted.

Information and Communication Technologies Needed (B)

10 points

Criteria Description

Information and Communication Technologies Needed (C.3.3)

5. 5: Excellent

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.

4. 4: Good

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.

3. 3: Satisfactory

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.

2. 2: Less Than Satisfactory

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.

1. 1: Unsatisfactory

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.

Required Sources

5 points

Criteria Description

Required Sources

5. 5: Excellent

5 points

Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.

4. 4: Good

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.

3. 3: Satisfactory

4.4 points

Number of required sources is met, but sources are outdated or inappropriate.

2. 2: Less Than Satisfactory

4 points

Number of required sources is only partially met.

1. 1: Unsatisfactory

0 points

Sources are not included.

Thesis Development and Purpose

7 points

Criteria Description

Thesis Development and Purpose

5. 5: Excellent

7 points

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

4. 4: Good

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.

3. 3: Satisfactory

6.16 points

Thesis is apparent and appropriate to purpose.

2. 2: Less Than Satisfactory

5.6 points

Thesis is insufficiently developed or vague. Purpose is not clear.

1. 1: Unsatisfactory

0 points

Paper lacks any discernible overall purpose or organizing claim.

Argument Logic and Construction

8 points

Criteria Description

Argument Logic and Construction

5. 5: Excellent

8 points

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

4. 4: Good

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.

3. 3: Satisfactory

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.

2. 2: Less Than Satisfactory

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.

1. 1: Unsatisfactory

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.

Mechanics of Writing

5 points

Criteria Description

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5. 5: Excellent

5 points

Writer is clearly in command of standard, written, academic English.

4. 4: Good

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.

3. 3: Satisfactory

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.

2. 2: Less Than Satisfactory

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.

1. 1: Unsatisfactory

0 points

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Paper Format (Use of appropriate style for the major and assignment)

5 points

Criteria Description

Paper Format (Use of appropriate style for the major and assignment)

5. 5: Excellent

5 points

All format elements are correct.

4. 4: Good

4.6 points

Template is fully used; There are virtually no errors in formatting style.

3. 3: Satisfactory

4.4 points

Template is used, and formatting is correct, although some minor errors may be present.

2. 2: Less Than Satisfactory

4 points

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

1. 1: Unsatisfactory

0 points

Template is not used appropriately, or documentation format is rarely followed correctly.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to as

5 points

Criteria Description

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

5. 5: Excellent

5 points

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

4. 4: Good

4.6 points

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

3. 3: Satisfactory

4.4 points

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

2. 2: Less Than Satisfactory

4 points

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

1. 1: Unsatisfactory

0 points

Sources are not documented.