Aspects of the Implementation Plan: Barriers, Challenges, and Proposed Strategies

 

The project will be implemented in a hospital setting using critically ill patients as the potential subjects. The appropriateness of the setting is attributed to the high number of critically ill patients seen and admitted for further management. Consent will not be sought from the potential subjects. However, approval will be sought from the institution before implementing the project.

Organizational culture is an essential part of implementing change as it mirrors values, mission, and vision and employee perception to adopting new ways of doing things. A decentralized and hierarchical culture where employees get involved in decision-making and has robust values and norms leads to effective implementation of EBP project proposal. The proposed structure enhances employee motivation and diversification. Decentralization improves communication and ensures implementation of new approaches to doing things to enhance quality care (Melnyk & Fineout-Overholt, 2019).  Organizations ready to implement the proposed EBP interventions should focus on patient-centered care and health promotion to save lives in pediatric settings.

The project uses the Organizational Capacity Assessment Tool (OCAT) developed by the United Nations Development Program (UNDP). The tool assesses overall readiness to enhance health interventions in organizations. The tool identifies substantive capacities and strengths that exist and the need for more to attain expected outcomes. Implementing the proposed EBP requires organizations to have capabilities and resources with a superb culture based on their mission, purpose and best values. Threats to readiness include need for resources to implement the project and technologies to reduce HAIs. Teamwork leads to effective flow of information to implement the project and attain expected outcomes.

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Organizations that seek to implement the proposed EBP should enhance their patient-handling processes with a focus on improved quality care to reduce infections by better hand hygiene measures and protocols. Data-analysis tool using a collaborative approach will enhance dissemination of evidence to the entire care team. The deployment of Trans-theoretical model will allow the organizations to prepare for change by aligning their interventions with their needs. These include skills’ training and motivation policies to enact changes to focus on solutions (Melnyk & Fineout-Overholt, 2019). The integration of technology is also critical to enhancing organizations’ readiness since it improves gathering of intelligence.

The stakeholders include healthcare professionals in these settings comprising of nurses, physicians and other professionals and the management. External stakeholders comprise of patients and their familiescare (Melnyk & Fineout-Overholt, 2019). Further, the integration of the Project team and management highlights the importance of ensuring that the organization is ready while use of health information technologies like Telehealth leads to better understanding of the underlying issues to enhance patient safety based on existing deployment and their role in enhancing access and quality care.

Timeline

The duration of the project will be one year. The period is adequate to determine the effectiveness of the intervention and revision of strategies.

Budget and Resource List

Changes in clinical processes and systems are needed for the implementation of the project. The existing electronic health records will be integrated to execute the project interventions. The integration will enhance the efficiency of medication processes such as prescription and administration (Sitapati et al., 2017). Organizational processes will change as seen from the use of the new integrated systems. Human, financial, and material resources will be needed in the implementation of the project. Skilled healthcare

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