Organizational Culture: Evidence Based Practices

Melynk and Fineout-Overholt (2011) propose that support for evidence-based practice (EBP) is a necessity in every healthcare organization. Leaders must partner with providers in an effort to facilitate a system-wide culture of clinical inquiry. One method of assessing an organization’s culture towards EBP is to complete an Organizational Culture and Readiness Survey. The aim of this paper is to analyze the readiness of a specific organization, using such a tool to identify barriers and facilitators to the integration of clinical inquiry.

Nurses are cheered to integrate and apply EBP as part of their daily practice. EBP is “knowing that what we do is the best practice” (AMSN, 2014). EBP is very important in health care system and can dramatically change quality care and clinical outcomes. According from the Iowa/Titler Model from AMSN (2014), the EBP process have five steps:

Researchers investigate the nurses’ clinical practices about utilization of EBP to direct their practices. But despite the enriched source of literature, nurses’ knowledge of Evidence Based Practice

160) Knowledge elevates the power of critical thinking. Critical thinking is very essential to work in areas such as Intensive Care Units, Emergency Care Units. Assessment, diagnosis, planning, implementation and evaluation are best done by a BSN than an ADN because of the power of critical thinking. The skills of critical thinking, better problem solving, and development of clinical judgment are important for increase patient acuity. Since BSN is better in critical thinking and evidence based practice, they lower mortality rate significantly. (Aiken, 2003)

Prepare a 10-minute presentation (10-15 slides, not including title or reference slide) on organizational culture and values.

I believe the most important aspect to successful implement evidence-based practice is a common understanding and stress of the importance of EBP among health care professionals. Everyone need to be on the same page and understand that practice methods that are not backed by evidence are no longer acceptable. I believe the facility needs to have a mandatory meeting with all the health care professionals and discuss how EBP will be implemented into their facility. I also believe that there should be repercussions if EBP is not put into place.

Evidence-based practice is a formulation of ideas, research and conclusions to formulate the best possible health care choice (Hood, 2014). In health care the process of utilizing current information begins with a question can something be done better, can the patients benefit as a result and is it cost effective, EBP seeks new information to replace old or outdated information. When there are doubts if something can be done better a research team collects data on the subject using unbiased information they analyze the data, design interventions that are based on the new evidence and makes their final recommendations on their findings (Hood,

The entire health industry is highly commercial and the face of the industry has changed and so has the requirements. Value creation today is mostly done by pharmacy benefit managers, doctors, nurses and the Physician Assistant--PA. These and health maintenance organizations are the new healthcare players. They are in need of modern tools to improve the medical cost management skills, and creating a competitive organizational culture. (Lopez, 7) The evidence-based practice which evolved in early 1990s was related to create organizational development including finding evidence for a specific clinical condition which later spread to become evidence-based practice as a part of management approach to service improvement. (Dunning, Delivering Better Health Care: What can go wrong when you are implementing evidence-based practice? Some lessons from the development process)

Evidence-based practice will be extremely helpful among the hospital setting because it will allow for me to learn from reliable resources. Using evidence-based practice thus far has helped for me to learn about different cultures and become more prepared when meeting with patients. I will continue to work within the hospital setting and need to be sensitive of how different cultures feel about the medical system as well as treatment options. At times, I have found myself wondering why my patient does not want to go a certain treatment route and many times I can use evidence-based practice to get a better understanding. Many times evidence-based practice has allowed for me to share articles with coworkers and have dependable evidence to fall back on when advocating for my patient within team meetings.

In my organization, we have no formal implementation of evidence based practice. We have policies and procedures that guide general practices with updates occurring from time to time. Within my organization we have over twenty different facilities, each one is governed by the standard policy and procedure, but has autonomy for developing and implementing what they think is the best practices. On a monthly bases we all meet and at times will share some “best practices” with each

Evidence based practice is when there is a focus on improving the quality of care provided inside different facilities. This is because these challenges have become a major problem for health care professionals. They are overwhelmed from increasing numbers of patients and a reduction in qualified staff members. The results are that quality and safety inside many facilities is often overlooked. (Beyea, 2006) (Barker, 2009)

The definition of Evidence Based Practice (EBP) is “professional understanding and action that is based on the thoughtful use of knowledge and information from available, reliable, and dependent sources” (Brown, 2002). The definition also includes the balance of clinical experience, proven evidence from scientific studies with patient input. This input from patients will incorporate their culture, values and other preferences.. Evidence Based Practice is a fluent process that requires nurses to be current and correct on information as it pertains to their daily practice. The intent of EBP is to improve the quality of the care that is

Evidence - Based Nursing, An introduction (2008, p. 285 ) “ The rapidity of change and the reorganization of nursing services within the health care sector presents challenges for the advancement of EBP. Managers and administrators should facilitate the uptake of practice based on current, high-quality research by formalizing the expectation that nurses care be Evidence Based”.

According to Warren et al. (2016), numerous barriers exist for implementation of evidence-based practice (EBP) within hospitals. In a study conducted evaluating the strengths and opportunities for implementing EBP in hospitals, lack of autonomy, lack of leadership support, and lack of inclusion in clinical practice decisions, were noted as the top barriers to the implementation of EBP (Warren, et al., 2016). The study revealed that while the majority of respondents’ beliefs

Evidence-based practice (EBP) in nursing means making decisions about patient care on the basis of best, current, standardized practice and guidelines. According to an article, written by Dr. Kathleen Stevens, the development of evidence-based practice (EBP) is fueled by the increasing public and professional demand for accountability in safety and quality improvement in health care (Stevens, 2013). The author also mentioned in her article that the intended effect of EBP is to standardize healthcare practices to science and best evidence and to reduce illogical variation in care,