Discussion: Discuss strategies for disseminating the proposal
Discussion: Discuss strategies for disseminating the proposal
Identify the audience for your EBP proposal and discuss strategies for disseminating the proposal.
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EBP Assignment
Section A: Organizational Culture and Readiness Assessment
Successful organizations in the modern world understand their abilities to respond and adapt to environmental needs. They understand the ability of their culture to respond to both identified and perceived needs in their markets. Health organizations that have these abilities perform culture and readiness assessment on a regular basis. The assessment provides them with insights into their strengths, weaknesses, threats, and opportunities in their markets. Therefore, this section of the evidence-based practice project explores the culture and readiness assessment of our organization to embrace evidence-based practice interventions.
The organizational culture and readiness assessment was undertaken using the Organizational Culture Assessment Instrument (OCAI). The instrument assesses six dimensions of organizational performance that include dominant characteristics, organizational leadership, employees’ management, organizational glue, strategic enterprise and criteria for organizational success (Lee, 2020). The culture and readiness assessment using this tool revealed that our organization is ready to embrace evidence-based practices. The readiness could be seen in the high scores it had in areas that included organizational leadership, strategic enterprise, management of employees, and dominant characteristics. The assessment allowed the identification of organizational strengths that included transformational leadership, teamwork culture, focus on innovation, alignment between organizational strategies and mission, and continued focus on employee development.
The assessment however revealed some potential barriers to the implementation of evidence-based practice. They include weak financial base, high ratio of staff to patients, and minimal adoption of health technologies. The organization will address these weaknesses by empowering the staffs with knowledge on technology use, optimizing on their strengths and opportunities and lobbying for efficient health technologies for adoption. The OCAI tool was chosen for the assessment due to its objectivity in the assessment of organizational culture and readiness. The organization had the highest scores in strategic emphases, management of employees, organizational leadership, and dominant characteristics. It had the lowest scores in organizational glue and criteria for success. Therefore, clinical inquiry will be integrated into the organization by empowering the staffs on the use of evidence-based practices through training, coaching, and provision of continuous educational opportunities to them (Lee, 2020).
In conclusion, the organizational culture and readiness assessment revealed the organization ready to embrace evidence-based practice initiatives. It has enabling transformational leadership, teamwork culture, and use of innovations. A number of weaknesses however exist. Therefore, the organization will focus on effective use of its strengths and opportunities to manage the barriers.
Section B: Proposal/Problem Statement and Literature Review
Refined PICOT Statement
The proposed evidence-based practice intervention in this project is the use of community-based physical activity and nutrition education program to reduce incidences of diabetes. The target population for the intervention is the African Americans with diabetes. The intervention seeks to compare the outcomes of the intervention with those obtained with no intervention within a period of six months. Therefore, the refined PICOT statement for the research is:
In African Americans aged between 18 and 49 years, does the use of community-based physical activity and nutrition-education program result in improved management of diabetes when compared with no intervention within six months?
Literature Review
The effectiveness of the proposed intervention has been explored in studies in the past. One of these studies is the research by Maheri et al., (2017), which explored the effect of educational intervention on nutrition, physical activity, as well as laboratory parameters in patients suffering from diabetes mellitus type 2. The research was a semi-experimental study that used 100 participants who had diabetes type II. The results of the study revealed that the educational intervention focusing on nutrition, physical activity, and laboratory parameters is effective in improving the management of type II diabetes. However, educational-supportive interventions should be optimized for better outcomes in the management of diabetes mellitus type 2 (Maheri et al., 2017).
Gyawali et al., (2019) and Shirinzadeh et al., (2019) conducted researches that focused on examining the effectiveness of community-based interventions in preventing diabetes mellitus type 2 in low as well as middle-income countries. The researches were systematic reviews that utilized articles that were obtained from databases that included MEDLINE, PsycInfo, Google Scholar, and Global Health. The analysis of data from the selected articles demonstrated that the use of community-based interventions resulted in a significant improvement in glycemic control as evidenced by the reduction in HbA1c and fasting blood glucose levels (Gyawali et al., 2019; Shirinzadeh et al., 2019). Similar outcomes are reported in a randomized controlled study that was conducted by Smith et al., (2019). The results obtained from 314 participants revealed that the use of community-based interventions such as physical exercises and nutrition education programs were effective in promoting weight loss and moderate improvement in HbA1c and blood pressure Smith et al., (2019). The outcomes from this study supported the fact that community-based interventions are highly effective in promoting the management and prevention of diabetes type II in populations at risk.
The analysis of the above evidence has revealed that the use of community-based interventions that focus on physical activity and nutritional education are effective in preventing and managing diabetes type II. The interventions provide the patients with the understanding of the most effective interventions that can be used to manage their health problems. They obtain enhanced understanding of the medical, lifestyle, and behavioral management of the disease. They are also empowered to adhere to the treatment protocols that are largely utilized in the management of diabetes mellitus type 2. Despite this evidence, scarcity in evidence concerning the use of community-based interventions in African American patients with diabetes exists. Therefore, this proposed evidence-based practice project will aim at bridging this gap in evidence to inform the effectiveness of the intervention in this population.
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References
Gyawali, B., Bloch, J., Vaidya, A., & Kallestrup, P. (2019). Community-based interventions for prevention of Type 2 diabetes in low-and middle-income countries: a systematic review. Health promotion international, 34(6), 1218-1230.
, J. (2020). Accelerating Organisation Culture Change: Innovation Through Digital Tools. Emerald Group Publishing.
Maheri, A., Asnaashari, M., Joveini, H., Tol, A., Firouzian, A. A., & Rohban, A. (2017). The impact of educational intervention on physical activity, nutrition and laboratory parameters in type II diabetic patients. Electronic physician, 9(4), 4207.
Shirinzadeh, M., Afshin-Pour, B., Angeles, R., Gaber, J., & Agarwal, G. (2019). The effect of community-based programs on diabetes prevention in low-and middle-income countries: a systematic review and meta-analysis. Globalization and health, 15(1), 1-13.
Smith, J. R., Greaves, C. J., Thompson, J. L., Taylor, R. S., Jones, M., Armstrong, R., … & Price, L. (2019). The community-based prevention of diabetes (ComPoD) study: a randomised, waiting list controlled trial of a voluntary sector-led diabetes prevention programme. International Journal of Behavioral Nutrition and Physical Activity, 16(1), 112.