Organizational Culture and Readiness Assessment

Organizational Culture and Readiness Assessment


Table of Contents




Organizational Culture and Readiness Assessment 2


Introduction. 2


Diffusion of Innovation Theory of Roger 2


Concemptional Model for the Human Factors that Encourage Roger’s Diffusion of Innovation. 3


Problem Description. 4


Foreground question. 5


Review of Evidence and Synthesis of Literature. 5


Change Model 7


International Outreach Nursing Program.. 7


Implementation plan. 8


Evaluation plan. 9


Appendix. 10


Conception Model 10


International Outreach Nursing Program.. 11


References. 11






Compiling Evidence-Based Practice


Organizational Culture and Readiness Assessment







A proposal is a 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 a significant component of that evidence. Proposals are submitted in a format suitable for obtaining formal approval in the work setting.Evidence-BasedPractice is the use of clinical study to address a specific issue accompanied by decision making cycle. It entails the composition of ideas collected from client respond and clinical professionals to elaborate on health matters concerning the quality of care that will add value to the treatment methods preferred by the patients.  The aim of applying the evidence-based practice in the medical field is to create an effective treatment process which is safe and quality guaranteed to the patients. The EBP reduces clinical risks by introducing efficient ways of caring for the patient within the healing environment.


This practice increases intervention between the nurse and patient hence retain the interrelationship process. This clinical, ethical practice reduces the over cost and potential risks. The procedural of Evidence-Based Practice involves problem identification, confirming the common literatureregarding the issue, analyzing the matter thoroughly, applying the findings in practice and keep monitoring the practice for effectiveness. The exercise develops under several models that are available within the clinical environment. Health workers apply these theories to achieve the objectives subjected to evidence-based practice.


Diffusion Of Innovation Theory Of Roger

This theory is among the aspects that lead the evidence-based practice into successes process. It involves all the practice bordered by overtime changes according to social science perspective. The theory explains that an applied idea, overtime or outcome of evidence become familiar within the practice environment then it distributes thoroughly in the entire population. A persistence in evidence-based practice shows effective acceptance by both the nurses and the patients in the health care system hence it becomes the possible application method of treatment. Although the ideas that base their views on the diffusion of innovation are raw, its effectiveness is demo after a time of approved credibility of adoption (Clark, 2014). The process diffuses from the initial to become new proved and more beneficial practice functionality if it is credible enough to show meaningful changes.


Evidence-based practice relies on researching for a solution through looking for the effective treatment changes those can make the long-lasting changes in clinical practice. If the answer is actively showing the potential value of quality to the care of the customers, then the clinicians apply it in treatment practice. Roger’s theory of Diffusion of Innovation is useful in this application because it is procedural from acceptance measures and finally the patients and the caring society accepts it (Clark, 2014). The reason is that the nursing unit must observe some issues in a professional way that universalizes the whole process before they decommission it for practice. This model has benefits over another model that makes it more useful in the approval of evidence-based evolution.


Application of this model in evidence-based practice is because its attributes overcome the difficulty that occurs in EBP processes. The EBP procedure allows only the [patient and the clinician to use only peculiar methods during the treatment. Human factors make this model of practice to influential to the society population. These factors are attitude, age, skills, talents, and self-innovation. In EBP, these aspects are necessary for the diffusion of the EBP process since the object of the applied knowledge is to be understood. Some humanity factors like attitude play a more significant role in the theory of diffusion of the EBP process because all the team players who lead the success of the process approve the methodologies applied (Zolait, 2013). The nurses are responsible for supporting the EBP process under evidence-based practice ethics, and their attitude is of the great determinant. For the nurses to offer the best services to the patients, they apply the EBP strategies to ensure that they treat the patients according to their best level of practice through making the right medical decisions.


Conceptional Model For The Human Factors That Encourage Roger’s Diffusion Of Innovation







Nurses can use the diffusion of innovation theory to research and discover new ways of treatment by establishing methods of approaching the dynamic or emerging cases within the nursing environment. A discovered methodology works as a new practice and portrays better changes within a line of work by demonstrating the best changes against the initial method. This method diffuses the new tactic into the system and influences the behavioural changes of the involved team players. The diffusion of innovation is a change model because the new process changes the old model and employs new ways of practice e within the work environment.


Moreover, the application of the diffusion of innovation model is likely adoptable in the real world of the modern technology of medical services. Technology is evolving tact that makes the services of care more effective, efficient and faster than the traditional operation of medical services process. The new ways of treatment and caring procedure are adopted in the field of nursing as improvement of technology. After the introduction of new technology culture in the areas of medicine, the nurses identify the practice through research of a variety of information concern from different sources than start practising the policy. Technology makes everyday advancement,and it is fast in adoption incase of any new tactic is born. The clinical framework elaborates the evidence-based practices steps as precedence tone another depending on hierarchal steps. The first step in the hierarchy executes first that the latest phase in the process (Zolait, 2013). Therefore, there is a need for the care workers to observe the steps from the beginning till to the end because inclusion of sources is of crucial is significant and maximum skills are essential for understanding EBP that facilitates the implementation of the entire process.


Conclusively, the evidence-based practice develops decision kits for the clinicians after they conduct meaningful research concerning an overusing issue within the areas of practice. The model of Scholar Roger states that the diffusion of innovation is very crucial for making the standard changes in medical practices because it specifies the only best factor that can promote a process from the previous states into a new and better working situation for the clinicians to apply in their work (Cullen& Sigma, 2018). This model increases the ability to gain and improving the treatment quality and safety of the client during the services. The diffusion methods approveonly the factors that have gone through the test phases and accepted the adaptability of the environment. Diffusion of innovation has been developed on human attributes factors like attitude, age, knowledge, and talents that lead to clinical innovation. The factors and innovation determine the rate of adaption.


Problem Description

Cardiacarrest is a common developing problem in the different regions of the world.It is prone to many families, societies, communities, and the population at large. This heart attack disease develops to a person as a result of the lack of physical activities which cholesterol accumulation within the blood vessels. It is the most reported deadly illness among the population. The patients of cardiac attacker require a lot of attention because it can lead to sudden death if not carefully hurdled. Most of the patients who suffer from the heart attack problem are aged. Most sudden deaths are reportedtoform the patient of heart attacker. Most of the patient admissions at risk management units aresuffering from this disease.  The reason as to why most of the patient admission in a patient at risk unit is because they need keen and close attentive. High blood pressure increase with the rate of cholesterol in the body and admitted patient develops the problem while still bedridden because lack of physical exercise encouragesthestorage of extra fats in the body. The length of stay for the patients developing bad cholesterol is higher than those who have just developed bad cholesterol only.


The patient experience long stays in the care wards,and this issue increases the cost, extra care, cost of utilization of care facilities and need of expensive products from the care units which are significant to the more mortality and morbidity in the facilities. In every unit, a patient requires more than $10,000 to be sustained in good conditions. This sickness has a significant impact on the socioeconomic, and the alternative ways are necessary to change this model of treatment. The alternative approach is to affect the treatment and apply self-care requisites for the heart attack patients to save the extra money for admission and safe more life from developing an additional problem of acquiring the lousy cholesterol due to bedridden issues.


Various risks are contributing to the development of admission culture in the hospital for the cardiac patients. This aspect is setting a new challenge to both care society and patient who are acquiring the extra fattiness after the development of the heart attack. To reduce the prevalence of new treatments strategies and evidence-based intervention has been developed to cause an effective reduction of the problem. Evidence of treating the patient and actively discharge them for respective communities has reduced the risk of development of the extra challenge. The increased introduction of self-care initiatives like self-requisite care for the cardiac patient has been a significant impact onsociety. The research demonstrates the development of 34% of outpatient of the cardiac attacker has been positively reducing the cases of further problem developed in the entire population.


Foreground Question

Among the old patient treated and discharged from the hospital, what is the effect of the requisites and self-care initiatives on changing the management of cardiac attacker treatment process?


Review Of Evidence And Synthesis Of Literature

This is a literature analysis of study reports and literature reviews which evaluated the effects of the prompt discharge of cardiac attacker patient after the care and the positive impact of self-care requisites for the patient.The studies varied in plans and for that case they yield different views about the practice. Form the random based selection, transverse selection, sampling among others like the setting of flagship studies for the same problem. In the level of clinical study hierarchy, all the studies demonstratethe strengths in the second level with either randomized fact or non-randomized manner. The research supports the clinical question,and it will be integrated with the development of the new measures for the addition of value to the services offered to go the cardiac patients.


The focus of this study has overseen the consistency of evidence of analyzing the importance of initiating the new self-care requisites and the positive effect of dropping the ethics of the admitting the cardiac attack patient in risk units. The cost impact was one of the gains in this intervention. The studies explain that the self-requisites of the patients increased the potential of retaining the normal weight of the patient. The study hypothesized that the discouragement of the cardiac patient from spending in bed for a long time changed the rate of increasing the bad development of cholesterol to over 59% of the patients. Most of the studies are showing that the combination of walking at least for half kilometer a day and the self-care requisite are the most curable method that is significant to the change. This little adjustment shows a big impact on the nurses hence reducing the cost of keeping a large number in the risk unit. This change is receiving strong support from both the patient and the nursing unit of the clinical environment.


The extended investigation consists of evidence that indicates that the continued clinical research will ensure the best solution for the problem of managing the heart attacks and control to the entire solutions for the related sickness. The case finding of the extended research demos substantial evidence that this problem has been a risk for a long time and further improvement it will help in studying other important models of changing other clinical issues. Reductions of cholesterol that develop while the patients are bedridden in the wards reduce if the self-care is initiated well in the entire population. More than four research studies also supported the change and explained the variables interrelation as the significant interest of the results. More than 1200 patients are performing self-care from their various residents with only view occasional nursing visits,and they show good health than the few admitted patient. Therefore, heart attack problems may lead to hospitalization but with dismissal care facility will reduce further problem development especially during the treatment that occurs due to lack of physical activities.


Other related interventions investigatedin the same randomizedclinical way showed a positive response. The effects of incidence areappropriately evaluating the patient’s intervention. 46% 0f the patient went through outpatient services after that found the number increased with 45% of the people who were admitted being discharged. The common studies are demonstratingthe reviewed changes affected the cost of the health bills across the heart attack patient. Significantly the studies evaluate the crucial alternative skills that developed the practice can be applied to detect a change in another environment. All the studies in the artifacts of findings required a practical suggestion of adaptation from the consisted group homogenous in the sample proportion of the patient which upgrades to effectiverandomization of variables. In addition to that, some studies had patient heterogeneity across the board. The collection of different studies yield positive results accompanied by the distribution of evidence-based practice that contributed to the success of the observable changes. The results from similar studies were tabulated through distributed tabulation and the significant yield impact on the changes currently available.


The internal validity of this research in this literature review is having enough strength to grow and no threats in history. According to direct reviews of this study, the groups were majorly homogenous in the overall practice hence thrilling the research into successful attitudes. Most proof the feedbacks from the customer statics on change respond is appreciating the change of close acre into self-care. The matters arising fromthe current research insists that most of the clients of the cardiac are reducing in the hospitals and the follow-up clinics are responding positively to the evidence (In Dang et al., 2018). The reviews from different perspectives of health articles support the change through research opinions of the community who had the same patient problems in history before they started the self-care requisites. The confirmatory reports of review are showing that the numbers of the cardiac patient are just facing minimal problems of increasing weight and maximizing the possibility of recovery in the future. There is a confirmation from an investigation that most of the overviewed literature open that there is rising self-care in most of the communities around the United States and they and making notable changes to the victims who were growing fat during therapeutic of heart attacker concern.


The external validity of research findings in the studies placed on different tables of understanding the nature of changes within the new policy of practice.They all exploded the same output showing that the population is facing an impact on this new evidence-based practice within the clinician and community care environment. The patients were representing the entire population,and the responsereinforces the external validity of the new model. The features of the impact form the group are showing how strongly the steps of diffusing the innovation are taking control of cardiac attacker changes compared to other participants of the other variables like the common cold. The considerations of other variables are in review of developing simplythroughout the study (In Dang et al., 2018). The different techniques from radiologists, cardiologists, and common social workers are confirming the validities of the survey showing strong growth of evidence-based requirements for further development which can help the other section of treatment environment. Therefore, the initiative of using self-care requisites will promote the development of intervention of similar evidence,and the reactions expected therafter. The changes protocols were brief and liked by the patient and the clinicians hence coping with the changes after a short run. According to the latest review, the changes were very adaptable within the entire worker environment. To validate the treatment work towards this epidemic, the researchers are appropriately balancing all concerning their studies for changes.


Change Model

At all clinical levels, nurses are developing the best plans to apply the findings in the real practice situations after the study and critical analyses. Developing a plan for change by identifying the strategies for the gain through the corporation and the evaluation of outcomes within the evidence facilitates the diffusion through advancing the steps. If the decision offer support for the evidence-practice change, the nurses will identify the strategies to gain through evaluating and cooperating the outcomes in the clinic circumstances (Cullen, Sigma2018). This assures the growth of test improvement phases of the evidence throughout the agents and facilitators. The first steps if the nursing will require developing and testing all the improvement within the steps involved (In Dang et al., 2018). The research has confirmed that the diffusion of innovation is taking place gradually through the practical, evidence transferable making sure that the organization is ready for changes and accept the outcomes of the possible implementation the practice require within the nursing organization.


Demonstrating the changes under implantation of a new evidence-based product, and how it reaches the population.








If the response from the stakeholders is showing that the implementation of the evidence-based practice is considered to have unique impacts within the hospitals, and the initiativedoes not require the hospital board’s approval. The initial plan for the Quality Assurance and Improvement Committee will oversee the proposed implementation of evidence-based practice, as part assuring the plans are precedence (Cullen & Sigma, 2018). The planning phases are hierarchical to one another, assessing the pilot phase of the study changes will define, explore the necessities, and predict the desires of the outcomes.


The study organized for the establishment of a program that will ensure all the complementary policies for the discharge of hypertension clients by providing the whole practice of self-care increase by developing EBP proposal for future renovation of the treatment procedure. The target is more than six patients are hurdled successfully after every three days of operation. The patients’ needs will also determine the increase of intervention in every time it’s engaged. The expected outcomes will set a new phase for the patient to accept the change that is effectively reducing the infection of extra cholesterol in a great difference (Cullen& Sigma,2018). The reduction of increased stay in the admission ward is gradually overtaking the curse of the event. The feasibility study of the event is appealing positively to both smallscale and large scale interventions. The protocol of the place will be compatible with the working environment and the entire systems of the hospital. The availability of the potential team players is available for contribution towards the success of this project,especially the Quality Care Assurance Committee, clinical specialists from advanced nursing community, Unit preceptors, clinical overseers, economical care analysis’s, and the inflexion control nursing unit. Therefore, with all the potential resources in place, the project will highlight successes.


Implementation plan


According to (Cullen, & Sigma, 2018, p.120) “a phased approach to implementation may facilitate adoption.” The author wants to plan for implementation of changes that will follow coherently the dismissal pattern of the cardiac attack that will enhance the rest of the policies of the first practice and adjust the new ways of operating (Cullen, & Sigma, 2018). During the day, some data will be collected from the patient, and then the analysis team will offer the best outcomes after the discussion of data. As planned to change the current policy, the pilot project will endure the control and make the possible changes. For the project enhance the outcomes of the patient during hospitalization, an evidence-based practice will set a pilot project to implement the best policies of practising the new evidence. The proposal from the author will encourage the necessary changes as requirements of effectiveness changes and planning through evaluation of the current healthcare systems. The comparison of the new treatment evidence and the initial practice policies will share some platforms to explore the former weaknesses and strength of this treatment. The plan will be presented to all departments that include supervising board, Quality Assurance Committee, clinical services planners, and infection control unit. Therefore, all the departments should work at the best levels to set potential changes in this evidence for the benefit of patient and community at large.




Evaluation plan




The evaluation of this training plan is simple for quality assurance committee oversees the data from the nurses treating the heart attack patients. The supervision body of this project makes sure the necessary resources are used for universal results to avoid biased data collection. The dismissed patients should report to the infection control unit before discharge to register for an improved monitoring program. The units of the initial data of infection will be used to compare the difference of improvement against the new evidence (Morrison & Harms, 2018). All sections will store this information in respect of the pilot study data to demo the effectiveness in progress.


The pilot project will run from March to June before the approval from all the boards required. The rejection or adoption of the new evidence-based policy will depend on whether there is an increase or a decrease of the cholesterol accumulation among the administered cardiac attack patient within the word (Morrison & Harms, 2018). Besides, the changes of the patients under the self-care requisites will show the determinant of the approval of the evidence. Therefore, a combination of different stakes will decide to accept and adopt the change or reject the plan according to the magnitude of the change within the entire health care systems and operations.







Clark, W. (2014). Twin Block Functional Therapy: Applications In Dentofacial Orthopaedics. Brothers Medical Publisher


Cullen, L., &Sigma(2018). Evidence-Based Practice in Action: Comprehensive Strategies, Tools, and Tips from The University OfIowa Hospitals And Clinics. Sigma Theta Tau International


In Dang, D., In Dearholt, S., Sigma Theta Tau International.& Johns Hopkins University. (2018). Johns Hopkins Nursing Evidence-Based Practice: Model And Guidelines. Sigma Theta Tau International


Morrison, J. Q., & Harms, A. L. (2018). Advancing Evidence-Based Practice Through Program Evaluation: A Practical Guide For School-Based Professionals Oxford University Press.


Zolait, A. H. S. (2013). Technology diffusion and adoption: Global complexity, global innovation. Hershey, PA: Information Science Reference.




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