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NUR 590 Organizational Culture and Readiness Essay
NUR 590 Organizational Culture and Readiness Essay
Assessment Description
In order to successfully implement a change within an organization, the change agent
must assess the organization's culture and readiness for change. In 750-1,000 words,
analyze the culture and level of readiness of the organization for which your evidence-
based practice project is proposed. You will use the assessment of the organization's
culture and readiness in the Topic 8 assignment, during which you will synthesize the
various aspects of your project into a final paper detailing your evidence-based
practice project proposal.
Include the following:
1. Describe the organization's culture and explain to what degree the culture
supports change. Consider organizational and leadership structure, mission
and values, interprofessional collaboration/team engagement,
communication, perception of the organization by employees, etc.
2. Select an organizational readiness tool and assess the level or readiness for
change within your organization. Identify the readiness tool and summarize
the survey results. Discuss the degree to which the culture will support and
sustain an evidence-based practice change. Consider strengths and
weaknesses, potential barriers, stakeholder support, timing of the proposal,
and resources. Provide rationale.
3. Discuss what health care process and systems you would recommend for
improving quality, safety, and cost-effectiveness for the organization.
4. Propose strategies to better facilitate the readiness of the organization.
5. Identify the stakeholders and team members for the project. Include what
their duties will be in the evidence-based practice project proposal.
6. Explain what information and communication technologies are needed for
the implementation and how they will be integrated in the setting by the
internal stakeholders. Explain how these will help improve nursing practice
and care delivery for individuals and populations for your intervention.
Refer to the "Evidence-Based Practice Project Proposal – Assignment Overview"
document for an overview of the evidence-based practice project proposal
assignments.
You are required to cite a minimum four peer-reviewed sources to complete this
assignment. Sources must be published within the last 5 years and appropriate for the
assignment criteria and nursing content.
Complete the "APA Writing Checklist" to ensure that your paper adheres to APA style
and formatting criteria and general guidelines for academic writing. Include the
completed checklist as an appendix at the end of your paper.
Prepare this assignment according to the guidelines found in the APA Style Guide,
located in the Student Success Center.
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. A link to the LopesWrite
technical support articles is located in Class Resources if you need assistance.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies:
MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-
Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health
Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-
Public Health Nursing
3.1: Assess health care processes and systems to recommend measures for
improving quality, safety, and cost-effectiveness across an organization.
3.3: Integrate appropriate information and communication technologies to improve
nursing practice and care delivery for individuals and populations.
Resources
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Cultivate a Culture of Excellence at the Point of Care
Read "Cultivate a Culture of Excellence at the Point of Care," by Medeiros,
from Nursing Management (2020).
https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.
cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006247-202005000-
00002&LSLINK=80&D=ovft
Evidence-Based Practice in Nursing and Healthcare : A Guide to Best Practice
Read Chapters 15 and 18 in Evidence-Based Practice in Nursing and Healthcare: A
Guide to Best Practice.
View Resource
Agency for Healthcare Research and Quality
Explore the Agency for Healthcare Research and Quality (AHRQ) website.
http://www.ahrq.gov/
A Multisite Health System Survey to Assess Organizational Context to Support
Evidence-Based Nursing
Read "A Multisite Health System Survey to Assess Organizational Context to Support
Evidence-Based Nursing," by Pitmann et al., fr
… Read More
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=tru
e&db=ccm&AN=137966882&site=ehost-
live&scope=site&custid=s8333196&groupid=main&profile=ehost
Organizational Readiness Tools for Global Health Intervention: A Review
Read "Organizational Readiness Tools for Global Health Intervention: A Review," by
Dearing, from Frontiers in Public Health
… Read More
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5840160/
The Checklist: Recognize Limits, but Harness Its Power
Read "The Checklist: Recognize Limits, but Harness Its Power," by Grif Alspach,
from Critical Care Nurse (2017).
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=tru
e&db=a9h&AN=125112053&site=ehost-live&scope=site
6 Steps for Transforming Organizational EBP Culture
Read "6 Steps for Transforming Organizational EBP Culture," by Ogiehor-Enoma,
Taqueban, and Anosike, from Nursing Management
… Read More
https://lopes.idm.oclc.org/login?url=http://gateway.ovid.com.lopes.idm.oclc.org/ovidwe
b.cgi?T=JS&NEWS=N&PAGE=fulltext&AN=00006247-201005000-
00004&LSLINK=80&D=ovft
The Cochrane Collaboration
Explore the Cochrane Collaboration website.
http://www.cochrane.org/
Advanced Practice Nursing: Essential Knowledge for the Profession
Read Chapters 23 and 24 in Advanced Practice Nursing: Essential Knowledge for the
Profession.
View Resource
Supporting the Uptake of Nursing Guidelines: What You Really Need to Know to Move
Nursing Guidelines Into Practice
Read "Supporting the Uptake of Nursing Guidelines: What You Really Need to Know
to Move Nursing Guidelines Into Practice," by Mat
… Read More
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=tru
e&db=ccm&AN=104283177&site=ehost-
live&scope=site&custid=s8333196&groupid=main&profile=ehost
Aligning Organizational Culture and Infrastructure to Support Evidence-Based Practice
Read "Aligning Organizational Culture and Infrastructure to Support Evidence-Based
Practice," by Ost, Blalock, Fagan, Sweeney, an
… Read More
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=tru
e&db=ccm&AN=143440827&site=ehost-
live&scope=site&custid=s8333196&groupid=main&profile=ehost
JBI EBP Resources
Use the JBI EBP Resources to search for EBP resources related to your project.
https://jbi.global/ebp
Cochrane Library
Explore the Cochrane Library website.
http://www.thecochranelibrary.com/view/0/index.html
Readiness Assessment
Read "Readiness Assessment" (2015), located on the Agency for Healthcare
Research and Quality (AHRQ) website.
https://www.ahrq.gov/tea
Benchmark – Evidence-Based Practice Project Proposal: Organizational Culture
and Readiness – Rubric
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Organizational Culture and Degree to Which Culture Supports Change
12 points
Criteria Description
Organizational Culture and Degree to Which Culture Supports Change
5. 5: Excellent
12 points
The organizational culture and the degree to which it supports change is thoroughly
discussed. The various aspects of the culture are included. Thorough explanations
and strong supporting research are provided.
4. 4: Good
11.04 points
The organizational culture and the degree to which it supports change is discussed.
Key aspects of the culture are included. In general, explanations and support are
provided. Minor detail is needed for clarity or support.
3. 3: Satisfactory
10.56 points
The organizational culture and the degree to which it supports change is summarized.
Some key aspects of the culture are outlined but lack explanation and supporting
research.
2. 2: Less Than Satisfactory
9.6 points
The discussion of organizational culture and the degree to which it supports change is
incomplete.
1. 1: Unsatisfactory
0 points
The organizational culture and the degree to which it supports change is not
discussed.
Organizational Readiness Tool and Readiness Assessment
13 points
Criteria Description
Organizational Readiness Tool and Readiness Assessment
5. 5: Excellent
13 points
The organizational readiness tool is identified, and the survey results are presented.
The degree to which the culture will support and sustain an evidence-based practice
changes is thoroughly discussed. Strengths and weaknesses, potential barriers,
stakeholder support, timing of the proposal, and resources are clearly considered.
Thorough explanations and strong supporting research are provided.
4. 4: Good
11.96 points
The organizational readiness tool is identified, and the survey results are presented.
The degree to which the culture will support and sustain an evidence-based practice
changes is discussed. Strengths and weaknesses, potential barriers, stakeholder
support, timing of the proposal, and resources are generally considered. Some minor
rationale is needed.
3. 3: Satisfactory
11.44 points
The organizational readiness tool is identified, and the survey results are summarized.
The degree to which the culture will support and sustain evidence-based practice
changes is generally discussed. The narrative lacks explanation and supporting
research.
2. 2: Less Than Satisfactory
10.4 points
The organizational readiness tool is identified. The survey results and interpretation
are incomplete.
1. 1: Unsatisfactory
0 points
An organizational readiness tool is not selected; the level or readiness is not
assessed.
Health Care Process and Systems Recommended for Improving Quality, Safety,
Cost-Effectiveness (B)
10 points
Criteria Description
Health Care Process and Systems Recommended for Improving Quality, Safety, and
Cost-Effectiveness (C.3.1)
5. 5: Excellent
10 points
The health care process and systems recommended for improving quality, safety, and
cost-effectiveness for the organization is thoroughly discussed. Thorough explanations
and strong supporting research are provided.
4. 4: Good
9.2 points
The health care process and systems recommended for improving quality, safety, and
cost-effectiveness for the organization is discussed. Minor detail is needed for clarity
or support.
3. 3: Satisfactory
8.8 points
A summary on what health care process and systems are recommended for improving
quality, safety, and cost-effectiveness for the organization is presented. The narrative
lacks explanation and supporting research.
2. 2: Less Than Satisfactory
8 points
A discussion on what health care process and systems are recommended for
improving quality, safety, and cost-effectiveness for the organization is incomplete.
1. 1: Unsatisfactory
0 points
A discussion on what health care process and systems are recommended for
improving quality, safety, and cost-effectiveness for the organization is omitted.
Strategies to Facilitate Organizational Readiness
10 points
Criteria Description
Strategies to Facilitate Organizational Readiness
5. 5: Excellent
10 points
Strategies to better facilitate the readiness of the organization are proposed. Minor
detail is needed for clarity or support.
4. 4: Good
9.2 points
Clear strategies to better facilitate the readiness of the organization are proposed.
Thorough explanations and strong supporting research are provided.
3. 3: Satisfactory
8.8 points
General strategies to better facilitate the readiness of the organization are proposed.
The strategies lack explanation and supporting research.
2. 2: Less Than Satisfactory
8 points
Strategies to better facilitate the readiness of the organization are incomplete.
1. 1: Unsatisfactory
0 points
Strategies to better facilitate the readiness of the organization are not proposed.
Stakeholders and Team Members Needed
10 points
Criteria Description
Stakeholders and Team Members Needed
5. 5: Excellent
10 points
The stakeholders and team members for the project, including their respective duties,
are thoroughly identified.
4. 4: Good
9.2 points
Key stakeholders and team members for the project, including their respective duties,
are identified. Minor detail is needed for clarity or support.
3. 3: Satisfactory
8.8 points
Some key stakeholders and team members for the project, including their respective
duties, are outlined.
2. 2: Less Than Satisfactory
8 points
Stakeholders and team members for the project are only partially identified.
1. 1: Unsatisfactory
0 points
Stakeholders and team members for the project are omitted.
Information and Communication Technologies Needed (B)
10 points
Criteria Description
Information and Communication Technologies Needed (C.3.3)
5. 5: Excellent
10 points
The information and communication technologies needed for implementation and how
they will be integrated in the setting by the internal stakeholders are discussed. How
they will help improve nursing practice and care delivery for individuals and
populations for the intervention is explained. Minor detail is needed for clarity or
support.
4. 4: Good
9.2 points
The information and communication technologies needed for implementation and how
they will be integrated in the setting by the internal stakeholders are clearly discussed.
How they will help improve nursing practice and care delivery for individuals and
populations for the intervention is thoroughly explained. Clear support is provided.
3. 3: Satisfactory
8.8 points
The information and communication technologies needed for implementation and how
they will be integrated in the setting by the internal stakeholders are summarized.
More explanation is need for how these will help improve nursing practice and care
delivery for individuals and populations for the intervention.
2. 2: Less Than Satisfactory
8 points
The information and communication technologies needed for implementation and how
they will be integrated in the setting by the internal stakeholders are only partially
explained.
1. 1: Unsatisfactory
0 points
The information and communication technologies needed for implementation and how
they will be integrated in the setting by the internal stakeholders are omitted.
Required Sources
5 points
Criteria Description
Required Sources
5. 5: Excellent
5 points
Number of required resources is met. Sources are current, and appropriate for the
assignment criteria and nursing content.
4. 4: Good
4.6 points
Number of required sources is met, but sources are outdated or inappropriate.
3. 3: Satisfactory
4.4 points
Number of required sources is met. Sources are current, but not all sources are
appropriate for the assignment criteria and nursing content.
2. 2: Less Than Satisfactory
4 points
Number of required sources is only partially met.
1. 1: Unsatisfactory
0 points
Sources are not included.
Thesis Development and Purpose
7 points
Criteria Description
Thesis Development and Purpose
5. 5: Excellent
7 points
Thesis is comprehensive and contains the essence of the paper. Thesis statement
makes the purpose of the paper clear.
4. 4: Good
6.44 points
Thesis is clear and forecasts the development of the paper. Thesis is descriptive and
reflective of the arguments and appropriate to the purpose.
3. 3: Satisfactory
6.16 points
Thesis is apparent and appropriate to purpose.
2. 2: Less Than Satisfactory
5.6 points
Thesis is insufficiently developed or vague. Purpose is not clear.
1. 1: Unsatisfactory
0 points
Paper lacks any discernible overall purpose or organizing claim.
Argument Logic and Construction
8 points
Criteria Description
Argument Logic and Construction
5. 5: Excellent
8 points
Argument is orderly but may have a few inconsistencies. The argument presents
minimal justification of claims. Argument logically, but not thoroughly, supports the
purpose. Sources used are credible. Introduction and conclusion bracket the thesis.
4. 4: Good
7.36 points
Argument shows logical progressions. Techniques of argumentation are evident.
There is a smooth progression of claims from introduction to conclusion. Most sources
are authoritative.
3. 3: Satisfactory
7.04 points
Clear and convincing argument that presents a persuasive claim in a distinctive and
compelling manner. All sources are authoritative.
2. 2: Less Than Satisfactory
6.4 points
Sufficient justification of claims is lacking. Argument lacks consistent unity. There are
obvious flaws in the logic. Some sources have questionable credibility.
1. 1: Unsatisfactory
0 points
Statement of purpose is not justified by the conclusion. The conclusion does not
support the claim made. Argument is incoherent and uses noncredible sources.
Mechanics of Writing
5 points
Criteria Description
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
5. 5: Excellent
5 points
Writer is clearly in command of standard, written, academic English.
4. 4: Good
4.6 points
Prose is largely free of mechanical errors, although a few may be present. The writer
uses a variety of effective sentence structures and figures of speech.
3. 3: Satisfactory
4.4 points
Some mechanical errors or typos are present, but they are not overly distracting to the
reader. Correct and varied sentence structure and audience-appropriate language are
employed.
2. 2: Less Than Satisfactory
4 points
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in
language choice (register) or word choice are present. Sentence structure is correct
but not varied.
1. 1: Unsatisfactory
0 points
Surface errors are pervasive enough that they impede communication of meaning.
Inappropriate word choice or sentence construction is used.
Paper Format (Use of appropriate style for the major and assignment)
5 points
Criteria Description
Paper Format (Use of appropriate style for the major and assignment)
5. 5: Excellent
5 points
Template is fully used; There are virtually no errors in formatting style.
4. 4: Good
4.6 points
All format elements are correct.
3. 3: Satisfactory
4.4 points
Template is used, but some elements are missing or mistaken; lack of control with
formatting is apparent.
2. 2: Less Than Satisfactory
4 points
Template is used, and formatting is correct, although some minor errors may be
present.
1. 1: Unsatisfactory
0 points
Template is not used appropriately, or documentation format is rarely followed
correctly.
Documentation of Sources (citations, footnotes, references, bibliography, etc.,
as appropriate to as
5 points
Criteria Description
Documentation of Sources (citations, footnotes, references, bibliography, etc., as
appropriate to assignment and style)
5. 5: Excellent
5 points
Sources are completely and correctly documented, as appropriate to assignment and
style, and format is free of error.
4. 4: Good
4.6 points
Sources are documented, as appropriate to assignment and style, and format is
mostly correct.
3. 3: Satisfactory
4.4 points
Sources are documented, as appropriate to assignment and style, although some
formatting errors may be present.
2. 2: Less Than Satisfactory
4 points
Documentation of sources is inconsistent or incorrect, as appropriate to assignment
and style, with numerous formatting errors.
1. 1: Unsatisfactory
0 points
Sources are not documented.