Describe the organization’s culture and explain to what degree the culture supports change. Consider organizational and leadership structure, mission and values, interprofessional collaboration/team engagement, communication, perception of the organization by employees, etc.

Organization Readiness Tool

            The selected organizational readiness tool is known as Partnership Assessment Tool for Health (PATH). This is a useful tool in analyzing the nature of partnership between the organization and other stakeholders in implementing a change initiative. The tool has four components that it measures namely, internal and external relationships, workflow and service delivery, funding and finance, and data outcomes (CHCS, n.d). In summary, among the four measures, the assessment of the organization showed positive feedback in three of them and returned funding and finance as an aspect that needs further development.

The current organization culture embrace collaboration within and outside the organization to achieve common goals. Therefore, if this culture is sustained then the organization will maintain a high level of readiness in terms of maintaining effective partnerships, especially with external stakeholders, in turn sustaining the evidence-based practice change. which will be conducted in a community setting.

Some of the strengths that the organization has as per the analysis include strong internal and external relationships, evidenced by a shared understanding of goals. The organization is also strong in workflow and service delivery, and communication of data outcomes. Some of the potential barriers include a weaker finance structure that is dependent on a few financing sources.

Health Care Process and Systems

Several health care processes can be recommended for improving quality and safety, and cost-effectiveness within the organization. One of the processes that I would recommend is improving interprofessional communication. Doing so will enhance trust and understanding within the care team leading to the provision of patient-centered care (Foronda et al., 2016).   Use of the PDCA (plan-do-check-act) is one of the approaches that can be applied to encourage a system of continuous improvement within the facility.

The methodology takes a systematic approach to quality improvement, with the previous step being used to collect data for the subsequent step leading to a cycle of continuous improvement (Liu et al., 2022). One of the health care systems that I would recommend is a patient management system to help track patients post-discharge, ensuring a continuum in care.

 

Strategies to Facilitate Organizational Readiness

Having strategies to facilitate organization readiness is crucial in achieving successful change. Given the results from the readiness assessment, there are various strategies that can enhance an organization’s readiness to change. One of the strategies is to involve stakeholders before participating in any change initiative. Stakeholders can either be internal or external, with their involvement being critical in the success of a change initiative. Without proper engagement, the chances of facing resistance are likely to increase leading to failure of the change initiative (Butt et al., 2016).

Another strategy is to have a systematic approach to change. This is where evidence-based change models like the PDCA cycle comes in (Liu et al., 2022). Using these models allows a smooth transition to change instead of an abrupt chaotic approach that will likely destabilize organizational processes.

Stakeholders and Team Members

            Identification of stakeholders and project team members is an important aspect that allows efficient implementation of the change, including in crucial processes such as communication. My proposed change was to enhance health outcomes of community-dwelling obese African American adult patients by introducing a physical exercise program. As such, the stakeholders who will be involved in the project include, the patients and their families, who will be the main participants in the intervention, while their family members will play an encouraging role to ensure that the patients adhere to the prescribed intervention. Another stakeholder is the facility’s leadership who will be responsible for allocating resources that will be used in the evidence-based practice project proposal.

            For the project team, the following will be involved; a team of nurses to help in the collection of data and communicating with the patients and other stakeholders when need be. The team will also have a dietician to advise the participants on the type of diet to take during the intervention for better outcomes. The team will also have a fitness expert to advise on the nature of exercise prescribed to the participants. Lastly, the team will have a nurse inf

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