NURS 6052 Organizational Culture And Readiness

Before making a case for an evidence-based project, it is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation.

Complete the “Organizational Culture and Readiness for System-Wide Integration of Evidence-Based Practice Survey,” located in the textbook appendix -( Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice Second Editionby Bernadette Mazurek Melnyk PhD RN CPNP/PMHNP FNAP (Author), Ellen Fineout-Overholt PhD RN FNAP FAAN)
Develop an analysis of 250 words from the results, addressing your organization’s readiness level, possible project barriers and facilitators, as well as how to integrate clinical inquiry.
Make sure to include the rationale for the survey categories scores that were significantly high and low, incorporating details and/or examples. Also explain how to integrate clinical inquiry into the organization, providing strategies that strengthen the organizations weaker areas.
Submit a summary of your results. The actual survey results do not need to be included.

PICOT Question is Would adult patients in the cardiovascular ICU have a decreased incidence of CLABSIs if clinical staff utilized CLABSI bundle (hand hygiene, barrier precautions, use of chlorohexidine, optimal site selection, avoidance of femoral sites, and daily review of line necessity[ CITATION Fur11 \l 1033 ]) protocols as opposed to clinical staff dealing with central lines without a protocol, during the duration of the ICU stay?

In 750-1,000 words, analyze the culture and level of readiness of the organization (Prime Healthcare Organization)

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 need improvement or 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 the intervention.

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.

APA style

/orders/www.ncbi.nlm.nih.gov/pmc/articles/PMC5840160/

In 750-1,000 words, analyze the culture and level of readiness of the organization for which your evidence-based practice project is proposed (Prime Healthcare Organization) . 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:

2. Select an organizational readiness tool /orders/www.ncbi.nlm.nih.gov/pmc/articles/PMC5840160/ 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.

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.

PICOT Final

Name_________________Daysha Polk____________________

Complete your PICOT using your approved proposed nursing practice problem. If they were approved, you may use the population and intervention developed in your Topic 1 assignment. Include any necessary revisions in this submission. Refer to the “Example PICOT” below as needed for guidance on how to complete the PICOT.

PICOT Question
P	Population	Patients experiencing decreasing satisfaction levels at ED
I	Intervention	Real-time location systems
C	Comparison	Manually entered status updates to track patients
O	Outcome	Decreased rate of Left Without Being Treated (LWBT) and raising revenue collection
T	Time-frame	Six months
PICOT Create a complete PICOT statement.	ED patients with decreasing levels of satisfaction (P), does the utilization of a real-time location systems (RTLS) in the hospital’s ED (I), compared to manually entered status updates to track patients (C), help to decrease the rate of LWBT and to raise revenue collection (O) within 6 months (T)?
Problem Statement Create a problem statement for your PICOT. You will use this problem statement throughout your final written paper.	The current delays, long waits, leaving without being treated, decreased revenue collection from the ED unit, and reduced patient satisfaction scores have negatively portrayed the hospital’s reputation to the public. As a result, the daily patient visits have continued to decrease as people attribute the facility to poor emergency care services delivery. All these complications result from the use of combined data resources and manual entry status updates when tracking patient records. This manual tracking cannot meet the demand for many patients and leads to overcrowding due to and reduced patient flow in the ED. Therefore, there is a need to install an automatic patient tracking system to increase the flow.

References

Asheim , A., Nilsen, S. M., Carlsen, F., Næss-Pleym, L. E., Uleberg, O., Dale, J., Bache-Wiig Bjørnsen, L. P., & Bjørngaard, J. H. (2019, December 26). The effect of emergency department delays on 30-day mortality in Central Norway. European journal of emergency medicine : official journal of the European Society for Emergency Medicine. /orders/pubmed.ncbi.nlm.nih.gov/31135613/.

Fudge, N., Sadler, E., Fisher, H. R., Maher, J., Wolfe, C. D. A., & McKevitt, C. (n.d.). Optimising Translational Research Opportunities: A Systematic Review and Narrative Synthesis of Basic and Clinician Scientists’ Perspectives of Factors Which Enable or Hinder Translational Research. PLOS ONE. /orders/journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0160475.

Morrison, L. E., & Joy, J. P. (2016, June 20). Secondary traumatic stress in the emergency department. Wiley Online Library. /orders/onlinelibrary.wiley.com/doi/abs/10.1111/jan.13030.

Wand, T., Crawford, C., Bell, N., Murphy, M., White, K., & Wood, E. (2019, April 30). Documenting the pre-implementation phase for a multi-site translational research project to test a new model Emergency Department-based mental health nursing care. International Emergency Nursing. /orders/www.sciencedirect.com/science/article/abs/pii/S1755599X19300400?via%3Dihub.

Wang, H., Kline, J. A., Jackson, B. E., Robinson, R. D., Sullivan, M., Holmes, M., Watson, K. A., Cowden, C. D., Phillips, J. L., Schrader, C. D., Leuck, J. A., & Zenarosa, N. R. (2017, October 5). role of patient perception of crowding in the determination of real-time patient satisfaction at Emergency Department. OUP Academic. /orders/academic.oup.com/intqhc/article/29/5/722/4158405?login=true.

Prime Healthcare Organization

Our mission and our values guide how we conduct our business, what we believe in and where we are headed.

Our Promise

To provide compassionate care and clinical excellence to all patients as we create hospitals that improve healthcare in every community we serve.

Our Mission

To save and improve hospitals so that they can deliver compassionate, quality care to patients and better healthcare for communities.

Prime Hospital’s Mission

To deliver compassionate, quality care to patients and better healthcare to communities.

Our Values

Quality We are committed to always providing exceptional care and performance.

Compassion We deliver patient-centered healthcare with compassion, dignity and respect for every patient and family.

Community We are honored to be trusted partners who serve, give back and grow with our communities.

Physician-Led We are a uniquely physician-founded and physician-led organization that allows doctors and clinicians to direct healthcare at every level.

Rubic_Print_Format

Course Code	Class Code	Assignment Title	Total Points
NUR-550	NUR-550-O500	Benchmark -Evidence-Based Practice Project: Literature Review	175.0
Criteria	Percentage	Unsatisfactory (0.00%)	Less Than Satisfactory (80.00%)	Satisfactory (88.00%)	Good (92.00%)	Excellent (100.00%)	Comments	Points Earned
Content	70.0%
Introduction	5.0%	The clinical issue or problem and PICOT statement are omitted.	The clinical issue or problem and PICOT statement are incomplete or incorrect.	The clinical issue or problem and PICOT statement are presented. Some aspects are vague. There are minor inaccuracies.	The clinical issue or problem and PICOT statement are adequately described.	The clinical issue or problem and PICOT statement are thoroughly described.
Search Methods	10.0%	The search strategy and criteria used in choosing and searching for articles are omitted.	The search strategy and criteria used in choosing and searching for articles are only partially described.	The search strategy and criteria used in choosing and searching for articles are summarized. More information is needed.	The search strategy and criteria used in choosing and searching for articles are described. Some detail is needed for clarity or accuracy.	The search strategy and criteria used in choosing and searching for articles is thoroughly described.
Synthesis of Literature	10.0%	A paragraph for one or more article is missing.	All articles are presented, but the synthesis of literature is incomplete.	A summary for each article is presented. The main components (subjects, methods, key findings) are generally discussed. General rationale for how each article supports the PICOT is provided. More information is needed.	A paragraph for each article is presented. The main components (subjects, methods, key findings) are adequately discussed, and rationale for how each article supports the PICOT is provided. Some detail is needed for clarity or accuracy.	A well-developed paragraph for each article is presented. The main components (subjects, methods, key findings) are thoroughly discussed, and substantial rationale for how each article supports the PICOT is clearly provided.
Comparison of Articles	10.0%	One or more article is missing in the comparison.	All articles are presented, but the comparison is incomplete.	A general comparison of the similarities, differences, themes, methods, conclusions, limitations, and controversies among the articles is presented. Some aspects are unclear. More information is needed.	A comparison of the similarities, differences, themes, methods, conclusions, limitations, and controversies among the articles is adequately presented. Some detail is needed for clarity or accuracy.	A detailed comparison of the similarities, differences, themes, methods, conclusions, limitations, and controversies among the articles is thoroughly presented.
Suggestions for Future Research	10.0%	Identified gaps and areas requiring further research are omitted.	Identified gaps and areas requiring further research are only partially presented.	Some identified gaps and areas requiring further research are generally discussed. The narrative is generally based on the analysis of the literature. More information is needed.	Identified gaps and areas requiring further research are adequately discussed. The narrative is based on the analysis of the literature. Some detail is needed for clarity or accuracy.	Identified gaps and areas requiring further research are thoroughly discussed and clearly based on the analysis of the literature. The narrative is insightful and demonstrates an understanding of research analysis necessary for future study.
Conclusion	5.0%	The conclusion is omitted.	A conclusion is presented but fails to present a summary statement of what was found in the literature.	The conclusion presents a vague summary statement of was found in the literature. There are inaccuracies.	The conclusion presents an adequate summary statement of what was found in the literature.	The conclusion is well-developed and presents a clear and accurate summary statement of what was found in the literature.
Ability to Analyze (C3.2)	10.0%	The literature review presented does not demonstrate an ability to analyze appropriate research from databases and other information sources to improve health care practices and processes.	The literature review presented does not consistently demonstrate an ability to analyze appropriate research from databases and other information sources to improve health care practices and processes.	The literature review presented demonstrates a general ability to analyze appropriate research from databases and other information sources to improve health care practices and processes.	The literature review presented demonstrates an adequate ability to analyze appropriate research from databases and other information sources to improve health care practices and processes.	The literature review presented demonstrates a strong ability to analyze appropriate research from databases and other information sources to improve health care practices and processes.
Appendix	5.0%	The appendix and required resources are omitted.	The APA Writing Checklist is attached, but an appendix has not been created. The paper does not reflect the use of the APA Writing Checklist during development	The APA Writing Checklist is attached and in the appendix. The APA Writing Checklist was generally used in development of the paper, but some aspects are inconsistent with the paper format or quality.	The APA Writing Checklist is attached in the appendix. It is apparent that the APA Writing Checklist was used in development of the paper.	The APA Writing Checklist is attached in the appendix. It is clearly evident by the quality of the paper that the APA Writing Checklist was used in development.
Required Sources	5.0%	Sources are not included.	Number of required sources is only partially met.	Number of required sources is met, but sources are outdated or inappropriate.	Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.	Number of required resources is met. Sources are current and appropriate for the assignment criteria and nursing content.
Organization and Effectiveness	20.0%
Thesis Development and Purpose	7.0%	Paper lacks any discernible overall purpose or organizing claim.	Thesis is insufficiently developed or vague. Purpose is not clear.	Thesis is apparent and appropriate to purpose.	Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.	Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction	8.0%	Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.	Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.	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.	Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.	Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar, language use)	5.0%	Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.	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	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.	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.	Writer is clearly in command of standard, written, academic English.
Format	10.0%
Paper Format (Use of appropriate style for the major and assignment)	5.0%	Template is not used appropriately or documentation format is rarely followed correctly.	Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.	Template is used, and formatting is correct, although some minor errors may be present.	Template is fully used; There are virtually no errors in formatting style.	All format elements are correct.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)	5.0%	Sources are not documented.	Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.	Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.	Sources are documented, as appropriate to assignment and style, and format is mostly correct.	Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Total Weightage	100%

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Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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