775818 Topic: Public Health Research

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Evidence-Based Practice Proposal Section A

NURSING ASSIGNMENT 5

Evidence-Based Practice Proposal- Section A

Public Health-669

03/03/2018

Section A

Organizational Culture and Readiness Assessment

Having worked in the local general hospital, I witnessed incidences of lack of clarity among nurses in their diagnosis and their eventual patient evaluations. From a professional point of view, this is a dangerous path that is likely to have detrimental consequences in the lives of the patients. Therefore, the organization is a prime setting for implementing an evidence-based project will generally be a success because of its associated outcomes. As an old health facility, the organization has quality standard supporting infrastructure to guarantee the success of the new project. For instance, if the EBP will require regular lab testing, the hospital already has a modern lab equipped with the best technological equipment to enhance efficiency. From the survey, the infrastructural system scored the highest in the assessment as the hospital is furnished with equipment by the local government. As the largest hospital in the area, it receives adequate funding to supply all its basic needs. In terms of funding, therefore, it is clear that the organization is ready to embrace a new project as it will be fully funded until it is running and productive. The senior management was also ready to support the project as it would improve the hospital’s performance and enhance the quality of services delivered to patients.

Rationale for the Survey Categories Scores

The scores of the survey differed because of the different readiness attributes within the different departments. For example, the finance department scored high on its readiness to the project because it has a supplementary budget that is ready to facilitate the implementation of the project. Similarly, the infrastructural readiness of the hospital scored high because the hospital had been equipped with modern technological equipment that would support such a new system. This was the condition of the hospital because of the massive funding it receives from the local government. Similarly, the senior management of the organization found it worth to have such a project and they supported it in all ways. Consequently, their levels of readiness scored high as manifested by their budgetary allocation made for the project. However, the nurses depicted the lowest level of readiness to the evidence-based project. The project meant that the nurses had to change their casual approach to patients and increase the level of scrutiny. The project was intended to improve the quality of patient diagnosis where decisions were mainly to be made from a point of evidence. This approach meant that nurses had to spend more time in the lab to verify tests and that was not amusing to many of them. They argued that the project would increase the workload on them if the hospital did not increase the number of nurses. Based on these reasons, the readiness of the nurses to the project scored the lowest.

How to Integrate Clinical Inquiry into the Organization

The new clinical inquiry project will be a suitable entity to this local facility because of its associated benefits. For the project to be integrated into the organization in a seamless way, the hospital should consider increasing the number of nurses to minimize the workload that the nurses are likely to be exposed to. While the weakness of the hospital is limited nurses, increasing their number will definitely motivate them to embrace the new project. Moreover, the hospital has been operating under the traditional system that was not evidence-based. By introducing this project, the hospital is likely to enhance the quality of care accorded to the patients while guaranteeing them a positive outcome. By the adoption of this project, it will be clear that the local hospital will increase and improve its standards in medical care practice.

Summary of the Results

In summary, different aspects of the hospital including supporting infrastructure and funding by senior management are ready for the project. The remaining nursing fraternity is not ready for the project due to the associated increased workload. However, the hospital can hire new nurses to minimize the burden on the current nursing staff.

References

Cardiac, L. L. (2018). Sudden Cardiac Death. Contemporary Challenges in Sudden Cardiac Death, an Issue of Cardiac Electrophysiology Clinics, E-Book, 9(4), 749.

Forgey, M. W. D. (2017). Wilderness medicine: beyond first aid. Rowman & Littlefield.

Neumar, R. W. (2017). Future Directions: Management of Sudden Cardiac Death. Cardiac electrophysiology clinics, 9(4), 785-790.

Ng, Y. Y., Leong, S. H. B., & Ong, M. E. H. (2017). The role of dispatch in resuscitation. Singapore medical journal, 58(7), 449.

Platner, E. A. A. (2017). Using Evidence-Based Methods to Evaluate Neonatal Resuscitation Program Competence and Assess Two-Year Renewal Recommendations (Doctoral dissertation, north central University).