Organizational Culture and Readiness Assessment and Literature Review Essay
Organizational Culture and Readiness Assessment and Literature Review Essay
n order to formulate your evidence-based practice (EBP), you need to assess your organization. In this assignment, you will be responsible for setting the stage for EBP. This assignment is conducted in two parts: an organizational cultural and readiness assessment and the proposal/problem statement and literature review, which you completed in NUR-550. Section A: Organizational Culture and Readiness Assessment 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. Organizational Culture and Readiness Assessment and Literature Review Essay. Develop an analysis of 250 words from the results of the survey, addressing your organization\’s readiness level, possible project barriers and facilitators, and how to integrate clinical inquiry, providing strategies that strengthen the organization\’s weaker areas. Make sure to include the rationale for the survey category scores that were significantly high and low, incorporating details or examples. Explain how to integrate clinical inquiry into the organization. Submit a summary of your results. The actual survey results do not need to be included. Section B: Proposal/Problem Statement and Literature Review In NUR-550, you developed a PICOT statement and literature review for a population quality initiative. In 500-750 words, include the following: Refine your PICOT into a proposal or problem statement. Provide a summary of the research you conducted to support your PICOT, including subjects, methods, key findings, and limitations. General Guidelines: You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content. Prepare this assignment according to the 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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section. ****PLEASE SEE RUBRIC AND INITIAL PAPER FROM LAST CLASS THAT I WILL ATTACH TO BUILD ON*** ***Possible PICOT STATEMENT: For adults with chronic or acute pain, does the use of alternative measures including therapy and non opioid medications reduce the future risk of negative outcomes including the number of addicts, overdoses, and deaths, compared with use of opioid drugs for pain relief? Organizational Culture and Readiness Assessment and Literature Review Essay
Section A: Organizational Culture and Readiness Assessment
The author used the OCRSIEP survey tool (Organization Culture and Readiness for System-Wide Integration of EBP) to determine the institution’s level of readiness for implementing EBP (Melynyk & Fineout-Overholt, 2015). This instrument encompasses 25 items that measure cultural factors that either prevent or promote the adoption and implementation of an EBP change.
Barriers to Implementing EBP
Based on the findings of the survey tool, the most critical barriers to EBP implementation are organizational and individual. Some of the individual barriers are inadequate evidence-based research skills such as conducting a critical appraisal, critiquing, and synthesizing research. Since the institution serves a huge population, there is also very limited to no time for staff to take part in EBP processes. Another barrier is that, although nurses know EBP, the majority consider it to be a time-consuming and overwhelming process.Organizational Culture and Readiness Assessment and Literature Review Essay
Facilitators to Implementing EBP
The organization’s leadership is committed to providing quality and safe healthcare services to all patients. This goal is reflected in the institution goal’s, mission, and vision. The organization purposes to maintain this culture through new evidence-based programs, policies, and organizational practices. Besides, the organization’s work environment respects the power, authority, and independence of nurses. Recently, the organization also embraced multidisciplinary collaboration to promote patient-centric culture-sensitive care and collaborative decision making. Besides, during a recent stakeholder meeting, it was unanimously agreed that opioid addiction was a gradually developing issue among patients being managed with pain that had to be addressed. This unanimous decision has raised awareness on the essence of change through the collaboration of clinicians, nurses, clinical nurse leaders, and nurse educators.
Section B: Proposal/Problem Statement and Literature Review
PICOT Question-Among Adult patients aged 18 years or older with acute or chronic pain(P)does using medicinal cannabis(I) compared to opioids(C) improve the QoL(O) within three weeks(T)?Organizational Culture and Readiness Assessment and Literature Review Essay
The main problem is the misuse and overuse of opioids in managing acute and chronic pain among individuals aged 18 years or older. Misuse of opioids contributes to opioid addiction and tolerance, opioid-related complications, and even death. Seth (2019) explains that patients addicted to opioids may obtain prescriptions directly from a healthcare provider or family members and friends. In worse cases, opioid addiction can result in the use of street drugs such as cocaine and heroin among other health consequences. In other instances, opioid addiction results in a decreased therapeutic response to pain when using the same opioid dosage that was previously used to produce specific outcomes. As a result, most patients with acute and chronic pain use higher dosages of opioids to achieve similar effects/outcomes and this further predisposes them to addiction.Organizational Culture and Readiness Assessment and Literature Review Essay
Gleber et al (2020) acknowledge the opioid crisis as one of the deadliest epidemics in the US with opioid-related overdoses as a major cause of deaths among adults aged 50 years or younger. With a continuous increase in opioid overdose-related deaths, Gleber et al (2020) emphasize the need to obtain alternative public health approaches for comprehensive care in managing acute and chronic pain and reduce overprescribing of opioids. Duncan et al (2019) found pain to be the most common reason for ED visits that led to the prescription of opioids for managing pain.
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Zhao et al (2019) discuss some of the side effects of opioids and highlight how they can be ineffective in controlling pain for some patients. Addiction to opioids has resulted in the use of street drugs such as cocaine and heroin which are also associated with overdoses and addiction. Gleber et al (2020) highlight that, restrictions in the prescription of opioids following the opioid crisis is a major contributor to opioid addiction since most patients who find themselves unable to function seek to obtain the same drugs illegally. The researchers further recommend the need to consider alternatives in managing pain, which will also decrease the number of opioid addicts and opioid prescriptions. Davenport, Koch & Rumrill (2017)) concur with the suggestion of alternative pain management options and explain that, prescribers can prescribe NSAIDs or use non-pharmaceutical options such as meditation, physical therapy, yoga, and ice/heat for pain relief. Alternative pain management options result in better outcomes and decrease patients’ risks of addiction, opioid-related complications, and death.Organizational Culture and Readiness Assessment and Literature Review Essay
A comprehensive assessment of the author’s organization revealed that the organization is ready for the implementation of EBP change. A major barrier to implementation is having tight work schedules that leave very limited to no time for staff to engage in EBP. This EBP change project focuses on addressing the issue of misuse and overuse of opioids in managing acute and chronic pain among individuals aged 18 years or older. The findings of the literature review recommended the use of alternative pharmacological and non-pharmacological strategies to manage acute and chronic pain in patients with opioid addiction.Organizational Culture and Readiness Assessment and Literature Review Essay
Davenport, J., Koch, L. C., & Rumrill Jr, P. D. (2017). Mindfulness-based approaches for managing chronic pain: Applications to vocational rehabilitation and employment. Journal of Vocational Rehabilitation, 47(2), 247-258.
Duncan, R. W., Smith, K. L., Maguire, M., & Stader III, D. E. (2019). Alternatives to opioids for pain management in the emergency department decrease opioid usage and maintains patient satisfaction. The American journal of emergency medicine, 37(1), 38-44.
Gleber, R., Vilke, G. M., Castillo, E. M., Brennan, J., Oyama, L., & Coyne, C. J. (2020). Trends in emergency physician opioid prescribing practices during the United States opioid crisis. The American journal of emergency medicine, 38(4), 735-740.
Melynyk, B. & Fineout-Overholt, E. (2015). Evidence-based practice in nursing and healthcare. A guide to best practice (3rd ed.). China: Wolters Kluwer Health.
Seth, B. (2019). Non-opioid analgesics. Anaesthesia & Intensive Care Medicine, 20(8), 456-459.
Zhao, H., Yang, S., Wang, H., Zhang, H., & An, Y. (2019). Non-opioid analgesics as adjuvants to opioids for pain management in adult patients in the ICU: A systematic review and meta-analysis. Journal of critical care, 54, 136-144. Organizational Culture and Readiness Assessment and Literature Review Essay