Understand the culture of the organization

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Reference no: EM131977811

Part one

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. Select an appropriate organizational culture survey tool and use this instrument to assess the organization''s readiness.

1. Develop an analysis of 250 - 400 words from the results, addressing your organization's readiness level, possible project barriers and facilitators, as well as how to integrate clinical inquiry.

2. 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.

3. 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.

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 Turnitin. Please refer to the directions in the Student Success Center.

Part two

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. (public health).

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.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Steps to an Efficient Search to Answer a Clinical Question

- Begin with PICOT question-generates keywords.

- Establish inclusion/exclusion criteria before searching so that the studies that answer the question are easily identifiable.

Apply these criteria after search strategy is complete? Use subject headings, when available.

- Expand the search using the explode option, if not automatic.

- Use available mechanisms to focus the search so that the topic of interest is the main point of the article.

- Combine the searches generated from the PICOT keywords that mapped onto subject headings, if the database does not automatically do this for you.

- Limit the fina cohort of studies with meaningful limits, such as language, human, type of study, age, and gender.? Organize studies in a meaningful way using reference management software.

Search Method Example
Search Method
A comprehensive electronic search was completed using the following databases:
Cochrane Central Register of Controlled Trials
Cochrane Database of Systematic Reviews
National Guideline Clearinghouse
CINAHL
Ovid
Medline

The search included English-only published articles between 1990 and 2005.
Key words used in the search were:
Pediatric asthma education
Self-management
Self-monitoring
Grade school children
Systematic reviews
Randomized controlled trials

Search results revealed 75 publications. The abstracts were screened and 10 studies were relevant to pediatric asthma education involving self-management, self-monitoring behaviors, self-efficacy, and educational programs with various interventions. These studies included three systematic reviews, five randomized control trials (RCT), one cohort descriptive study, and one qualitative study. Refer to Appendix A for a complete reference list.

Verified Expert

This paper illustrates on evidence based practice. It chooses PICOT question and illustrate on how the project should be done to help improve the health care services. The steps for doing the project is well illustrated plus the challenges the health care may meet during the process.

Reference no: EM131977811

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Reviews

len1977811

5/10/2018 1:23:55 AM

5 Excellent 100.00% The problem description and objectives are presented in detail and align. The stakeholders/change agents - who or what organizations are concerned, may benefit from, or are affected by this proposal - are described. The problem is in the PICOT format and developed appropriately. Objectives are measurable. The problem selection is justified using literature and supportive examples, not just based on the most current evidence. Expected changes before and after the evidence-based practice are integrated. An initial reference list is developed. Clarity and specificity of comprehension are demonstrated, and all relevant information is synthesized. Coverage extends beyond what is needed to support subject matter. Writer is clearly in command of standard, written, academic English.

len1977811

5/10/2018 1:23:49 AM

4 Good 92.00% The problem description and objectives are presented and tie together. The stakeholders/change agents - who or what organizations are concerned, may benefit from, or are affected by this proposal - are identified. The problem is in the PICOT format and developed appropriately. Objectives are measurable. The problem selection is justified using literature. Expected changes are outlined. An initial reference list is developed. Integrative and accurate comprehension is demonstrated and information is applied as appropriate. There is comprehensive coverage of subject matter. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

len1977811

5/10/2018 1:23:42 AM

3 Satisfactory 88.00% The problem description and objectives are stated but may not be fully developed or aligned. The problem is in the PICOT format but not appropriately developed. Objectives are measurable but may be ambiguous. The problem selection rationale is present but the significance is unclear. Expected changes are briefly introduced. Comprehension of the material is exhibited and there is clearly an attempt to integrate and apply information. All subject matter is covered in minimal quantity and quality. Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

len1977811

5/10/2018 1:23:35 AM

2 Less than Satisfactory 80.00% The problem description and objectives are addressed, but not all components are included. Alignment is difficult to discern. The problem is not in the correct format. Objectives are lacking measurement or may be ambiguous. The problem selection rationale is not addressed or is minimally introduced with no supporting details. Expected changes before and after the evidence-based practice are listed. A lack of comprehension is displayed, but there is an attempt to apply information. A partial initial reference list is developed. There is weak, marginal coverage of subject matter with large gaps in presentation. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.

len1977811

5/10/2018 1:23:28 AM

1 Unsatisfactory 0.00% 100.0 %Problem Description 100.0 %Describe the background of the problem. Identify the stakeholders/change agents and list the interested parties. Provide the PICOT question. State the purpose and project objectives in specific, realistic, and measurable terms. Develop an initial reference list. There is no discernible problem description and/or objectives. The problem selection rationale is not addressed or is minimally addressed. Expected changes before and after the evidence-based practice are not addressed or are minimally addressed. Inaccurate comprehension of material and lack the ability to apply information is revealed. Subject matter is absent, inappropriate, and/or irrelevant. Initial reference list is missing. Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.

len1977811

5/10/2018 1:23:16 AM

5 Excellent 100.00% Detailed information in relation to the survey categories that scored high and low on the survey is provided. The rationale for the scores, including details and/or examples, is provided. The major project barriers and facilitators are thoughtfully analyzed and evaluated. Warranted conclusions are drawn. An informed position on how to integrate clinical inquiry into the organization is developed and explained, providing strategies which align to the weaker areas of the organization. Clarity and specificity of comprehension are demonstrated, and all relevant information is synthesized. Coverage extends beyond what is needed to support subject matter. Writer is clearly in command of standard, written, academic English.

len1977811

5/10/2018 1:23:08 AM

4 Good 92.00% Information in relation to the survey categories which scored high and low on the survey is provided. The rationale for the scores, including details and/or examples, is stated. Analysis on the project barriers and facilitators is direct, competent, and appropriately aligned to the survey. How to integrate a basic idea of clinical inquiry into the organization is explained, and strategies that broadly encompass many issues of concern are provided. Integrative and accurate comprehension is demonstrated and information is applied as appropriate. There is comprehensive coverage of subject matter. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

len1977811

5/10/2018 1:22:57 AM

3 Satisfactory 88.00% A basic survey overview is provided, but any rationale, details, and/or examples are minimally included. A surface level of evaluation of the possible project barriers and facilitators is conducted. Very narrow focus is provided. Claims and ideas of the criteria are supported but not developed in-depth. How to integrate a basic idea of clinical inquiry into the organization is explained but does not specifically address the individual organization being assessed. Comprehension of the material is exhibited and there is clearly an attempt to integrate and apply information. All subject matter is covered in minimal quantity and quality. Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

len1977811

5/10/2018 1:22:48 AM

2 Less than Satisfactory 80.00% The survey results are listed without an in-depth explanation. The project barriers and facilitators are ignored or superficially evaluated. Unwarranted conclusions are drawn. Clinical inquiry is defined and/or broad statements are made about it, but the individual organization being assessed is not specifically addressed. A lack of comprehension is displayed, but there is an attempt to apply information. There is weak, marginal coverage of subject matter with large gaps in presentation. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.

len1977811

5/10/2018 1:22:38 AM

1 Unsatisfactory 0.00% 100.0 %Organizational Culture and Readiness Assessment 100.0 %Describe the results from the organizational culture survey you selected, addressing the readiness level of your organization. Provide an analysis of any possible project barriers and facilitators, and describe how to integrate clinical inquiry into your organization. The survey results are listed without an in-depth explanation. Analysis of the project barriers and facilitators is not outlined or is outlined poorly. Clinical inquiry is defined and/or broad statements are made about it, but the individual organization being assessed is not specifically addressed. Inaccurate comprehension of material is revealed, as is the lack of ability to apply information. Subject matter is absent, inappropriate, and/or irrelevant. Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.

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