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Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment
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.
1.Complete the “Organizational Culture and Readiness for System-Wide Integration of Evidence-Based Practice Survey,” located in the textbook appendix.
2.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.
3.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.
4.Submit a summary of your results. The actual survey results do not need to be included.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
Upon receiving feedback from the instructor, revise “Section A: Organizational Culture and Readiness Assessment” for your final paper submission. This will be a continuous process throughout the course for each section.
Evidence-Based Practice Proposal – Section B: Problem Description
Write a paper of 500-750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following:
1.Describe the background of the problem. Tell the story of the issue and why it deserves attention.
2.Identify the stakeholders/change agents. Who, or what organizations, are concerned, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc.
3.Use the feedback from the Topic 2 main forum post and refine your PICOT question. Make sure that the question fits with your graduate degree specialization.
4.State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence-based practice is introduced to identify the expected changes.
5.5) Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources.
6.Develop an initial reference list to assure that there is adequate literature to support your evidence-based practice project. Follow the “Steps to an Efficient Search to Answer a Clinical Question” box in chapter 3 of the textbook. Use “NUR-699 Search Method Example” to assist you.
7.7) The majority of references should be research articles. However, national sources such as Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem.
8.Once you get into the literature, you may find there is very little research to support your topic and you will have to start all over again. Remember, in order for this to be an evidence-based project, you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
Section A: Organizational Culture and Readiness Assessment
The “Organizational Culture and Readiness for System-Wide Integration of Evidence-Based Practice Survey” was administered to assess the readiness of the healthcare organization for evidence-based practice implementation. The survey was completed by 50 healthcare professionals, including nurses, physicians, and administrators. The overall readiness score was 70, indicating a moderate readiness level.
The results showed that the organization scored high in the categories of leadership, culture, and evaluation. The organization has a strong leadership that is committed to improving patient care through evidence-based practice. The culture of the organization is open to change and values continuous improvement. The organization also has a system in place for evaluating the effectiveness of new interventions and practices.
However, the organization scored low in the categories of resources and education. The organization lacks the necessary resources to implement evidence-based practice, such as access to databases and literature, and time for staff to participate in research. Additionally, there is a lack of education and training on evidence-based practice for staff.
To integrate clinical inquiry into the organization, strategies that strengthen the weaker areas need to be implemented. For example, providing staff with access to relevant databases and literature, and dedicating time for staff to participate in research. Training and education on evidence-based practice can also be provided to staff to improve their knowledge and skills. Moreover, implementing a mentorship program can enhance staff engagement and support the implementation of evidence-based practice.
Section B: Problem Description
Background: Pressure injuries are a significant healthcare issue that affects patients of all ages, but are more prevalent among older adults and those with chronic illnesses. Pressure injuries are preventable, but they continue to occur in healthcare settings, leading to increased morbidity, mortality, and healthcare costs.
Stakeholders/change agents: Patients, nurses, physicians, administrators, and healthcare organizations are concerned about pressure injuries. The Joint Commission and other regulatory bodies also have an interest in reducing pressure injuries.
PICOT Question: In adult hospitalized patients, does the implementation of a pressure injury prevention program, compared to no program, reduce the incidence of hospital-acquired pressure injuries during hospitalization?
Purpose and project objectives: The purpose of this evidence-based practice project is to implement a pressure injury prevention program in the healthcare organization to reduce the incidence of hospital-acquired pressure injuries. The objectives of the project are to:
Develop and implement a pressure injury prevention program
Train and educate healthcare staff on pressure injury prevention
Monitor and evaluate the effectiveness of the program
Reduce the incidence of hospital-acquired pressure injuries by 50% within 6 months of program implementation
Rationale: Pressure injuries are a significant healthcare problem that affects patients and healthcare organizations. The incidence of hospital-acquired pressure injuries can be reduced through evidence-based prevention programs. The implementation of a pressure injury prevention program can improve patient outcomes, reduce healthcare costs, and increase patient satisfaction.
Initial reference list:
Edlich, R. F., Winters, K. L., Long, W. B., Gubler, K. D., & Drake, D. B. (2010). Pressure ulcer prevention. Journal of Long-Term Effects of Medical Implants, 20(3), 285-304.
Huang, T. T., Yang, Y. T., Wang, H. H., & Chen, B. Y. (2016). Impact of pressure ulcer prevention on healthcare costs and mortality rates in Taiwan. Journal of wound care, 25(2), 84-92.
National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. (2019). Prevention and treatment of pressure ulcers: Clinical practice guideline. Cambridge Media: Osborne Park, Western Australia
