Discussion: Readiness Assessment

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Discussion: Readiness Assessment

Healthcare organizations adopt evidence-based practices to optimize patient outcomes and provide quality, patient-centered care (Schaefer & Welton, 2018). Effective adoption of EBP is achieved when an organization is ready and can identify barriers and facilitators that may affect the implementation process. To help in implementing the current project, a readiness assessment was executed at The Optimal Health Center using the “Organization Culture & Readiness for System-Wide Integration of Evidence-based Practice Survey”. The assessment revealed that TOHC was ready to implement new EBP.

Project Barriers and Facilitators

Time limitation was a major barrier to implementation. Staff reported a heavy workload which left them with no time to review new evidence. Time constraints resulted in limited experience in implementing EBP. Facilitators observed was on-site providers who are ready to champion EBP regardless of the time constraints faced (Schaefer & Welton, 2018). The management also reported that they will create an adequate system for personal and professional development.

High Scores

The assessment tool had nineteen categories and TOHC performed well in five of them. The high scores are linked to the management and providers’ commitment to using EBP (Egeland, Ruud, Ogden, Lindstrøm & Heiervang, 2016). The staff pointed out that EBP improves patient care and were visiting online databases to learn more about best practice guidelines. Survey also revealed that the center was tracking patient outcomes to evaluate if patients are receiving adequate care. The management has rolled out a clinical trial where diabetic patients are educated and offered removable subcutaneous meters. The device monitors patient sugar levels and the data collected will be used to enhance diabetic care within the center.

Low Scores

The center performed poorly in seven categories with the major contributor being lack of a tuition reimbursement program to help employees further their education (Egeland, Ruud, Ogden, Lindstrøm & Heiervang, 2016). TOHC also did not have a librarian to educate or guide staff on EBP matters.

Integration of Clinical Inquiry

To enhance integration, providers will be trained on EBP to improve their confidence and motivation. The training will help them outline areas that require improvement (Egeland, Ruud, Ogden, Lindstrøm & Heiervang, 2016). Research will then be executed on the identified weak areas and possible solutions tabled for approval. Policy to guide on implementation will then be created to help in adopting the approved solutions.

References

Egeland, K. M., Ruud, T., Ogden, T., Lindstrøm, J. C., & Heiervang, K. S. (2016). Psychometric properties of the Norwegian version of the Evidence-Based Practice Attitude Scale (EBPAS): to measure implementation readiness. Health research policy and systems, 14(1), 47.

Schaefer, J. D., & Welton, J. M. (2018). Evidence-based practice readiness: A concept analysis. Journal of nursing management, 26(6), 621-629.

In order to formulate your evidence-based practice (EBP), you need to assess your organization. In this assignment, you will be responsible for setting the stage for EBP. This assignment is conducted in two parts: an organizational cultural and readiness assessment and the proposal/problem statement and literature review, which you completed in NUR-550.

Section A: Organizational Culture and Readiness Assessment

It is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation. Select an appropriate organizational culture survey tool and use this instrument to assess the organization’s readiness.

Develop an analysis of 250 words from the results of the survey, addressing your organization’s readiness level, possible project barriers and facilitators, and how to integrate clinical inquiry, providing strategies that strengthen the organization’s weaker areas.
Make sure to include the rationale for the survey category scores that were significantly high and low, incorporating details or examples. Explain how to integrate clinical inquiry into the organization.
Submit a summary of your results. The actual survey results do not need to be included.
Section B: Proposal/Problem Statement and Literature Review

In NUR-550, you developed a PICOT statement and literature review for a population quality initiative. In 500-750 words, include the following:

Refine your PICOT into a proposal or problem statement.
Provide a summary of the research you conducted to support your PICOT, including subjects, methods, key findings, and limitations.
General Guidelines:

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Minimum of 250 words with peer review reference

Discuss the role of EBP in your specialty area of practice. Compare and contrast the role and implementation of EBP in your specialty with another advanced registered nurse specialty.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.