NUR 59 Organizational Culture and Readiness Essay
NUR 59 Organizational Culture and Readiness Essay
NUR 59 Organizational Culture and Readiness Essay
Evaluating the organizational culture and readiness to implement evidence-based practice (EBP) proposed intervention is essential. The outcomes of such an assessment offers information on the culture and the level of readiness and change acceptance among the internal stakeholders to implement EBP initiatives to improve patient quality care and safety. Through the evaluation, a facility identifies facilitators and barriers that may influence the implementation process (Melnyk et al., 2019). The purpose of this paper is to evaluate the organizational culture of Cedar Sinai Hospital as the facility where the intervention to reduce CAUTIs will be implemented. The evaluation also determines the level of readiness to implement the proposed EBP project.
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Organizational Culture and Support for Change
Organizational culture entails a system of assumptions, beliefs, values and norms as well as practices that regulate conduct and behaviors of individuals within the entity. These shared beliefs and values have a considerable impact on different components of processes and procedures as well as how people react to changes Melnyk et al., 2019). The mission and vision of an organization are important components of its culture as they guide how employees behave.
Cedar Sinai Health System is a non-profit and autonomous organization committed to leadership and excellence in quality healthcare services delivery. At the core of its mission are four areas that include clinical service, research, teaching, and caring for the indigents. The organization’s mission is based on ethical and cultural precepts of the Judaic tradition that inspires devotion to the art and science of healing and the excellent care offered to patients and staff (Cedar Sinai, n.d). The organization’s mission is to improve the health status of the communities it serves while its vision is to be a trusted and respected healthcare provider in the world through advancing health and healthcare within and beyond its current location. The organization is also driven by values that include integrity, teamwork, compassion, innovation, accessibility, affordability and excellence as well as diversity, equity and inclusion.
The employees in the organization value change as captured through embracing innovation, increased access and compassion as well as increasing access to excellent healthcare. The organization works through teamwork to deliver better care to patients that it serves, and hopes to expand this beyond its current location. The leadership structure in the organization is hierarchical but founded on Judaic tradition of being dedicated to the proposed interventions.
Readiness Tool & Level of Readiness of the Organization
The selected tool to assess the level of the organization’s readiness for change is the Organizational Readiness to Change Assessment (ORCA). The tool evaluates the strength of evidence do the proposed EBP change, the quality of contextual aspects to support the change, and organizational ability to facilitate change (Crittendon et al., 2020). The survey results show that the facility attained 4 out of 5, implying that it is ready to adopt the proposed EBP intervention to reduce CAUTIs. The results show that different players in the organization have been concerned about the rates of CAUTIs and had started creating the urgency for change through proposing innovative approaches.
The current culture will support and sustain the evidence-based practice change based on the values and the mission of the organization. Innovation is a core aspect of improving care excellence and attaining Magnet recognition, which the organization hopes to attain by reducing the current rates of infections. The Centers for Medicare and Medicaid Services (CMS) requires organizations to prevent the occurrence of hospital-acquired infections (HAIs) like CAUTIs to get reimbursement as part of value-based care. As such, the mission, values, and vision of the organization are strengths for the implementation of the EBP. Possible barriers include limited nurse knowledge on CAUTIs while support from all stakeholders is present based on the management’s advancing efforts to tackle the problem. The timing of the proposal is ripe as the organization seeks to reduce the rates of CAUTIs and is willing to deploy resources to attain these goals.
Health Care Process and Systems to Improve Quality, Safety & Cost-Effectiveness
Healthcare entities focus in reducing costs, improving quality of services provided, and patient safety. Healthcare process improvement is a critical component of a strategy to enhance care and reduce cost burden. These processes include admissions, billing, discharge, ED operations, patient referrals and medication administration as well as patient flow (Melnyk et al., 2019). Organizations can only attain these processes and improve their efficiency through EBP interventions like quality improvement collaborative (QIC) De la (Perrelle et al., 2020). The approach allows facilities to implement EBP interventions and enhance overall patient safety and care.
Strategies to Facilitate Readiness
Dearing (2018) asserts that organizations show their level of readiness when they understand the perception and level of their employees’ motivation, evaluate their resources, enhance their present capacity, and empower staff to attain value for its clients and patient population. Therefore, organizational support is a core aspect of adopting EBP intervention and this starts from the leadership and management levels.
The use of models like Trans-theoretical model of organizational change (TTM) assists guide the implementation of suggested EBP (Vax et al., 2021). Change preparation is a core aspect of this model’s first three stages. As such, having shared values, exercising practical or authentic leadership, pursuing advanced education and skill and acquiring sufficient resource are important strategies to implement EBP in this facility. The organization leadership should also inspire all staff that the project will lead to patient safety and reduce CAUTIs, offer a holistic approach to care and elevate the status of the healthcare system. The leadership should ensure that the members foster a learning culture as a learning organization.
Stakeholders and Project Team Members
The main stakeholders in this EBP proposed project will include nurses, case managers, patients, educators, quality and risk manager, clinicians and nursing administrators, and the organization’s financial manager. The medical manager and nurse managers and leaders would be part of the team together with the project manager. The nursing leaders will motivate and engage nursing staff in EBP and champion the need for changes to reduce the CAUTIs prevalence. The educator will offer lessons on the best practices to use catheters and the entire catheterization process, especially use of Foley catheters.
Information & Communication
Nurses targeted in this intervention would leverage information and communication technology system to get timely, effective and convenient alerts and content to enhance their understanding of proposed best practices. The use of databases and digital sources of evidence as well as equipment to source information will improve learning and understanding of the topic by nurses (Melnyk et al., 2019). Nurses will share information and content generates from digital platforms and while the educator will leverage these tools to offer lessons remotely where necessary to improve their knowledge and application of the proposed interventions.
Conclusion
The implementation of this project will be essential for Cedar Sinai Healthcare System because of the increased role that it plays in the community. The proposed EBP requires the organization to be ready and its culture to support the changes. The evaluation demonstrates that while it is ready, stakeholders must address different aspects that may affect overall outcomes of the intervention.
References
Cedar Sinai (n.d). Academic Mission & Vision.
file:///C:/Users/USER/Downloads/242570__Mission___Vision_%20_Cedars-Sinai_6463c05de419e.pdf.pdf
Crittendon, D. R., Cunningham, A., Payton, C., Mills, G., Kelly, S., LaNoue, M., & Arenson, C.
(2020). Organizational readiness to change: Quality improvement in family medicine
residency. Primer, 4. https://doi.org/10.22454/primer.2020.44120
Dearing J. W. (2018). Organizational Readiness Tools for Global Health Intervention: A
Review. Frontiers in public health, 6, 56. https://doi.org/10.3389/fpubh.2018.00056
De la Perrelle, L., Radisic, G., Cations, M., Kaambwa, B., Barbery, G., & Laver, K. (2020).
Costs and economic evaluations of quality improvement collaboratives in healthcare: A
systematic review. BMC Health Services Research, 20(1)
Melnyk, B., & Fineout-Overholt, E. (2019). Evidence-Based Practice in Nursing and Healthcare
(4th ed.). Wolters Kluwer.
Vax, S., Gidugu, V., Farkas, M., & Drainoni, M.-L. (2021). Ready to roll: Strategies and actions
to enhance organizational readiness for implementation in community mental health.
Implementation Research and Practice, 2, 263348952098825.
https://doi.org/10.1177/2633489520988254
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Appendix: APA Checklist
APA Writing Checklist
Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.
☒ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.
☒ The title page is present. APA format is applied correctly. There are no errors.
☒ The introduction is present. APA format is applied correctly. There are no errors.
☒ Topic is well defined.
☒ Strong thesis statement is included in the introduction of the paper.
☒ The thesis statement is consistently threaded throughout the paper and included in the conclusion.
☒ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.
☒ All sources are cited. APA style and format are correctly applied and are free from error.
☒ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.
Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.
Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.
Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.
Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.
Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.
☒ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.
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Requires Lopeswrite
Assessment Description
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:
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.
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.
My stakeholders are nurse, clinical partners, nurse champion, epidimeologist
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: 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: 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: 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: Less Than Satisfactory 9.6 points
The discussion of organizational culture and the degree to which it supports change is incomplete.
Organizational Readiness Tool and Readiness Assessment 13 points
Criteria Description
Organizational Readiness Tool and Readiness Assessment
- 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.
Health Care Process and Systems Recommended for Improving Quality, Safety, Cost-E ectiveness (B)
10 points
Criteria Description
Health Care Process and Systems Recommended for Improving Quality, Safety, and Cost-Effectiveness (C.3.1)
Strategies to Facilitate Organizational Readiness 10 points
Criteria Description
Strategies to Facilitate Organizational Readiness
Stakeholders and Team Members Needed 10 points
Criteria Description
Stakeholders and Team Members Needed
Information and Communication Technologies Needed (B) 10 points
Criteria Description
Information and Communication Technologies Needed (C.3.3)
Required Sources 5 points
Criteria Description
Required Sources
- 1: Unsatisfactory 0 points
Sources are not included.
Thesis Development and Purpose 7 points
Criteria Description
Thesis Development and Purpose
Argument Logic and Construction 8 points
Criteria Description
Argument Logic and Construction
Mechanics of Writing 5 points
Criteria Description
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
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)
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: Excellent 5 points
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
- 4: Good 4.6 points
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
- 3: Satisfactory 4.4 points
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
- 2: Less Than Satisfactory 4 points
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
Total 100 points
