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

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

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

Organizational Culture and Readiness

Health care organizations should be committed to improving patient outcomes continuously. Among many interventions, evidence-based practice (EBP) projects effectively promote the desired change by introducing in-depth researched methods. Such projects identify the needs of specific patient populations and propose interventions for enhancing outcomes. Improving patient care improves the organization’s overall performance and reputation. Although continuous improvement is critical in health care settings, success depends on the organizational culture. Readiness to change is vital to adopt new practices such as using the Ventilator-Associated Pneumonia (VAP) bundle to improve care outcomes in mechanically ventilated patients. This paper evaluates the organizational culture and

readiness, care processes for improving outcomes, facilitating readiness, stakeholder roles, and technologies needed for the EBP intervention.

Organization’s Culture and Supporting Change

A close analysis of the work relationships, managerial support, communication, and values demonstrates an organization that adopts a clan culture. Unlike hierarchies, where the approach to everyday work is highly centralized, a clan culture encourages a collaborative approach to work and treating all employees as equals (Alsaqqa & Akyürek, 2021; Tietschert et al., 2019). Honest opinions and open feedback are highly valued as the entire staff work towards excellence as one family. A strong emphasis on excellence depicts a culture that embraces and supports change fully. The organization’s missions and values are anchored on continuous improvement and creative problem-solving. Besides teamwork and progressive growth, the organization invests heavily in innovative processes and technologies to improve health outcomes.

Organizational Readiness Assessment

Readiness assessment tools reliably indicate the extent to which an organization is likely to adopt change. The organizational readiness for knowledge translation (OR4KT) tool was used to assess the organization’s readiness level. OR4KT measures an organization’s readiness for knowledge translation by assessing the climate, contextual factors, change content, leadership, and motivation (Gagnon et al., 2018). During the survey, selected items (three) under each group gave a score of 90% (Appendix 1). A high score indicates that the organization is ready for change (Dearing, 2018). Hence, the current culture will fully support and sustain the EBP project.

Concerning the strengths, the EBP project’s goals align with the organization’s goal of progressive improvement in health care delivery. It identifies a critical and vulnerable population (mechanically-ventilated population in ICU settings) and proposes a creative, evidence-based intervention (VAP bundle and enhanced oral hygiene using chlorhexidine) to improve outcomes (reduce the risk of VAP rates). The nature of the project earns massive leadership and organizational support.  Weaknesses include a culture that recommends contribution from the majority, which can lengthen the implementation process. Potential barriers include dependence on a large care team, which is highly committed in its routine practice. Considerable organizational resources are also needed, and availability cannot be guaranteed.  However, stakeholder support and the timing are excellent. The project seeks to improve health outcomes among mechanically ventilated patients when their infection rates and problem sensitivity are worrying. To address the resource problem, nurse trainees and volunteers can help implement the project to save costs.

Health Care Process and Systems for Improving Quality, Safety, and Cost-Effectiveness

Several health care processes and systems can work independently or jointly to improve quality, safety, and cost-effectiveness in the organization. A suitable strategy is screening programs for at-risk populations. The organization must invest in procedures and technologies that identify different patient populations and their health problems. Such interventions will improve patient handling and promote patient-centeredness. Technologies such as health informatics also increase efficiency and reduce wastage, promoting cost-effectiveness (Xu et al., 2021). Up-to-date systems such as patient portals and wearables are vital to improving patient monitoring.

Facilitating Readiness

Health care organizations must respond to the fast-moving internal and external environments. Among many strategies, the organization should consider holding strategic workshops. Such workshops focus on introducing new initiatives to increase readiness for change (Roos & Nilsson, 2020).  Another effective strategy is continuous performance assessments. Whether process or outcome-based, such assessments will enable the organization to identify areas that require intervention and respond timely. Importantly, it should embrace a spirit of inquiry and make it a core element of its culture.

Stakeholders and Team Members

The organization’s management will be a key stakeholder in this EBP project. The management influences change in organizations and will be integral in providing resources and support needed to implement the project. The head of operations in the ICU will also guide the project to ensure that all operation protocols in the ICU are followed. Team members include nurse colleagues who will help execute the necessary activities, including observing patients, assisting in VAP bundle and oral hygiene practices and data collection.

Information and Communication Technologies

Broadly, the EBP project is a quality improvement initiative focusing on process improvement. To reduce exposure to mechanical ventilation and collaborate when providing oral care and subglottic suctioning, the care team needs timely and effective communication. Appropriate information and communication technologies include an interactive portal, chat rooms, and conferencing technology. Electronic, live monitoring of patients and record-keeping technologies are crucial too. The internal stakeholders will incorporate these technologies by adopting them, purchasing new ones where necessary, and promoting their use through staff education and guidance where necessary. Generally, the information and communication technologies will enable the implementation team to collaborate effectively during the implementation process. They will also allow real-time patient monitoring, assistance, and data collection to evaluate the effectiveness of the VAP bundle and oral hygiene using chlorhexidine. Improving areas of need and health outcomes as situations prompt will help improve nursing practice and care delivery for mechanically ventilated patients in the ICU.

Conclusion

Mechanically ventilated patients in ICU settings are highly vulnerable to Ventilator-Associated Pneumonia (VAP). The EBP project seeks to improve health outcomes among this critical population through the VAP bundle and enhanced oral hygiene using chlorhexidine. However, the project can only succeed if the organization is ready for a change. This discussion has explained the outcomes of culture and readiness assessment. The scores reveal readiness, implying that the project will get the required support.

References

Alsaqqa, H. H., & Akyürek, Ç. E. (2021). Assessment of organizational culture types, leadership styles and their relationships within governmental and non-governmental hospitals in Gaza Strip of Palestine. BMC Health Services Research, 21(1), 1-11. https://doi.org/10.1186/s12913-021-06351-1

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

Gagnon, M. P., Attieh, R., Dunn, S., Grandes, G., Bully, P., Estabrooks, C. A., Légaré, F., Roch, G., & Ouimet, M. (2018). Development and content validation of a transcultural instrument to assess organizational readiness for knowledge translation in healthcare organizations: The OR4KT. International Journal of Health Policy and Management, 7(9), 791–797. https://doi.org/10.15171/ijhpm.2018.17

Roos, J., & Nilsson, V. O. (2020). Driving organizational readiness for change through strategic workshops. International Journal of Management and Applied Research, 7(1), 1-28. https://doi.org/10.18646/2056.71.20-001

Tietschert, M. V., Angeli, F., Van Raak, A. J., Clark, J., Singer, S. J., & Ruwaard, D. (2019). Can organisational culture of teams be a lever for integrating care? An exploratory study. International Journal of Integrated Care, 19(4), 1-10. https://doi.org/10.5334/ijic.4681

Xu, J., Glicksberg, B. S., Su, C., Walker, P., Bian, J., & Wang, F. (2021). Federated learning for healthcare informatics. Journal of Healthcare Informatics Research, 5(1), 1-19. https://doi.org/10.1007/s41666-020-00082-4

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