Organizational Culture and Readiness Assessment

In 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.Organizational Culture and Readiness Assessment

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.

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.

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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.Organizational Culture and Readiness Assessment

You are required to submit this assignment to Lopes Write. Refer to the Lopes Write 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.

Section A: Organizational Culture and Readiness Assessment

For this research process, the most appropriate organizational culture survey tool was the Denison survey tool. Based on the results obtained from the survey, it is clear that the organization has staff members who understand deeply the patient needs and wants. This was a high score of 97, indicating that the organization would be ready to implement the change project because the practitioners understand the patient needs. The need is to reduce the incidence of HAIs within the company, which means that if the staff understand patient needs, then implementing the change project would be a smoother process than expected. To add to this, the level of organizational cooperation to creating change had a high score of 95. This score indicates the healthcare institution’s readiness to implement the change program because the organization and its staff members are cooperative. Running the change project requires high levels of cooperation, which the health organization possesses.

While the organization is generally ready to change, there are major concerns that the management needs to address to ensure that the healthcare facility implements this change process. One of the lowest scores that manifested in the survey is the ethical code that guides employee behavior to judge right from wrong. This factor indicates a weakness that must be addressed through employee training on work ethics to ensure that the change project is smoothly implemented and impactful, with the desired outcomes. Another low score that is indicative of low readiness for the change project is the lack of long-term purpose and direction. The management needs to continuously sensitize its employees on the importance of focus and direction so that they align their actions with the mission of the healthcare organization.

Section B: Proposal/Problem Statement and Literature Review

Problem Statement

            Poor hygiene especially among the over 65 year old patients within a hospital settings tends to lead to increased incidence of HAIs. Such patients must engage in thorough handwashing to avoid chances of infection. However, not all handwashing techniques are as effective in preventing HAIs among this population. Most people either use hand sanitizers or soap. In this project, the goal is to determine which of the two hand washing approaches would reduce the incidence of HAIs among this population. Organizational Culture and Readiness Assessment

The Research Process

To conduct this research, the research team comprised a multi-disciplinary team that had the finance and medical team within the project. The finance team provided resources such as the hand wash soap and sanitizers as the elements of the experiment. The goal is to compare the effectiveness of the two cleaners on reducing HAIs on the older patients.

Sampling

The researchers used the random sampling method to select the participants for this study. They first obtained their consent and briefed them on the goals of the project. The sampling was done after determining that the over 65 year old patients were willing to participate in the study. An important inclusion criteria was patients above 65 years old.

Data Collection

The data collection process was the experiment. The samples were divided into the control and comparison groups. The control group were engaged in a blind study, where they were trained on hygiene effectiveness and only allowed to use water and soap to achieve this goal. The comparison group were also trained on hand hygiene and provided with hand sanitizers to wash their hands. The two groups continued with the experiments for a three month period to allow for informed comparisons and observations on the changes in the incidence of the HAIs. To ensure cooperation among the participants, the researchers sent out daily reminders to the participants to wash their hands each time before they eat or greet each other.

Results

After three months, the researchers assessed the rates of HAIs since the beginning of the experiment. The results showed that those who used water and soap to clean their hands had less incidence of HAIs because only about 20% reported HAI since exposure to the experiment. The comparison group had a higher incidence of HAI, given that about 40% of the participants reported HAI during the experiment period. Another finding is that a large percentage of the individuals, 70% preferred to use the sanitizers because they were more convenient. Using soap and water each time one needed to clean their hands was becoming increasingly annoying because of the hand dryness that ensued. This information is an observation from the interaction with the research participants.

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Discussion

From this experiment, it is clear that using water and soap to wash hands is more effective in preventing HAIs compared to using sanitizers. The CDC (2020) supports this finding in an article done, which posits that soap and water are more effective because they remove specific kind of germs compared to using sanitizers. For the sanitizers to remain more effective, it is important that user focuses on sanitizers with 60% alcohol.

On the issue of preferring the sanitizers to soap and water to wash hands, most people tend to find sanitizers handy instead of using the water each time. (Berendes, 2018) The inconvenience of drying out the hands and applying lotion to prevent dry skin is annoying for some people. Therefore, using the sanitizer is a more viable option. Given these behaviors and attitude, there is a strong need to ensure that the older adults focus more on hand washing, as the CDC recommends it as the more effective option. Additionally, the older patients are at higher risk of HAI, according to Kukla et al. (2016). Organizational Culture and Readiness Assessment

Limitations    

A major limitation for this research project is that it failed to measure people’s opinions on the use of sanitizers versus using soap and water. The opinions expressed above were observations during light conversations between the researchers and the participants. Conducting a qualitative survey in this project would have provided additional insights on the challenges that the participants face with hand hygiene, hence contributing to the high incidence of the HAI. Therefore, the main limitation is that the researchers failed to include a pertinent question that would measure the opinion on hand washing preferences.

References

Berendes, D. (2018). 3 Reasons Why Handwashing Should Matter to You | | Blogs | CDC. Blogs.cdc.gov. Retrieved 4 February 2021, from https://blogs.cdc.gov/publichealthmatters/2018/10/handwashing-matters/.

CDC. (2020). Show Me the Science – When & How to Use Hand Sanitizer in Community Settings | Handwashing | CDC. Cdc.gov. Retrieved 4 February 2021, from https://www.cdc.gov/handwashing/show-me-the-science-hand-sanitizer.html.

Kukla, M., McGuire, A., & Salyers, M. (2016). Rural and urban supported employment

programs in the Veterans Health Administration: Comparison of barriers and facilitators. Rehabilitation Journal, 39(2), 129-136. DOI: 10.1037/prj0000184 Organizational Culture and Readiness Assessment