Recommending an Evidence Based Practice Change

Recommending an Evidence Based Practice Change

Recommending an Evidence Based Practice Change

 

Description of Healthcare Org.

My healthcare organization was founded in 1974

It offers health, social and advocacy services

Services offered to all regardless of insurance status, income, language,

Immigration status, or culture

Focus is on “whole patient care” thus over 50,000 patients are served in

English and more than 14 Asian languages

Medical, dental, & mental health services are offered to all ages

Organizational culture is customer centric

Great efforts are directed to customer satisfaction

External incentives prioritized for motivating nurses and other health practitioners

Effective change communication channels, fostered creativity and innovation

across departments, high employee involvement shows high readiness for change

ORDER CUSTOM, PLAGIARISM-FREE PAPER

2

Current Org. Problem

Successful healthcare organizations apply various approaches for Employee

Motivation

Overdependency on external incentives to motivate nurses

contributes to the higher rate of nurse burnout

Nursing shortage amidst a growing customer base subject nurses to prolonged

Stress due to long working hours

Lack of clear career progression opportunities and underutilization of

technological solutions make nurses frustrated

My org. thus has high turnover rates due to a generally overwhelmed team

Negative employees are toxic to the organization

The organization incurs millions in lost productivity due to burnout among employees

3

Scope of Issue, Stakeholders and Risks

 

Nursing burnout is evidently the issue of

concern in my organization

The change efforts will specifically aim

at enriching job characteristics for the nurses

Job characteristics in this case involves;

The  contents,

the methods and

Relationship of the nursing job

Focus is ensuing the nursing job satisfies

technological, and organizational requirements

as well as social and personal requirements

of the nurses

The involved stakeholders include

Management- Provide goodwill for change

Nurses- Offer change recommendations

Patients- Assess impact of change on care

Other employees- Offer recommendations

And help assess impact on their roles

Broader Community- Supportive environment

The Associated risks

High cost of implementation

Loss of some nurses after heavily investing in

their development

Long period of time to fully realize the impact

of the change

Scope

Stakeholders

Risks

Evidence Based Change Idea(EBP Approach)

Steps Change Idea Development
Ask Question Among burned out nurses in my organization, what are the impacts of job redesign compared with monitory incentives on eliminating nursing burnout?
Evidence Achim, Simone, and Anna, (2011)- staffing is related to burnout among nurses. Job characteristics that envisages task stressors predict high burnout among nurses thus eliminating job stressors is necessary to overcome burnout Jourdain, and Chênevert, (2010)- Structuring nurses’ tasks & role reduces work overload and increases the meaning of their work. Emotional exhaustion leads to high stress levels thus nursing burnout Sekar, et al., (2020)- Job characteristics that foster intrinsic motivation foster job ownership and satisfaction thus declining burnout among nursing profession Jackson et al.,(2014)- Work redesign aligns job characteristics to organizational vision and makes the work environment more enriching and encouraging by eliminating workload and other stressors therefore achieving role optimization

 

5

Critical Appraisal of Evidence
Integration My organization should; Ensure assigned nursing tasks match the skills, knowledge and the abilities of individual nurses Reduce monotony of doing similar tasks over and over through job enlargement Ensure nurses are provided with emotional support Reducing workload for nurses through task analysis Providing a clear path for career development and advancement for nurses Explore automation to make nursing work interesting Provide adequate rest time for nurses by having enough work shifts
Evaluation Success will be informed by high motivation, commitment and job satisfaction, high productivity, lower turnover rates, and a generally happy workforce.