Comment1

Evaluating the outcome of an evidence-based practice project is the final step of the process.  I would probably choose one or two different methods of evaluation-starting with a survey for staff and patients.  Surveys are easy and usually have a good number of responses.  I would compare the answers to the survey done prior to the implementation of the EBP project.  Another method would be to collect data involving safety issues prior to and since the project improvements.  

A survey for nurses regarding bullying would include questions to see if they are more comfortable at work with the new policy changes in place and if they would make a report if they had a bullying experience.  The main objective in reducing bullying in the nursing workforce is to attempt to reduce the number of nurses leaving and increase nurse retention.  Therefore, it would be important to make sure the message has been understood and policies enforced.  Posting results to employees communicates transparency in the process.

Comment2

Evaluation for my EBP could be done through data collection. Data collection done through monitoring of rate of adherence to treatment by these patient population. Monitoring means “regularly collecting information on your project that will help you answer basic questions about your work”. (Evaluating your Project, 2015). Data collection on persistence with therapy will be one major way of evaluating my project effectiveness. Varying types of data would need to be collected to prove persistence to treatment such as,  (1) data on refill rate or medication possession rate (MPR), because as patients take their medications, they should be refilling their prescriptions. (2) data collection on increasing or decreasing reports of adverse reactions to medications for treatment. If reports of adverse reactions resulting from improper intake of these medication are on the decrease that means patients are receiving the proper education and counselling and are adhering to them (3) Patient satisfaction with treatment and monitoring trends in treatment outcomes such as decreasing rate of fracture and increase bone mineral density in patients taking these oral medications for treatment of postmenopausal osteoporosis, since these medications are found to be effective in reversing bone loss, maintain bone density and prevent fracture. (Osteoporosis Treatment Medications can Help, 2017).

 Write a 4–6 page impact report to senior leadership that identifies a nursing-related challenge, analyzes how it affects the organization from a nursing perspective, and details the new position.

Each organization has a unique structure that impacts the behavior of the organization. In health care organizations, this impact is on the ability of the organization to deliver quality patient care. Nursing is an essential component of any health care organization, and nursing leaders must understand the role of nursing and nursing leadership within the total organization. Understanding basic organizational structure, mission, vision, philosophy, and values will better prepare nurse leaders to improve quality and patient outcomes.

Use the Suggested Resources for this assessment to study systems theory, SWOT analysis, and shared governance teams, as background for an Impact Report to Senior Leadership. The report includes a SWOT analysis. The SWOT Analysis Template is linked in attachment

• Study a facility in your area (Central Florida) and examine its Web site and any available public documents to aid you in completing this assessment. You may wish to examine an organization where you work, where you have worked in the past, or where you did your clinical work.
• Do not name the organization in your report; instead, identify the type of facility and location. Example: A rehabilitation center in a midsize Midwestern city.

Use the following scenario as the basis for your report:

Scenario
The unit-based Shared Governance Council of the organization where you work has identified a major nursing-related challenge (patient/staff safety, confidentiality, management/staff conflict, poor patient satisfaction survey scores, or nursing staff shortages) within your health care organization.
In an unusual move, your system administrator is considering creating a new nurse leadership position that would have the responsibility and authority to address this specific issue. As a member of the shared governance council’s subcommittee, you have been asked to write the committee’s final report.

Deliverable: Impact Report to Senior Leadership

Write a 4–6 page impact report to senior leadership that identifies the challenge, analyzes how it affects the organization from a nursing perspective, and details the new position.

Example paper of expectations attached to use as example. ******

• Use systems thinking and leadership theory as tools to approach this problem.

**Construct the report with the following headings:**

The Nursing Challenge:

• Identify the nursing challenge and its impact from a nursing perspective. Choose from:
  • Patient/staff safety, confidentiality, management/staff conflict, poor patient-satisfaction survey scores, or nursing staff shortages.

The System/Organization:

• Explain how the nursing challenge creates a gap or conflict between the organization’s statements and practice.
  • Identify the organization type—that is, specialty hospital, teaching hospital, major health care system, et cetera, and summarize the organizational structure, its mission, vision, and philosophy statements.
  • Use systems theory and systems thinking to explain the gap or conflict.

SWOT Analysis:

Use the SWOT Analysis Template linked in Required Resources and include the SWOT analysis table in your paper. *Table is in attachment*

• Identify organizational factors that impact the situation using a SWOT analysis.
  • For example, a budget cut may cause short staffing, which relates directly to the problem.
• What factors within the system may facilitate a solution for this problem?

The Position:

• Assess how the new nurse leader position will have power and influence and impact patient outcomes.
• How will this position affect change within the organization?
• Identify key leadership skills, knowledge, or abilities required for the position.

Additional Requirements

• Written communication: Written communication should be free of errors that detract from the overall message.
• APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
• Length: The report should be 4–6 pages in content length. Include a separate title page and a separate reference page.
• Font and font size: Times New Roman, 12 point, double-spaced.
• Number of resources: Use a minimum of three peer-reviewed resources.