Evidence-Based Practice Proposal - Section A: Organizational Culture And Readiness Assessment And Section B: Proposal/Problem Statement And Literature Review
Evidence-Based Practice Proposal - Section A: Organizational Culture And Readiness Assessment And Section B: Proposal/Problem Statement And Literature Review
This assessment tool would be helpful to gauge the readiness to implement evidence-based practice in the organization. It has provided six major areas for the organization to examine the readiness ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"npoiYcam","properties":{"formattedCitation":"(L. Cheng et al., 2018)","plainCitation":"(L. Cheng et al., 2018)","noteIndex":0},"citationItems":[{"id":456,"uris":["http://zotero.org/users/local/qnvKw9vm/items/JMDVAKJ7"],"uri":["http://zotero.org/users/local/qnvKw9vm/items/JMDVAKJ7"],"itemData":{"id":456,"type":"article-journal","container-title":"Journal of nursing management","issue":"6","page":"671-678","title":"Leadership practices of nurse managers for implementing evidence‐based nursing in China","volume":"26","author":[{"family":"Cheng","given":"Lei"},{"family":"Feng","given":"Sheng"},{"family":"Hu","given":"Yan"},{"family":"Broome","given":"Marion E."}],"issued":{"date-parts":[["2018"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (L. Cheng et al., 2018). These six areas are organizational culture, data collection, technology, collaboration, continuous improvement, and leadership.
Leadership
The organization knows the values of evidence-based practices ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"Ie93opZ2","properties":{"formattedCitation":"(L. Cheng et al., 2018)","plainCitation":"(L. Cheng et al., 2018)","noteIndex":0},"citationItems":[{"id":456,"uris":["http://zotero.org/users/local/qnvKw9vm/items/JMDVAKJ7"],"uri":["http://zotero.org/users/local/qnvKw9vm/items/JMDVAKJ7"],"itemData":{"id":456,"type":"article-journal","container-title":"Journal of nursing management","issue":"6","page":"671-678","title":"Leadership practices of nurse managers for implementing evidence‐based nursing in China","volume":"26","author":[{"family":"Cheng","given":"Lei"},{"family":"Feng","given":"Sheng"},{"family":"Hu","given":"Yan"},{"family":"Broome","given":"Marion E."}],"issued":{"date-parts":[["2018"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (L. Cheng et al., 2018). The benefits of evidence-based practice have been adopted successfully by the leadership.
Organizational Culture
The staff members have a positive attitude regarding it’s abilities for the improvement of client outcomes. The staff in the organization has realized the welfares of evidence-based practice to deliver effective services.
Data Collection
The members of the staff utilize information to direct the application and creation of individual service plans. The staff has utilized a validated assessment tool for the review of client progress to realize if the program and service delivered need changes or not.
Technology
The organization has a computerized data system to preserve electronic records and it is utilized for decision making ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"f2uEGgyy","properties":{"formattedCitation":"(L. Cheng et al., 2018)","plainCitation":"(L. Cheng et al., 2018)","noteIndex":0},"citationItems":[{"id":456,"uris":["http://zotero.org/users/local/qnvKw9vm/items/JMDVAKJ7"],"uri":["http://zotero.org/users/local/qnvKw9vm/items/JMDVAKJ7"],"itemData":{"id":456,"type":"article-journal","container-title":"Journal of nursing management","issue":"6","page":"671-678","title":"Leadership practices of nurse managers for implementing evidence‐based nursing in China","volume":"26","author":[{"family":"Cheng","given":"Lei"},{"family":"Feng","given":"Sheng"},{"family":"Hu","given":"Yan"},{"family":"Broome","given":"Marion E."}],"issued":{"date-parts":[["2018"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (L. Cheng et al., 2018). There are proper client case monitoring, billing, and management systems. Individual staff and service delivery are managed through automated electronic systems.
Continuous Improvement
The staff has utilized continuous improvement in their practice. The organization regularly views client progress and positive changes have been implemented effectively.
Collaboration
The staff has partnerships with service providers and colleagues ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"4RJQKGcS","properties":{"formattedCitation":"(L. Cheng et al., 2018)","plainCitation":"(L. Cheng et al., 2018)","noteIndex":0},"citationItems":[{"id":456,"uris":["http://zotero.org/users/local/qnvKw9vm/items/JMDVAKJ7"],"uri":["http://zotero.org/users/local/qnvKw9vm/items/JMDVAKJ7"],"itemData":{"id":456,"type":"article-journal","container-title":"Journal of nursing management","issue":"6","page":"671-678","title":"Leadership practices of nurse managers for implementing evidence‐based nursing in China","volume":"26","author":[{"family":"Cheng","given":"Lei"},{"family":"Feng","given":"Sheng"},{"family":"Hu","given":"Yan"},{"family":"Broome","given":"Marion E."}],"issued":{"date-parts":[["2018"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (L. Cheng et al., 2018). The staff members collaborate and work in groups with the service providers to deliver effective treatment and services to the clients.
Review of Literature
A study was conducted by Sandra Simmons and colleagues to evaluate the safety practices in nursing home settings. They observed a regular issue in resident safety in nursing homes. Relevant data has not been provided to improve the problem. The purpose of the research was to provide essential data in a particular field to identify the extent of the issue and to improve the problem. Certain guiding questions were developed related to safety ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"FFV7dVJF","properties":{"formattedCitation":"(Simmons et al., 2016)","plainCitation":"(Simmons et al., 2016)","noteIndex":0},"citationItems":[{"id":450,"uris":["http://zotero.org/users/local/qnvKw9vm/items/S8MEEN9U"],"uri":["http://zotero.org/users/local/qnvKw9vm/items/S8MEEN9U"],"itemData":{"id":450,"type":"article-journal","title":"Resident safety practices in nursing home settings","author":[{"family":"Simmons","given":"Sandra"},{"family":"Schnelle","given":"John"},{"family":"Slagle","given":"Jason"},{"family":"Sathe","given":"Nila A."},{"family":"Stevenson","given":"David"},{"family":"Carlo","given":"Mariu"},{"family":"McPheeters","given":"Melissa L."}],"issued":{"date-parts":[["2016"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (Simmons et al., 2016). The experts analyzed the answers received from the questionnaire. The study identified key issues such as adverse incidents of pressure ulcers, falls, and medication errors. Evidence has been lacking in particular areas to provide efficacious interventions to address the issues ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"ZtswTSgU","properties":{"formattedCitation":"(Schmidt & Brown, 2017)","plainCitation":"(Schmidt & Brown, 2017)","noteIndex":0},"citationItems":[{"id":451,"uris":["http://zotero.org/users/local/qnvKw9vm/items/8RNJYMNI"],"uri":["http://zotero.org/users/local/qnvKw9vm/items/8RNJYMNI"],"itemData":{"id":451,"type":"book","ISBN":"1-284-15556-0","publisher":"Jones & Bartlett Learning","title":"Evidence-based practice for nurses","author":[{"family":"Schmidt","given":"Nola A."},{"family":"Brown","given":"Janet M."}],"issued":{"date-parts":[["2017"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (Schmidt & Brown, 2017) and negative outcomes related to unintentional weight loss, incontinence, and depressive symptoms.
Another study has been conducted by Moore and Wendy to test evidence-based practices in nursing education. The study has explored various evidence-based testing procedures and the significance of the particular subject in nursing education ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"PB0yvCxV","properties":{"formattedCitation":"(Moore, 2017)","plainCitation":"(Moore, 2017)","noteIndex":0},"citationItems":[{"id":449,"uris":["http://zotero.org/users/local/qnvKw9vm/items/NMHFWMDT"],"uri":["http://zotero.org/users/local/qnvKw9vm/items/NMHFWMDT"],"itemData":{"id":449,"type":"article-journal","container-title":"ProQuest LLC","title":"A Quantitative Analysis of Evidence-Based Testing Practices in Nursing Education.","author":[{"family":"Moore","given":"Wendy"}],"issued":{"date-parts":[["2017"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (Moore, 2017). Benner's novice to expert was the recommended theory that was utilized in nursing education. The survey was completed by the 177 nurses' educators across the United States. The one-way analysis, ANOVA was used to analyze and interpret the data received. The novice beginners were the members having less than one year of experience. The analysis of evidence-based practice was completed by experts. There were significant differences in the application of evidence-based practices in proficient and advanced groups. It has been observed that experience and competent educators are essentially important for the effective implementation of evidence-based practices in nursing education. The major highlighted areas were observed in the five educator groups such as proficient educators, competent educators, novice educators, expert educators, and advanced educators. Evidence-based practices are important for the effective delivery of education in nursing ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"HTED5F6l","properties":{"formattedCitation":"(L. Cheng et al., 2018)","plainCitation":"(L. Cheng et al., 2018)","noteIndex":0},"citationItems":[{"id":456,"uris":["http://zotero.org/users/local/qnvKw9vm/items/JMDVAKJ7"],"uri":["http://zotero.org/users/local/qnvKw9vm/items/JMDVAKJ7"],"itemData":{"id":456,"type":"article-journal","container-title":"Journal of nursing management","issue":"6","page":"671-678","title":"Leadership practices of nurse managers for implementing evidence‐based nursing in China","volume":"26","author":[{"family":"Cheng","given":"Lei"},{"family":"Feng","given":"Sheng"},{"family":"Hu","given":"Yan"},{"family":"Broome","given":"Marion E."}],"issued":{"date-parts":[["2018"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (L. Cheng et al., 2018). Novice to expert theory was effective in a way to identify the level of experience of educators in the research.
Summary
Evidence-based practices can significantly replace outdated practices in nursing. It has been observed that studies have been conducted in a particular area, however, sufficient data is lacking in the provision of policies to improve these practices ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"hVuWoDiS","properties":{"formattedCitation":"(L. Cheng et al., 2018)","plainCitation":"(L. Cheng et al., 2018)","noteIndex":0},"citationItems":[{"id":456,"uris":["http://zotero.org/users/local/qnvKw9vm/items/JMDVAKJ7"],"uri":["http://zotero.org/users/local/qnvKw9vm/items/JMDVAKJ7"],"itemData":{"id":456,"type":"article-journal","container-title":"Journal of nursing management","issue":"6","page":"671-678","title":"Leadership practices of nurse managers for implementing evidence‐based nursing in China","volume":"26","author":[{"family":"Cheng","given":"Lei"},{"family":"Feng","given":"Sheng"},{"family":"Hu","given":"Yan"},{"family":"Broome","given":"Marion E."}],"issued":{"date-parts":[["2018"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (L. Cheng et al., 2018). Evidence-based practices are required to improve the patient's preferences and the client's satisfaction. Therefore, organizations should develop practices such as utilization of technology, electronic data, skilled professionals, and collaboration that can significantly improve service delivery. Continuous improvement is essential for effective service delivery ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"HVJ08afZ","properties":{"formattedCitation":"(L. Cheng et al., 2018)","plainCitation":"(L. Cheng et al., 2018)","noteIndex":0},"citationItems":[{"id":456,"uris":["http://zotero.org/users/local/qnvKw9vm/items/JMDVAKJ7"],"uri":["http://zotero.org/users/local/qnvKw9vm/items/JMDVAKJ7"],"itemData":{"id":456,"type":"article-journal","container-title":"Journal of nursing management","issue":"6","page":"671-678","title":"Leadership practices of nurse managers for implementing evidence‐based nursing in China","volume":"26","author":[{"family":"Cheng","given":"Lei"},{"family":"Feng","given":"Sheng"},{"family":"Hu","given":"Yan"},{"family":"Broome","given":"Marion E."}],"issued":{"date-parts":[["2018"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (L. Cheng et al., 2018). Various studies have been conducted to identify the stakeholders involved in the implementation of evidence-based practices and have analyzed that political commitment and skilled professionals are important for any organization to prosper ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"42iMHHTc","properties":{"formattedCitation":"(C.-H. Cheng, 2018)","plainCitation":"(C.-H. Cheng, 2018)","noteIndex":0},"citationItems":[{"id":454,"uris":["http://zotero.org/users/local/qnvKw9vm/items/D2TH3XKC"],"uri":["http://zotero.org/users/local/qnvKw9vm/items/D2TH3XKC"],"itemData":{"id":454,"type":"article-journal","title":"Nursing Students' Attitudes, Perceived Barriers, and Implementation of Evidence-Based Practices After Completing an EBP course","author":[{"family":"Cheng","given":"Chia-Hsin"}],"issued":{"date-parts":[["2018"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (C.-H. Cheng, 2018).
Analysis
Major barriers in implementing evidence-based practices are lack of resources, non-availability of skilled staff, and advanced education ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"AMptI4QM","properties":{"formattedCitation":"(L. Cheng et al., 2018)","plainCitation":"(L. Cheng et al., 2018)","noteIndex":0},"citationItems":[{"id":456,"uris":["http://zotero.org/users/local/qnvKw9vm/items/JMDVAKJ7"],"uri":["http://zotero.org/users/local/qnvKw9vm/items/JMDVAKJ7"],"itemData":{"id":456,"type":"article-journal","container-title":"Journal of nursing management","issue":"6","page":"671-678","title":"Leadership practices of nurse managers for implementing evidence‐based nursing in China","volume":"26","author":[{"family":"Cheng","given":"Lei"},{"family":"Feng","given":"Sheng"},{"family":"Hu","given":"Yan"},{"family":"Broome","given":"Marion E."}],"issued":{"date-parts":[["2018"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (L. Cheng et al., 2018). Knowledge and information are very important in the implementation of evidence-based practices in the nursing profession ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"shgoOXB7","properties":{"formattedCitation":"(L. Cheng et al., 2018)","plainCitation":"(L. Cheng et al., 2018)","noteIndex":0},"citationItems":[{"id":456,"uris":["http://zotero.org/users/local/qnvKw9vm/items/JMDVAKJ7"],"uri":["http://zotero.org/users/local/qnvKw9vm/items/JMDVAKJ7"],"itemData":{"id":456,"type":"article-journal","container-title":"Journal of nursing management","issue":"6","page":"671-678","title":"Leadership practices of nurse managers for implementing evidence‐based nursing in China","volume":"26","author":[{"family":"Cheng","given":"Lei"},{"family":"Feng","given":"Sheng"},{"family":"Hu","given":"Yan"},{"family":"Broome","given":"Marion E."}],"issued":{"date-parts":[["2018"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (L. Cheng et al., 2018).
The stakeholders involved in policymaking and decision making need to improve the services by implementing effective policies ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"5aWKATS8","properties":{"formattedCitation":"(Fleiszer et al., 2016)","plainCitation":"(Fleiszer et al., 2016)","noteIndex":0},"citationItems":[{"id":455,"uris":["http://zotero.org/users/local/qnvKw9vm/items/WDBIYBH6"],"uri":["http://zotero.org/users/local/qnvKw9vm/items/WDBIYBH6"],"itemData":{"id":455,"type":"article-journal","container-title":"Journal of nursing management","issue":"3","page":"309-318","title":"Nursing unit leaders' influence on the long‐term sustainability of evidence‐based practice improvements","volume":"24","author":[{"family":"Fleiszer","given":"Andrea R."},{"family":"Semenic","given":"Sonia E."},{"family":"Ritchie","given":"Judith A."},{"family":"Richer","given":"Marie-Claire"},{"family":"Denis","given":"Jean-Louis"}],"issued":{"date-parts":[["2016"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (Fleiszer et al., 2016). It has been suggested that evidence-based practice should be a mandatory part of education ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"QZFVFEO6","properties":{"formattedCitation":"(L. Cheng et al., 2018)","plainCitation":"(L. Cheng et al., 2018)","noteIndex":0},"citationItems":[{"id":456,"uris":["http://zotero.org/users/local/qnvKw9vm/items/JMDVAKJ7"],"uri":["http://zotero.org/users/local/qnvKw9vm/items/JMDVAKJ7"],"itemData":{"id":456,"type":"article-journal","container-title":"Journal of nursing management","issue":"6","page":"671-678","title":"Leadership practices of nurse managers for implementing evidence‐based nursing in China","volume":"26","author":[{"family":"Cheng","given":"Lei"},{"family":"Feng","given":"Sheng"},{"family":"Hu","given":"Yan"},{"family":"Broome","given":"Marion E."}],"issued":{"date-parts":[["2018"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (L. Cheng et al., 2018). Research should be conducted to evaluate the procedures already utilized in service delivery. This paper has effectively provided six major areas for the organization to examine readiness ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"Die98hsS","properties":{"formattedCitation":"(L. Cheng et al., 2018)","plainCitation":"(L. Cheng et al., 2018)","noteIndex":0},"citationItems":[{"id":456,"uris":["http://zotero.org/users/local/qnvKw9vm/items/JMDVAKJ7"],"uri":["http://zotero.org/users/local/qnvKw9vm/items/JMDVAKJ7"],"itemData":{"id":456,"type":"article-journal","container-title":"Journal of nursing management","issue":"6","page":"671-678","title":"Leadership practices of nurse managers for implementing evidence‐based nursing in China","volume":"26","author":[{"family":"Cheng","given":"Lei"},{"family":"Feng","given":"Sheng"},{"family":"Hu","given":"Yan"},{"family":"Broome","given":"Marion E."}],"issued":{"date-parts":[["2018"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (L. Cheng et al., 2018). These six areas analyzed are organizational culture, data collection, technology, collaboration, continuous improvement, and leadership.
References
ADDIN ZOTERO_BIBL {"uncited":[],"omitted":[],"custom":[]} CSL_BIBLIOGRAPHY Cheng, C.-H. (2018). Nursing Students’ Attitudes, Perceived Barriers, and Implementation of Evidence-Based Practices After Completing an EBP course.
Cheng, L., Feng, S., Hu, Y., & Broome, M. E. (2018). Leadership practices of nurse managers for implementing evidence‐based nursing in China. Journal of Nursing Management, 26(6), 671–678.
Fleisher, A. R., Semenic, S. E., Ritchie, J. A., Richer, M.-C., & Denis, J.-L. (2016). Nursing unit leaders’ influence on the long‐term sustainability of evidence‐based practice improvements. Journal of Nursing Management, 24(3), 309–318.
Moore, W. (2017). A Quantitative Analysis of Evidence-Based Testing Practices in Nursing Education. ProQuest LLC.
Schmidt, N. A., & Brown, J. M. (2017). Evidence-based practice for nurses. Jones & Bartlett Learning.
Simmons, S., Schnelle, J., Slagle, J., Sathe, N. A., Stevenson, D., Carlo, M., & McPheeters, M. L. (2016). Resident safety practices in nursing home settings.
