Lydia Otoo Walden University July 28,2019 Recommending an Evidence-Based Practice Change Organization Description and Readiness for Change Description of Healthcare Organization The healthcare organization at which the change is proposed is a nursing home taking care of the elderly The culture of the Nursing home is driven by the need to deliver quality nursing care to patients The culture of change movement is aimed at transitioning the nursing home from an institution to homes for residents aimed at improving quality of care and overall quality of life for residents. The organization is ready for change, has all infrastructure and needed resources needed to implement change, whereas staff are also supportive of change process. 2 The healthcare organization at which the change is proposed is a nursing home taking care of the elderly The culture of the Nursing home is driven by the need to deliver quality nursing care to patients The culture of change movement is aimed at transitioning the nursing home from an institution to homes for residents aimed at improving quality of care and overall quality of life for residents (Ellis,2019) . The organization is ready for change, has all infrastructure and needed resources needed to implement change, whereas staff are also supportive of change process. Current Problem & Opportunity for Change Nursing home operates in a restrictive setting, where standardized approach to care is applied Opportunity for change is application of personalized care to meet individual needs of patients. Circumstances surrounding need for change: Only standardized approach to care is implemented, thus individual needs of patients are not being met Scope of the Issue: Health providers and elderly patients are affected Risks associated with Change: Possibility of resistance by stakeholders, limitation of resources needed in implementation and change in scope 3 Problem: Nursing home operates in a restrictive setting, where standardized approach to care is applied Opportunity for change is application of personalized care to meet individual needs of patients. Circumstances surrounding need for change: Only standardized approach to care is implemented, thus individual needs of patients are not being met Scope of the Issue: Health providers and elderly patients are affected Risks associated with Change: Possibility of resistance by stakeholders, limitation of resources needed in implementation and change in scope (Mackey & Bassendowski, 2017). Evidence Based Idea Evidence based for changed that has been proposed is providing patient-centered care for elderly patients at the nursing home EBP approach to patient centered care has been extensively researched Patient-centered care is based on value based care to address specific needs of patients Alignment of patient-centered care and value based care is needed to improve overall wellbeing of patients Patient centered care to ...

1. Lydia Otoo
Walden University
July 28,2019
Recommending an Evidence-Based
Practice Change
Organization Description and Readiness for Change
Description of Healthcare Organization
The healthcare organization at which the change is proposed is
a nursing home taking care of the elderly
The culture of the Nursing home is driven by the need to deliver
quality nursing care to patients
The culture of change movement is aimed at transitioning the
nursing home from an institution to homes for residents aimed
at improving quality of care and overall quality of life for
residents.
The organization is ready for change, has all infrastructure and
needed resources needed to implement change, whereas staff are
also supportive of change process.
2
The healthcare organization at which the change is proposed is
a nursing home taking care of the elderly

2. The culture of the Nursing home is driven by the need to deliver
quality nursing care to patients
The culture of change movement is aimed at transitioning the
nursing home from an institution to homes for residents aimed
at improving quality of care and overall quality of life for
residents (Ellis,2019) .
The organization is ready for change, has all infrastructure and
needed resources needed to implement change, whereas staff are
also supportive of change process.
Current Problem & Opportunity for Change
Nursing home operates in a restrictive setting, where
standardized approach to care is applied
Opportunity for change is application of personalized care to
meet individual needs of patients.
Circumstances surrounding need for change: Only standardized
approach to care is implemented, thus individual needs of
patients are not being met
Scope of the Issue: Health providers and elderly patients are
affected
Risks associated with Change: Possibility of resistance by

3. stakeholders, limitation of resources needed in implementation
and change in scope
3
Problem: Nursing home operates in a restrictive setting, where
standardized approach to care is applied
Opportunity for change is application of personalized care to
meet individual needs of patients.
Circumstances surrounding need for change: Only standardized
approach to care is implemented, thus individual needs of
patients are not being met
Scope of the Issue: Health providers and elderly patients are
affected
Risks associated with Change: Possibility of resistance by
stakeholders, limitation of resources needed in implementation
and change in scope (Mackey & Bassendowski, 2017).
Evidence Based Idea
Evidence based for changed that has been proposed is providing

4. patient-centered care for elderly patients at the nursing home
EBP approach to patient centered care has been extensively
researched
Patient-centered care is based on value based care to address
specific needs of patients
Alignment of patient-centered care and value based care is
needed to improve overall wellbeing of patients
Patient centered care to be aligned to patient outcomes,
perspectives and experiences to adequately address patient
needs.
Plan for knowledge transfer of the change
Proposed change is implementation of patient centered care and
value based care to patients
Plan for knowledge transfer entails seminar training for all
medical professionals at the nursing home.
Knowledge creation entails continuous transfer, combination
and conversion of different content about patient centered and
value based care. The new approach is implemented as policies
at the nursing home.
Dissemination process entails teaching personnel at the nursing
home about change. Methods include memo, newsletter,
workshops and conferences.
Organizational adoption and implementation: Entails
implementation of developed policies to achieve changeover
5
Proposed change is implementation of patient centered care and
value based care to patients

5. Plan for knowledge transfer entails seminar training for all
medical professionals at the nursing home(Friesen-Storms et al.,
2015).
Knowledge creation entails continuous transfer, combination
and conversion of different content about patient centered and
value based care. The new approach is implemented as policies
at the nursing home.
Dissemination process entails teaching personnel at the nursing
home about change. Methods include memo, newsletter,
workshops and conferences.
Organizational adoption and implementation: Entails
implementation of developed policies to achieve changeover
Description of Measurable Outcomes
With the implementation of patient centered care and value
based care, the
following measurable outcomes are anticipated to be achieved:
Residents access to quality care: Residents overall improvement
in health is evaluated to determine effectiveness of implemented
approach.
Homelike atmosphere: Practices and structures are designed to

6. be less like an institution and more homelike .
Relationship between patients and professionals: Close
relationships maintained between health professionals at
nursing home and patients.
Staff empowerment and collaboration.
Staff are more empowered to undertake roles and there is more
collaborative decision making to deliver enhanced care that is
patient-centered
Overall Quality Improvement in Processes: Continuous quality
improvement initiatives implemented through culture change
and ongoing process to achieve better care (Friesen-Storms et
al., 2015).
With the implementation of patient centered care and value
based care, the
following measurable outcomes are anticipated to be achieved:
Residents access to quality care: Residents overall improvement
in health is evaluated to determine effectiveness of implemented
approach.
Homelike atmosphere: Practices and structures are designed to
be less like an institution and more homelike .
Relationship between patients and professionals: Close
relationships maintained between health professionals at
nursing home and patients.
Staff empowerment and collaboration:
Staff are more empowered to undertake roles and there is more
collaborative decision making to deliver enhanced care that is
patient-centered
Overall Quality Improvement in Processes: Continuous quality
improvement initiatives implemented through culture change
and ongoing process to achieve better care.

7. 6
Lessons Learned
Critical appraisal of peer reviewed articles
Critical appraisal fundamental in assessing usefulness and
validity of research findings
Critical appraisal evaluates appropriateness of study design for
research question and key methodological features of design
Appraisal determines suitability of statistical methods used and
interpretation, potential conflict of interest relevance of
research to practice.
Lessons from completing literature evaluation table
Interpretation of research findings
Synthesis of sources and application to practice
Analysis of conceptual framework
Evaluation of research variables
Examination of data analysis methods used
Appraisal of research findings relevant to practice (Melnyk &
Fineout-Overholt, 2018).
Lessons Learned
Lessons from completing the levels of evidence table
How to assess studies based on methodological quality of
design

8. How to assess studies based on evidence
Assessing studies based on applicability ti patient care
Assessing strength of provided recommendations in studies
Lessons from completing the outcomes synthesis table
I learned how to organize research studies
How to integrate different resources together
How to synthesize research on a given topic
References
Ellis, P. (2019). Evidence-based practice in nursing. Learning
Matters.
Friesen-Storms, J. H., Bours, G. J., van der Weijden, T., &
Beurskens, A. J.
(2015). Shared decision making in chronic care in the
context of evidence
based practice in nursing. International journal of nursing
studies, 52(1), 393-
402.
Mackey, A., & Bassendowski, S. (2017). The history of
evidence-based practice
in nursing education and practice. Journal of Professional
Nursing, 33(1), 51-55.
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based
practice in nursing &
healthcare: A guide to best practice (4th ed.). Philadelphia,
PA: Wolters Kluwer.