Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment

Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment

Details:

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.

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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.

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Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment

ADDITIONAL INFORMATION;

Discuss Organizational Culture and Readiness for System-Wide Integration of Evidence-Based Practice Survey

Introduction

As an evidence-based practice (EBP) administrator, you are responsible for helping to establish and maintain a healthy system-wide culture of EBP. The following survey is designed to help identify areas where the organization may be ready to be more effective in adopting EBP practices. The survey was developed by the EBP Committee of the American Academy of Nurse Practitioners (AANP).

Use the following survey to assess your organization’s readiness for developing and sustaining a system-wide culture of evidence-based practice. In the space provided, describe the way that each item is practiced in your organization.

Your organization’s readiness for developing and sustaining a system-wide culture of evidence-based practice is assessed by answering the following questions:

• What is your understanding of evidence-based practice? How well defined is it, and how well understood are the concepts within your organization?

• Is there a clear relationship between clinical policies, procedures and standards of practice with respect to EBP? If so, what steps have been taken to ensure that this connection exists or will exist in the future (e.g., through training)?

• What measures have been put in place to ensure that all providers have access to information about EBP research findings such as those published by ABIM (American Board of Internal Medicine) or ACCME (Accreditation Council for Continuing Medical Education)?

Evidence-based practice is well defined and understood.

Evidence-based practice is well defined and understood. It is a systematic approach to clinical decision making that integrates individual clinical expertise with the best available external clinical evidence from systematic research and other sources. The term “evidence-based” has been used in medicine since at least 1983, but it became more popular following publication of an article by Nuffield Council on Bioethics in 1999.[1]

Evidence-based medicine (EBM) is defined as “a process for improving health care through the use of data obtained from medical research; these data are then applied to improve patient outcomes.”[2] EBM involves three aspects: (1) identifying existing knowledge about how best to treat a disease; (2) determining which interventions should be used based on this knowledge; and (3) testing whether an intervention works before implementing it broadly.[3]

Evidence-based practice is well integrated into clinical policies, procedures and standards of practice.

Evidence-based practice is well integrated into clinical policies, procedures and standards of practice. The use of evidence-based practices is widespread in healthcare settings and they are increasingly being incorporated into the clinical decisions made by clinicians.

Evidence-based practice is a process that incorporates all available information on the effectiveness of treatments or interventions with the goal of improving patient outcomes (i.e., health care outcomes). It can be implemented at multiple levels within an organization including:

• Clinical policy development – By implementing an evidence-informed approach to developing clinical policies, staff may be encouraged to apply new knowledge regarding best practices in their area; this could also include updating existing policies if there have been changes since their last revision date (e.g., revisions based on new research findings).

• Procedure guidelines – These would include things like how long patients should wait before being seen after scheduling an appointment; what questions should be asked during a patient intake interview; which tests need not be performed unless necessary according to current guidelines from local organizations such as ALAHC/ALNAPs

There is a culture of inquiry in which providers are encouraged to ask questions and seek answers.

There is a culture of inquiry in which providers are encouraged to ask questions and seek answers. This can be seen in the way that providers interact with one another, as well as receiving feedback from their peers. Providers also often question their own practice based on the evidence they have available or what they have learned through research, workshops and conferences.

The organizational culture contributes to implementation of evidence-based practices in your organization by encouraging clinicians who are interested in implementing these strategies within their practice settings

Administrators and clinicians understand that evidence-based practices are mandated by law and/or regulation.

Administrators and clinicians understand that evidence-based practices are mandated by law and/or regulation.

In the United States, the Affordable Care Act (ACA) established a set of requirements for health care providers that includes “care coordination” through patient choice or clinical decision-support tools. The ACA also requires all hospitals to adopt an electronic health record system by 2015. In addition, there are laws in place mandating certain types of services be provided by qualified providers such as primary care physicians and nurse practitioners who have been trained in using evidence-based protocols.

Clinical providers have access to timely information about new or changed policies, procedures, treatment guidelines or quality improvement initiatives.

Providers should be able to access timely information about new or changed policies, procedures, treatment guidelines or quality improvement initiatives. The organization should provide an easy-to-use portal for clinicians to access this information. Providers need to be able to:

• Access the information from multiple locations

• Be able to access the same content from different devices (easy)

Clinical providers have access to current research findings on topics relevant to their clinical specialty.

You are a clinical provider, and you have access to current research findings on topics relevant to your specialty. These findings are disseminated in a timely manner and provide opportunities for providers to discuss and share knowledge with their peers. Providers also have opportunities to discuss these findings with their peers, which may lead them toward new ways of practicing medicine or implementing evidence-based practices within their practice settings.

Clinical providers are given opportunities to discuss and share knowledge with their peers.

Clinical providers are given opportunities to discuss and share knowledge with their peers.

Providers should be encouraged to discuss and share knowledge with their peers. Providers are provided with structured self-reflection on their practice within an environment where there is trust and acceptance among staff members.

The organization has a systematic approach to identifying gaps in practice and performance between what is desired and what actually occurs; this involves the use of data and active monitoring.

The organization has a systematic approach to identifying gaps in practice and performance between what is desired and what actually occurs; this involves the use of data and active monitoring. The organization should have a system in place for clarifying key findings, highlighting implications for clinical practice when new research findings are disseminated, and providing opportunities for structured self-reflection on their own practices within an environment where there is trust & acceptance among staff members.

When new research findings are disseminated, a system is in place for clarifying key findings and highlighting implications for clinical practice.

When new research findings are disseminated, a system is in place for clarifying key findings and highlighting implications for clinical practice. In this way, evidence-based practice can be supported by an organization that encourages sharing of information about the latest research.

Providers have opportunities for structured self-reflection on their practice within an environment where there is trust & acceptance among staff members.

Providers should be encouraged to reflect on their practice within an environment where there is trust and acceptance among staff members. Providers should have opportunities to discuss their practice with peers and supervisors.

Providers need support in discussing what they do, how they do it, why they do it, who participates in the process (patients or families), and any concerns that arise during or after treatment sessions. The goal here is not only for providers to learn more about evidence-based practices but also for providers’ organizational culture so that integration of EBP into clinical practice becomes more normalized across all settings where it occurs!

A healthy organizational culture should be conducive to establishing an effective evidence-based practice culture within the organization’s clinical services departments!

Organizational culture is a set of shared beliefs, values, goals and practices that shape how people behave in an organization. It’s like a living organism that changes over time.

Culture can be changed by changing the way people interact with each other. For example: if you have a team of cross-functional leaders who work together on projects as opposed to individuals working alone or separately on tasks (i.e., if there are no clear boundaries between teams), then this may result in better communication and collaboration between members because they’re spending more time talking face-to-face instead of just sending emails back and forth without any real connection between them; which means that they’re more likely to share information about what’s going on within their department or area so everyone knows what needs doing next stepwise before moving onto something else later down line

Conclusion

We hope that you have found this post helpful in assessing your organizational readiness for implementing an evidence-based practice program. Learning to implement evidence-based practices effectively will mean more than just making sure that clinicians are aware of studies and how they can apply them to their work. It also means getting buy-in from senior management and staff members alike as well as identifying barriers to change within the organization, including culture issues such as lack of trust or acceptance among staff members who may not feel comfortable sharing knowledge with each other.