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

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

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Benchmark – Evidence-Based Practice Project Proposal Final Paper

The promotion of safety, quality, and efficiency is important in nursing practice. The achievement of these care outcomes depends largely on the interventions that nurses utilize in patient care. Evidence-based interventions are effective in minimizing patient harm and enhancing quality and efficiency of care. Generally, nurses should demonstrate competencies in translating evidence into practice. Safety issues such as medication administration errors threaten the health and wellbeing of the patients. Medication administration errors have significant adverse effects on the health of the patients. They include prolonged hospital stay, unintended harm, increased costs of care, and mortality. Health information technologies are effective in preventing and reducing medication administration errors. Therefore, this project proposes using integrated health information systems to reduce the risk and rate of medication administration errors in critically ill patients.

 

Critically ill patients are increasingly predisposed to errors in the care process, including medication administration errors. Medication administration errors refer to faults in medication administration, leading to the difference between the drugs that were given or what was supposed to be administered. Medication administration errors often occur in the care of critically ill patients due to factors such as multiple medication administration, complex care needs of the patients, unpredictability in health status, and distractions (Barakat & Franklin, 2020). Medication administration errors have adverse effects on patient health such as causing unintended harm, prolonged hospital stay, increased costs of care, and high operational costs in healthcare due to rise in resource utilization (Devin et al., 2020). Nurses contribute to most medication administration errors due to their primary role in medication administration (Alomari et al., 2020). The project site has witnessed a rise in the rate of medication administration errors. Despite it, it has not examined the potential interventions such as the use of integrated health information systems to address the problem. The existing evidence shows that integrated health information systems are highly effective in preventing and reducing medication errors (Jheeta & Franklin, 2017). Therefore, there is a need for its use in the project site to promote safety, quality and efficiency in patient care, hence, the focus of the project.

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Assessment Description

For one to successfully execute organizational change within their workplace, 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. Benchmark – Evidence-Based Practice Project Proposal Organizational Culture and Readiness

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

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 – Evidence-Based Practice Project Proposal Organizational Culture and Readiness

Topic 2 DQ 1
Compare two organizational readiness tools. Identify the tool you selected and explain why it is most appropriate for assessing your organization.

“The ability of non-governmental organizations, government agencies, and corporations to deliver and support the availability and use of interventions for improved global public health depends on their readiness to do so” (Dearing, 2018). The COVID-19 pandemic proved that my organization as well as many healthcare organizations were not and are not ready for such public health crisis. What my organization experienced (the chaos and dysfunction) makes me question our organization readiness and whether we are even ready to implement my change proposal to increase more nurses. I say this because, when the pandemic began the organization was already cutting essential resources in the name of cost savings without properly conducting a cost benefit analysis. Our organization was short of qualified registered nurses and they refused to hire more nurses because they did not want to allocate the funds to do so even though they had enough money to hire more nurses. When it comes to presenting my idea, I foresee a backlash from upper management when it comes to allocating the funds to hire more nurses. A strategy I would propose comes from the TeamSTEPPS assessment tool. One of the steps would involve conducting a “briefing for senior leaders and key stakeholders about the TeamSTEPPS program, including its purpose and goals, what’s required from an organizational perspective, and what’s required of them to make the initiative a success; making sure they are aware of what will be needed for your organization to gain the benefits from TeamSTEPPS and allow them to make an informed decision” (Agency for Healthcare Research and Qualty, 2016). There is an abundance of current research that supports having strong nurse staffing levels and my goal is to produce the data to directly links staffing levels to patient care outcomes.

References:

Dearing, J. (2018). Organizational Readiness Tools for Global Health Intervention: A Review. Frontiers in Public Health. (6):58. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5840160/

Agency for Healthcare Research and Quality (AHRQ). (2016). Tips and Suggestions for Enhancing Organizational Readiness. Retrieved from https://www.ahrq.gov/teamstepps/readiness/abouttips.htm

Organizational readiness can be used to learn the degree of motivation within candidates or potential organizations when implementing a process, determining particular capabilities, assisting in improving organizational capacities, and help to bring more value to their clients (Dearing, 2018). The Organizational Readiness to Change Assessment (ORCA) is an assessment tool that determines the strength and evidence provided for the intended change ro innovation, quality of the organization’s process to support change, and the organization’s capacity to facilitate and carry out change (The National Collaborating Centre for Methods and Tools, 2017). This tool helps to assess an organization’s strengths and weaknesses to support and implement evidence based practice changes. Organizational Readiness for Implementing Change (ORIC) is a readiness tool used to assess and measure the organization’s readiness for implementation and change in a healthcare setting. Not only can this tool assess the organization’s willingness to initiate a change it also observes and determines the organization’s commitment (Storkholm, 2014). For my organization I would use the ORCA too. While the ORIC can determine the organizations commitment, it focuses mainly on individuals and not the entire healthcare setting as a whole. In comparison, the ORCA can determine an organization’s strengths and weaknesses beyond the individuals initiating the change, but rather as a healthcare institution as a whole. An organization may have committed individuals but if they do not have proper funding, resources, management, supplies, equipment etc, the change will not be effective or beneficial for staff or patients.

References

Dearing, J. W. (2018). Organizational readiness tools for global health intervention: a review. Frontiers in public health, 6, 56.

The National Collaborating Centre for Methods and Tools. (2017). Organizational Readiness to Change Assessment (ORCA) tool | Resource Details | National Collaborating Centre for Methods and Tools. Nccmt.ca. https://www.nccmt.ca/knowledge-repositories/search/187

Storkholm, M.H., Mazzocato, P., Tessma, M.K. et al. Assessing the reliability and validity of the Danish version of Organizational Readiness for Implementing Change (ORIC). Implementation Sci 13, 78 (2018). https://doi.org/10.1186/s13012-018-0769-y

REPLY

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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.

Resources
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The Checklist: Recognize Limits, but Harness Its Power

Benchmark – Evidence-Based Practice Project Proposal Organizational Culture and Readiness Read “The Checklist: Recognize Limits, but Harness Its Power,” by Grif Alspach, from Critical Care Nurse (2017).

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Evidence-Based Practice in Nursing and Healthcare : A Guide to Best Practice

Read Chapters 15 and 18 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice.

Welcome to NUR 590 Evidence-Based Practice Project!
Hello Everyone!

Welcome to NUR 590! My name is Dr. W and I will be your instructor for this course. During this course, you will be writing your evidence-based project proposal. Every week you will be writing a section of the proposal and submitting it into the assignments forum. I will provide feedback for you with each section. Please revise your sections according to my feedback and save the revisions. During week 7 you will compose the final draft of the proposal with the revised sections and the other required parts of the proposal that are described in the assignment guidelines. All of your writing must be followed by the APA 7th edition guidelines. Please purchase a hard copy of the APA manual 7th edition. I will have my copy and make references to the pages in the APA manual 7th edition in order for you to make your revisions. During the first two weeks of the course, I will post computer-assisted technique (CAT) questions for you to review APA 7th edition guidelines. The remainder of the CAT questions will be about the discussion questions.

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Please become familiar with your syllabus during the first week. Please post something about yourself in the class introduction forum. There are some important due dates that are required with your initial response to the discussion questions. All initial responses to discussion question one are due on Saturday of each week by 11:59 pm Arizona time. If a response is late, 0.5 point will be deducted for each day late. The first deduction will be due to not submitting your response by the date and time. The initial response to discussion question two will be due on Monday of each week by 11:59 pm Arizona time. The same penalty applies to discussion question two as discussion question one. Each initial response must be a substantive response and is worth a total of 5 points for each discussion question. You will have a total of 20 participation points each week. Your participation points must be substantive and include at least three responses to your classmates and/or the CAT questions. ALL THREE RESPONSES MUST BE POSTED ON AT LEAST THREE SEPARATE DAYS OR POINTS WILL BE DEDUCTED!!! Please adhere to all guidelines. The due dates for the assignments will be every Wednesday by 11:59 pm Arizona time. There will be a 10% penalty for each late assignment submission. Please communicate with me with any questions or concerns. You may send me a private forum (which only I have access to), a Question to Instructor forum (which all members of the class can read), or you may text me at (406) 600-0884. Please only text me between the hours of 8 am and 8 pm Eastern Daylight Time. I will respond as quickly as I can.

Every week I will post scripture verses in the announcements. This week’s scripture verses come from Ephesians 4.

View Resource

A Multisite Health System Survey to Assess Organizational Context to Support Evidence-Based Nursing

Read “A Multisite Health System Survey to Assess Organizational Context to Support Evidence-Based Nursing,” by Pitmann et al., from Wor

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Supporting the Uptake of Nursing Guidelines: What You Really Need to Know to Move Nursing Guidelines Into Practice

Read “Supporting the Uptake of Nursing Guidelines: What You Really Need to Know to Move Nursing Guidelines Into Practice,” by Matthew-Maich

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Readiness Assessment

Read “Readiness Assessment” (2015), located on the Agency for Healthcare Research and Quality (AHRQ) website.

https://www.ahrq.gov/teamstepps/readiness/index.html

The Cochrane Collaboration

Explore the Cochrane Collaboration website.

http://www.cochrane.org/

Advanced Practice Nursing: Essential Knowledge for the Profession

Read Chapters 23 and 24 in Advanced Practice Nursing: Essential Knowledge for the Profession.

View Resource

Cochrane Library

Explore the Cochrane Library website.

http://www.thecochranelibrary.com/view/0/index.html

Organizational Readiness Tools for Global Health Intervention: A Review

Read “Organizational Readiness Tools for Global Health Intervention: A Review,” by Dearing, from Frontiers in Public Health (2018)

… Read More

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5840160/

Agency for Healthcare Research and Quality

Explore the Agency for Healthcare Research and Quality (AHRQ) website.

http://www.ahrq.gov/

Cultivate a Culture of Excellence at the Point of Care

Read “Cultivate a Culture of Excellence at the Point of Care,” by Medeiros, from Nursing Management (2020).

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6 Steps for Transforming Organizational EBP Culture

Read “6 Steps for Transforming Organizational EBP Culture,” by Ogiehor-Enoma, Taqueban, and Anosike, from Nursing Management (2010

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JBI EBP Resources

Use the JBI EBP Resources to search for EBP resources related to your project.

https://jbi.global/ebp

Aligning Organizational Culture and Infrastructure to Support Evidence-Based Practice

Read “Aligning Organizational Culture and Infrastructure to Support Evidence-Based Practice,” by Ost, Blalock, Fagan, Sweeney, and Miller-H

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

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

4. 4: Good
9.2 points

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

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 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.

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 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.

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, but sources are outdated or inappropriate.

3. 3: Satisfactory
4.4 points

Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.

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

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.

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

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

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

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

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

4. 4: Good
4.6 points

All format elements are correct.

3. 3: Satisfactory
4.4 points

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

2. 2: Less Than Satisfactory
4 points

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

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

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.

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