In order to formulate your evidence-based practice (EBP), you need to assess your organization. In this assignment, you will be responsible for setting the stage for EBP. This assignment is conducted in two parts: an organizational cultural and readiness assessment and the proposal/problem statement and literature review, which you completed in NUR-550.

Section A: Organizational Culture and Readiness Assessment

It is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation. Select an appropriate organizational culture survey tool and use this instrument to assess the organization’s readiness.

1. Develop an analysis of 250 words from the results of the survey, addressing your organization’s readiness level, possible project barriers and facilitators, and how to integrate clinical inquiry, providing strategies that strengthen the organization’s weaker areas.
2. Make sure to include the rationale for the survey category scores that were significantly high and low, incorporating details or examples. Explain how to integrate clinical inquiry into the organization.
3. Submit a summary of your results. The actual survey results do not need to be included.

Section B: Proposal/Problem Statement and Literature Review

In NUR-550, you developed a PICOT statement and literature review for a population quality initiative. In 500-750 words, include the following:

1. Refine your PICOT into a proposal or problem statement.
2. Provide a summary of the research you conducted to support your PICOT, including subjects, methods, key findings, and limitations.

P: The lower SES population diagnosed with diabetes type 2.

I: Analysis of the current SES barrier health disparities impedes the provision of quality health care facilities.

C: Promoting equality in the provision of health care procedures to patients with diabetes from the lower SES population.

O: Deliver improved quality of healthcare to the lower SES population to attain the healthy people goal 2020.

This research shows health disparities and determinants regarding those individuals who have diabetes. This PICO is modifiable and open to exploring.

 My PICO was based on the Socioeconomic Status (SES) and geographical location. the disparities in the health care system, with a specific focus on SES and how it affects the access and availability of quality care. In general, the SES can be classified by one’s education, earnings, and occupation. They live in rural and undeveloped regions where there is a lack of medical support, education, and job. Health disparities place a tremendous strain on the community of health care and on culture. Evidence shows that lower SES is associated with the increased health disparities in diabetes patients among U.S. populations. In addition, the collection of data and information among high-risk diabetes groups is appropriate to tackle the health problem in the United States. I provided an intervention that utilized appropriate financing and donation programs would encourage health interventions from distinct ethnic and racial groups to treat diagnosed patients. People have different beliefs and attitudes about individuals with diabetes. Diabetes incidence is different among the various ethnic groups. Appropriate projects need to be developed to eliminate lower SES health disparities.(Healthy People 2020, 2018) 

General Guidelines:

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section.

 An 89-year-old female complains of a “stabbing chest pain” and points to the area just below her scapula at the right mid-clavicular line. She states that she had an upper respiratory infection last week that “just seems to hang on.” She has no other complaints. 

• Which lab or imaging tests would you order for this patient? Why?