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Pages:
3 pages/≈825 words
Sources:
3 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Research Paper
Language:
English (U.S.)
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MS Word
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Topic:

CAUTI Evidenced based. Organization’s Readiness for EBP Implementation

Research Paper Instructions:

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. Select an appropriate organizational culture survey tool and use this instrument to assess the organization's readiness.
A. 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.
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.
Submit a summary of your results. The actual survey results do not need to be included.
B. Write a paper of 500‐750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following:
Describe the background of the problem. Tell the story of the issue and why it deserves attention.
Identify the stakeholders/change agents. Who, or what organizations, are concerned, may benefit from, or are affected by this proposal? List the interested parties, patients, students, agencies, Joint Commission, etc.
Use the feedback from the Topic 2 main forum post and refine your PICOT question. Make sure that the question fits with your graduate degree specialization.
State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence‐based practice is introduced to identify the expected changes.
5) Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources.
Develop an initial reference list to assure that there is adequate literature to support your evidence‐based practice project. Follow the "Steps to an Efficient Search to Answer a Clinical Question" box in chapter 3 of the textbook. Use "NUR‐699 Search Method Example" to assist you.
7) The majority of references should be research articles. However, national sources such as Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem.
Once you get into the literature, you may find there is very little research to support your topic and you will have to start all over again. Remember, in order for this to be an evidence‐based project, you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted.

Research Paper Sample Content Preview:

CAUTI Evidence-Based Practice
Name
Institutional Affiliation
Section A: Organization’s Readiness for EBP Implementation
When planning for the implementation of an evidence-based project, the process should include disseminating the relevant information to the members of staff. This is meant to help them prepare for the change and mitigate the possibility of resistance. For this reason, creating awareness about the change will help the staff to develop the right attitude based on their understanding of why the change is needed. At Houston Methodist Willowbrook Hospital, the readiness of the medical personnel in the operating room (OR) for the implementation of an indwelling catheter care bundle would be assessed using Organizational Readiness to Change Assessment (ORCA) tool.
In summary, the survey categories included the beliefs and confidence of health professionals to train and implement EBP and the level of readiness for EBP. EBP beliefs had a mean of 89.78 (SD=11.10), indicating a firm belief and confidence in their EBP teaching and implementation capacity. The mean for organizational culture and readiness was 90.12 (SD=13.15). These indicated the possibility of a sustainable culture of system-wide integration of EBP. Overall, the survey results show that nursing leaders, surgical nurses, and ICU staff understand the relevance of EBP in improving patient outcomes. However, a number of medical personnel in other departments did not have full knowledge of EBP.
To implement a project of such nature, it is critical to establish the presence of patient-centered care. Therefore, the success of the intended changes will depend on the competence of the nursing leadership to develop effective teaching strategies to demonstrate how EBP is connected to patient care outcomes. According to Nieva and Sorra (2003), positive safety culture in healthcare organizations is only possible where the relevant stakeholders have shared perceptions, mutual trust, and an understanding of the value of safety and preventive measures.
Based on the recommendations of the ORCA tool, the healthcare leadership of Houston Methodist Willowbrook Hospital would need to enhance the organizational readiness for EBP by holding workshops and team rounds of interdisciplinary professions. Also, it would be helpful for the nursing leadership to form a steering committee that will conduct the implementation of the indwelling catheter care bundle based on refined evidence in the literature.
Section B
Problem Description
In the intensive care units that serve post-operative and critically ill patients at Houston Methodist Willowbrook Hospital, the healthcare team including surgeons, perioperative nurses, urologists, and anesthesiologists generally agree that the prevention of catheter-associated urinary tract infections (CAUTI) is key to reducing hospital stay, costs of antimicrobials to fight infections, mortality, and morbidity. As a result, good health and positive patient outcomes among this population of patients are dependent on the implementation of a modern catheterization technique that will efficiently reduce the risk of CAUTI. The professionals report that the current catheterization approach in the adult medical-surgical units ha...
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