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

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

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.

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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.

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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.

Organizational Culture and Preparedness

The process of enacting an evidence-based practice project comprises multiple stages, each critical for project success. Among these stages, the implementation phase stands out as arguably the most pivotal. Effectively introducing a significant change within an organization necessitates an evaluation of the organization’s culture and its readiness for change (Ost et al., 2020). This assessment serves as a cornerstone for making the necessary adjustments to enhance the project’s likelihood of success. Various tools can be employed to assess an organization’s culture, chosen based on specific needs. Therefore, the purpose of this assignment is to present the findings of an assessment regarding the organization’s culture and its readiness for implementing the proposed intervention.

The Organization’s Culture and Its Support for Change

A positive organizational culture plays a pivotal role in facilitating change implementation. Thus, it is crucial to assess the organization and its receptivity to change (Cleary-Holdforth et al., 2021). The organization’s leadership has shown a clear commitment to supporting initiatives like evidence-based practice, with a strong emphasis on improving organizational performance and patient outcomes. Additionally, the organization is working towards achieving magnet status, signifying its support for change initiatives. The organization’s mission centers on providing exemplary patient care services at affordable costs, leveraging the latest care strategies. The organization actively encourages its staff and employees to align with the mission and vision, embracing positive change within the organization. In line with this focus, the organization promotes interprofessional teams and collaborations to enhance patient outcomes. Consequently, the organization’s culture strongly supports evidence-based practice and is primed for change.

The Chosen Organizational Readiness Tools and Summary of Results

The selected tool for assessing organizational culture and readiness is the System-Wide Integration of the EBP survey tool, recognized for its effectiveness in evaluating an organization’s ability to adapt to potential changes (Melnyk et al., 2022). This tool played a pivotal role in gauging the understanding of the new CAUTI bundle among both leaders and staff. The survey results unveiled key insights. An overwhelming 91% of employees expressed support for the proposed change, indicating that only a minority did not endorse the initiative. The majority of the organization’s leaders also demonstrated readiness to support the change, with approximately 80% expressing willingness. Given that the majority of leaders and staff support the proposed change, the organization’s culture appears poised to endorse and sustain the change effectively.

However, it’s important to note that despite the culture’s support for the proposed change, potential barriers and weaknesses may hinder implementation. For instance, resistance from a minority of leaders and staff could pose a significant obstacle. The assessment will also serve to gauge the staff’s knowledge of using the proposed CAUTI bundle, providing insights to formulate strategies for enhancing their proficiency. Leaders who endorse the initiative will play a critical role in providing essential resources and supporting the project through decision-making and the identification of change champions to drive the initiative effectively.

Recommendations for Enhancing Healthcare Processes and Systems

The proposed use of a CAUTI bundle aims to address a practice gap identified within the facility. To achieve this, collaboration with healthcare organizations already employing the CAUTI bundle is recommended. Such collaborations can significantly improve outcomes (Luckenbaugh & Auffenberg, 2018). Furthermore, fostering interprofessional collaboration within the organization is crucial for improvement and for successfully implementing and sustaining the project.

Strategies to Foster Readiness

Enhancing readiness is pivotal for change implementation. The current patient care initiative has not been effective in improving patient outcomes, underscoring the need for change. Statistics revealing increased CAUTI rates will be leveraged to illustrate to the staff why accepting the change is imperative (Advani & Fakih, 2019). Education will also be employed to prepare the staff for the impending change.

Key Project Stakeholders and Team Members

Identifying key stakeholders and team members is essential for project success. This necessitates timely identification of such individuals. Stakeholders include physicians, nurses, unit leaders, nurse managers, patients, and their families (Melnyk et al., 2022). Every stakeholder has a significant role to play within the project, contributing to its success.

Information and Communication Technologies for Implementation

Information and communication technology play a vital role in the implementation process. Electronic health records, in particular, will be employed as a tool. They will be used to access existing data and collect necessary information (Melnyk et al., 2022). The collected data will be analyzed to assess the effectiveness of implementing the CAUTI care bundle.

In Conclusion

The nature of an organization’s culture significantly influences how an evidence-based practice initiative can be implemented. Therefore, assessing the culture is of paramount importance. The conducted assessment has demonstrated that the organization’s culture is supportive of evidence-based practice. It has also revealed that both staff and leaders are prepared for change, laying a strong foundation for successful implementation.

NUR 590 References

Advani, S. D., & Fakih, M. G. (2019). The evolution of catheter-associated urinary tract infection (CAUTI): is it time for more inclusive metrics?. Infection Control & Hospital Epidemiology40(6), 681-685. Doi: doi:10.1017/ice.2019.43

Cleary‐Holdforth, J., O’Mathúna, D., & Fineout‐Overholt, E. (2021). Evidence‐based practice beliefs, implementation, and organizational culture and readiness for EBP among nurses, midwives, educators, and students in the Republic of Ireland. Worldviews on Evidence‐Based Nursing18(6), 379-388.

Luckenbaugh, A. N., & Auffenberg, G. B. (2018). Leveraging the clinical collaborative model to drive value improvement. Current Opinion in Urology28(4), 348-353.

Melnyk, B. M., Hsieh, A. P., & Mu, J. (2022). Psychometric properties of the Organizational Culture and Readiness Scale for System‐Wide Integration of Evidence‐Based Practice. Worldviews on Evidence‐Based Nursing19(5), 380-387.

Ost, K., Blalock, C., Fagan, M., Sweeney, K. M., & Miller-Hoover, S. R. (2020). Aligning organizational culture and infrastructure to support evidence-based practice. Critical Care Nurse40(3), 59–63.

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