Throughout this course you will be developing a formal, evidence‐based practice proposal.

The proposal is the plan for an evidence‐based practice project designed to address a problem, issue, or concern in the professional work setting. Although several types of evidence can be used to support a proposed solution, a sufficient and compelling base of support from valid research studies is required as the major component of that evidence. Proposals are submitted in a format suitable for obtaining formal approval in the work setting. Proposals will vary in length depending upon the problem or issue addressed; they can be between 3,500 and 5,000 words. The cover sheet, abstract, references page, and appendices are not included in the word limit.

Section headings and letters for each section component are required. Responses are addressed in narrative form in relation to that number. Evaluation of the proposal in all sections is based upon the extent to which the depth of content reflects graduate‐level critical‐thinking skills.

This project contains seven formal sections:

  1. Section A: Organizational Culture and Readiness Assessment
  2. Section B: Problem Description
  3. Section C: Literature Support
  4. Section D: Solution Description
  5. Section E: Change Model
  6. Section F: Implementation Plan
  7. Section G: Evaluation of Process

Each section (A‐G) will be submitted as separate assignments so your instructor can provide feedback (refer to applicable modules for further descriptions of each section).

The final paper will consist of the completed project (with revisions to all sections), title page, abstract, reference list, and appendices. Appendices will include a conceptual model for the project, handouts, data and evaluation collection tools, a budget, a timeline, resource lists, and approval forms.

Solution Preview

EBP Change Proposal

Introduction

The process of care for patients is of importance at all times but the challenge is the issue of lack of enough healthcare providers to help in the provision of healthcare services. Typically, patients will end up being served by a few staff or staff who have become tired due to the amount of work they are exposed to. The issue of lack of enough nurses in the health setting has been a concern since it affects the quality of service delivered to the patients. In this proposal, the focus is to help in the assessment of the best means of action that could be used in the process of management of the issue of lack of enough nurses.

Section A: Organizational Culture and Readiness Assessment

The process of engaging in research is a significant approach for the introduction of new evidence to the healthcare sector. This contributes to the improvement of the quality of healthcare by the implementation of scientifically proven approaches to healthcare. The implementation of evidence-based processes in healthcare requires that the organization is prepared to adhere to the specifications of the new change (Mick, 2011). This is to ensure that safety is attained at all times. This paper therefore presents an assessment approach for the readiness of an organization to implement evidence-based practices.

Factors affecting Evidence-Based Practices

            There are various factors which contributes to the challenges confronting the implementation of evidence based practices in the healthcare sector. One of such hindrances is the culture of the organization as discussed by Stahmer, et al. (2018). Culture determines the perception towards change and thus may contribute to possible resistance to change. The other aspect is the level of technological knowledge. The implementation of evidence-based practices depends largely on technology. The organizational leadership also contributes largely to the achievement of the organizational culture (Li, et al. 2018).

The parameters that are considered for this case includes employee collaborations, employee engagement, continuous learning, leadership and the allocation of resources. This assessment tool therefore looks into these specific components with the consideration of the health organization. The maximum level of performance for each of the indicators selected is 5 and the minimum score is 0. Each indicator has the facilitator or the barrier which explains its score level….

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