The PICOT question I came up with was: Among adult patients diagnosed with Type 2 DM (P), does Continuous Blood Glucose Monitoring (I) compared to Self-Blood Glucose Monitoring (SBGM) (C) result in glycemic control(O) within four weeks? (T)

 

 

Evidence-Based Practice Proposal

 

Section A: Organizational Culture and Readiness Assessment

The organizational culture survey tool that was used in the assessment is “Organization Culture and Readiness for System-Wide Integration of Evidence-Based Practice”. This tool helped to explore, assess, and determine the readiness of the organization to implement and adopt evidence-based practices (EBP) (Yoo et al., 2019).Evidence-Based Practice Proposal .

Organization’s Level of Readiness

The findings from the survey indicate that the organization is ready to adopt EBP. According to the findings, the nurses have the required EBP skills and knowledge while doctors are dedicated to supporting EBP. Organizational management also supports quality improvement initiatives by financing and allocating resources. The organization also has nurse scientists who generate the latest evidence in the organization. The survey also identified nurse practitioners (NPs) who have the required skills to implement EBP. Evidence-Based Practice Proposal .The NPs also mentor nurses and lead the implementation of quality improvement initiatives. Moreover, there are EBP champions who support and rally for the implementation of quality improvement projects. The organization provides access to numerous peer electronic databases for their staff and hence the staff members are able to search and retrieve peer-reviewed journal articles to inform EBPs.Evidence-Based Practice Proposal .

However, the survey showed that there were some obstacles to the implementation of EBP such as resistance by the nurses to changes due to time limitation and heavy workload. The lack of time and heavy workload are attributable to staff shortages within the workplace. This obstacle can be solved by the organizational management hiring more nurses to reduce the heavy workload among nurses (Harper et al., 2017)

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