Posted: December 29th, 2022

NUR 681 Section A: Organizational Culture and Readiness

NUR 681 Section A: Organizational Culture and Readiness

 School of Nursing and Health Science, NUR 681: Integration of Evidence for Advanced Practice

Section A: Organizational Culture and Readiness

The purpose of this quality improvement proposal is to study what is the impact of obesity and diet has on patients’ blood pressure. There are several elements that play a role in obesity and hypertension. The clinic organization discussed in this paper meets the readiness requirements to implement change. The clinic organization would be ready to address the factors involved in obesity and hypertension. NUR 681 Section A: Organizational Culture and Readiness .

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PICOT Question

For adult patients diagnosed with obesity in a primary care setting, does a 90-day patient education program utilizing the Dietary Approaches to Stop Hypertension (DASH) diet and Cognitive Behavioral counseling compared to standard of care reduce weight loss by 10% and decrease Blood Pressure (BP) over a twelve-month Quality Initiative (QI) project?

Readiness Level

The quality improvement proposal is about how the DASH diet and cognitive behavioral counseling can reduce weight loss and decrease blood pressure.  This quality improvement proposal can benefit nurses working with dialysis patients who are dealing with obesity and hypertension. The organization’s mission is “provide world class care so patients can live long and well on dialysis”. The organization’s value is “placing the needs and wishes of patients at the center of our activity by caring and comforting them”. The organization would definitely start a project to help patients get a handle on their weight and hypertension. The answer to the survey questions was yes to all 12 questions. Therefore, it makes it very likely for the organization to implement TeamSTEPPS (Melnyk and Fineout-Overholt, 2019). NUR 681 Section A: Organizational Culture and Readiness

The organization’s staff are dedicated employees who look for ways to improve patients’ lives. The staff has successfully implemented knowledge obtained from training into their practice to improve patients care. The staff communicates well with each other and has shown a willingness to implement change. The staff has shown that they work well with each other to perform their task. There is a good number of staff members for the quality improvement proposal to be successful. The staff would be helpful advocates to fight against barriers for quality improvement.

The organization has tools and resources available for quality improvement. The organization has access to online training tools available to train staff about new policies and procedures. The organization publishes information monthly about ways patients can improve their health. It would not be difficult for the organization to provide information on how to reduce weight and lower blood pressure. This information can be one of the monthly information handouts given to patients.

Project Barriers

There are several barriers to organization readiness of evidence-based practice. One barrier is the staff. The staff has to buy into the change and be ready. If the staff is ready and willing then it would make the transition easy to accept implementing evidence-based practice. Another barrier to organization readiness to evidence-based practice is management support.  The management has to provide adequate resources so that the change will be successful. Management has to successfully communicate and give concrete evidence that the plan has worked before (Golden-Biddie, 2020).

Project Facilitators

Facilitators are the ones who ensure the organization is ready for change. Facilitators are the educators, management, staff, and the leaders of the organization. Facilitators are the ones who accept change first in the organization. They help usher in change and help staff accept change NUR 681 Section A: Organizational Culture and Readiness . There are several dialysis technicians at the organization, but the nurses are the ones who take the lead. Nurses have to accept the role of change makers (Melnyk and Fineout-Overholt, 2019).

NUR 681 Section A: Organizational Culture and Readiness  Details and Examples

There is a strong commitment to change in the organization. The organization is quick to provide information on training that has shown to improve quality care for patients. The organization provides seminars and in-service training to staff. Recently, the management conducted an in-service training to improve on medication distribution. In January, information regarding balanced, nutritional diets were given to patients at the organization. The organization’s commitment to ongoing education and training to staff and patients indicates they are ready and willing to accept and implement change.

Strategies for Integrating Clinical Inquiry

The strategy that would be used to implement the quality improvement proposal would be to use the intra-service training and videos from the organization. The organization has access to an intra-website that provides a resource database to look up the DASH diet and cognitive behavior counseling. This information can be downloaded and given out to patients. Another strategy to use is video training resources that could be used to show how the DASH diet and cognitive behavior counseling can help reduce weight and lower blood pressure. The patients could watch a short video on the DASH diet and get information about cognitive behavior counseling as a in-service announcement. The organization would be able to promote the DASH diet along with cognitive behavior counseling to help reduce weight and lower blood pressure NUR 681 Section A: Organizational Culture and Readiness . The organization would see the need and benefit of improving patient’s lives by reducing weight and lowering blood pressure.

Conclusion

The organization is ready to improve the lives of its patients. The need for obese patients to lose weight and reduce their blood pressure is apparent to healthcare professionals NUR 681 Section A: Organizational Culture and Readiness . The DASH diet and cognitive behavior counseling has been successful to many patients. Therefore, implementing the DASH diet and cognitive behavior counseling to the patients will help them reduce their weight and lower blood pressure.

NUR 681 Section A: Organizational Culture and Readiness  References

Adelson, P., Yates, R., Fleet, J.-A., & McKellar, L. (2021). Measuring organizational readiness for

implementing change (ORIC) in a new midwifery model of care in rural South Australia. BMC Health Services Research, 21(1), 1–6. https://doi-org.arbor.idm.oclc.org/10.1186/s12913-021-06373-9

Golden-Biddie, K. (2020). Discovery of an abductive mechanism for reorienting habits within

organizational change. Academy of Management Journal. 63(6). Doi: 10.5465/amj.2017.1411.

Melnyk, B.M. & Fineout-Overholt, E. (2019). Evidence-based Practice in Nursing and Healthcare: A guide to best practice (4^th ed.). Wolters Kluwer.

Patterson, A., Mason, T. M., & Duncan, P. (2017).  Enhancing a culture of inquiry the role of a

clinical nurse specialist in supporting the adoption of evidence. The Journal of Nursing Administration. 47(3). Doi: 10.1097/NNA.0000000000000458 NUR 681 Section A: Organizational Culture and Readiness