Organizational Culture
As a whole, the overall scores regarding organizational readiness and overall culture was not terrible. Indeed, only one score was a two and everything else was three or higher. However, there were a lot of three's and only three fours, so the overall scores were middle of the road. However, there are somethings that the organization thrives at including having a lot of nurses that are properly fixated on evidence-based practice (EBP), the creation of evidence for evidence-based practice when evidence does not exist and mentorship between senior nurses and those that are less experienced.
However, there are challenges as well. One problem is that not all of the people involved are committed to EBP principles and that is indeed the weak point when looking at the scores. To help remedy that, there needs to be a focusing of the mission and vision statements of the departments and groups on returning (or coming) to an evidence-based practice. It should be recited, instilled and ingrained into every nurse within the practice. It should be admitted and recognized that not every question will have an answer. The reaches of what exists in terms of evidence-based practice does have its limits. However, the team seems willing to create the evidence. For areas where evidence does exist, that evidence should be used unless something emerges that calls for a different approach. When evidence does not exist, then there should be a seeking of knowledge and that knowledge should be applied if solutions are found (Manns, Norton & Darrah, 2015; Garland-Baird & Miller, 2015).
References
Garland-Baird, L. M., & Miller, T. (2015). Factors influencing evidence-based practice for community nurses. British Journal Of Community Nursing, 20(5), 233-242.
doi:10.12968/bjcn.2015.20.5.233
Manns, P. J., Norton, A. V., & Darrah, J. (2015). Knowledge Translation and Implementation Special Series. Cross-Sectional Study to Examine Evidence-
Based Practice Skills and Behaviors of Physical Therapy Graduates: Is There a Knowledge-to-Practice Gap?. Physical Therapy, 95(4), 568-578.
doi:10.2522/ptj.20130450
