essay

ITEM None at all A Little Somewhat Moderately Very Much
1). To what extent is EBP clearly described as central to the mission and philosophy of your institution? 2
2). To what extent do you believe tha EBP is practiced in your organization? 2
3). To what extent is the nursing staff whom you work committed to EBP? 3
4). To what extent is the physician team whom you work committed to EBP? 2
5). To what extent are there administrators with your organization committed to EBP (i.e., have planned for resources and support [e.g., time] to initiate EBP)? 2
6). In your organization, to what extent is there critical mass of nurses who have strong EBP knowledge or skills? 2
7). To what extent are these nurses scientists (doctoral prepared researcher) in your organization to assist in generations of evidence when it does not exist? 2
8). In your organization, to what extent are there Advanced Practical Nurses who are EBP mentors for staff nurses as well other APNs? 3
9) To what extent do practitioners model EBP in their critical setting? 4
10). To what extent do staff nurses have access to quality computers and access to electronic databases for searching for best evidence? 5
11). To what extent do staff nurses proficient computer skills? 2
12). To what extent do librarians in your organization have EBP knowledge or skills? 1
13). To what extent are librarians used to search for evidence? 1
14). To what extent are fiscal resources used to support EBP(e.g., education attending EBP conferences/workshops, computer paid time for EBP process and mentors)? 1
15). To what extent are there EBP champions(i.e., those that go the extra miles to advance EBP) in the environment among:
a). Administrators? 1
b). Physicians? 3
c). Nurse Educators? 1
d). Advanced Nurse Practitioners? 3
e). Staff Nurses? 1
16). To what extent is the measurement and sharing outcomes as part of the culture of the organization in which you work? 3
Item None 25% 50% 75% 100%
17). To what extent are generated from:
a). direct care providers? 75%
b). upper administrators? 50%
c). physicians or other healthcare provider
groups? 100 %
Items Not Ready Getting Ready BeenReady but
Not Acting Ready to Go Past
Ready and onto Action
18). Overall, how would you rate your institution in readiness for EBP? 1
19). Compared to 6 months ago, how much movement in your organization has there been toward an EBP culture. (place a hatch mark on the line to the right that indicates your response)
X
None A Great Deal

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My book is Evidence Based Practice in nursing and Healthcare: A Guide to Best Practice. (2011) or 2014 by Bernadette Melnyk and Ellen Fineout-Overholt

This my overall average. The institution that I completed my internship is where I am presently working, which is a mental Health facility called Hillcrest Behavioral Hospital. This facility is made up of nurses which are Associated Degree Nurses,five Nurse Practitioners,ten Physicians, four pharmacy techs, three pharmacist, ten Nurse Managers, eight house supervisors, Mental health Techs, DON, CEO, COO, Dietary department and others
While working with this facility I noticed that they are not ready or getting prepared for EBP, most of the nurses rely on each other for information and have very poor computer skills . The mass majority of the nurses are new ADN graduates and lack the ability and skills to comprehend the EBP. The Physicians and the Nurse Practitioners are suggestive to EBP and new knowledge. The corporate office is trying to make changes, but are being subjected to too many barriers such as inadequate employment, not enough nurses or staff, a massive turn over monthly. When trying to incorporate new knowledge by the time the staff becomes trained, there’s another turnover in staffing. This facility have recently incorporated a new computer system that can better track community, hospital acquired diseases. It is able to give statistical data and it is able to monitor and track immunization of the children’s shot record and more.
I hope that this helps, if you need any additional information just ask I will be happy to provide. I really did not know what would be needed so I just provided some information.
Thanks

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Upon receiving feedback from the instructor, refine “Section B: Problem Description” for your final submission. This will be a continuous process throughout the course for each section.
Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment
Before making a case for an evidence-based project, it is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation.

1) Complete the “Organizational Culture and Readiness for System-Wide Integration of Evidence-Based Practice Survey,” located in the textbook appendix.
2) Develop an analysis of 250 words from the results, addressing your organization’s readiness level, possible project barriers and facilitators, as well as how to integrate clinical inquiry.
3) Make sure to include the rationale for the survey categories scores that were significantly high and low, incorporating details and/or examples. Also explain how to integrate clinical inquiry into the organization, providing strategies that strengthen the organizations weaker areas.
4) Submit a rough draft of the survey results with your narrative analysis. However, a final draft of the survey results should be placed in the appendices for the final paper.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Refer to “NUR 699 Organizational Culture and Readiness Assessment Holistic Assessment.”

Upon receiving feedback from the instructor, revise “Section A: Organizational Culture and Readiness Assessment” for your final paper submission. This will be a continuous process throughout the course for each section.