School of Nursing and Health Science, NUR 681: Integration of Evidence for Advanced Practice
Section A: Organizational Culture and Readiness
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The objective of this proposal for quality improvement is to investigate the impact of obesity and diet on patients’ blood pressure. Multiple factors influence obesity and hypertension. The clinic organization discussed in this document meets the prerequisites for implementing change and is prepared to address the factors related to obesity and hypertension.
For adult patients diagnosed with obesity in a primary care setting, can a 90-day patient education program utilizing the Dietary Approaches to Stop Hypertension (DASH) diet and Cognitive Behavioral counseling, when compared to the standard of care, result in a 10% reduction in weight loss and a decrease in Blood Pressure (BP) over a twelve-month Quality Initiative (QI) project?
This quality improvement proposal explores how the DASH diet and cognitive behavioral counseling can reduce weight and lower blood pressure. This initiative can benefit nurses working with dialysis patients dealing with obesity and hypertension. The organization’s mission is to provide world-class care for patients on dialysis, emphasizing their needs and preferences. The survey responses indicate a high likelihood of implementing TeamSTEPPS (Melnyk and Fineout-Overholt, 2019).
The organization’s staff is dedicated and proactive in improving patients’ lives. They effectively apply knowledge from training to enhance patient care. Interpersonal communication among staff is excellent, fostering a conducive environment for change. The organization possesses an adequate number of staff members to support the proposed quality improvement initiative.
The organization has access to tools and resources for quality improvement. Online training resources are available to educate staff on new policies and procedures. Monthly publications provide health improvement information to patients, making it feasible to disseminate guidance on weight reduction and blood pressure management.
Several barriers hinder organizational readiness for evidence-based practice. Staff engagement and readiness are crucial; without their buy-in, implementing evidence-based practice becomes challenging. Additionally, management support is vital, requiring the provision of necessary resources and evidence of the plan’s success (Golden-Biddie, 2020).
Facilitators, including educators, management, staff, and leaders, ensure organizational readiness for change. They are early adopters of change and help staff embrace it (Melnyk and Fineout-Overholt, 2019).
NUR 681 Section A: Organizational Culture and Readiness Details and Examples
The organization demonstrates a strong commitment to change. It readily offers training to enhance the quality of patient care. Seminars and in-service training sessions are conducted regularly. Recent in-service training focused on medication distribution improvement. In January, patients received information on balanced nutritional diets. This commitment to continuous education and training signifies readiness for change.
Strategies for Integrating Clinical Inquiry
To implement the quality improvement proposal, the organization can utilize in-service training and online resources. The organization’s intranet offers a resource database for the DASH diet and cognitive behavioral counseling. Patients can access this information as handouts. Video training resources can also be used to educate patients about the DASH diet and cognitive behavioral counseling. Such videos can be shared as part of in-service announcements, effectively promoting these strategies to reduce weight and lower blood pressure.
The organization is prepared to improve patients’ lives by addressing obesity and hypertension. Nurses can play a significant role in implementing the DASH diet and cognitive behavioral counseling to help patients achieve weight reduction and blood pressure control.
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 (4th 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
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