Order S-5910-2392-4343_Discussion 8.docx

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Running head: DISCUSSION 8 1 Discussion 8 Student Institution Affiliation Organizational Readiness for Change Assessing organizational readiness for change constitutes the first, critical step of change implementation. According to Melnyk and Fineout-Overholt (2015), this process is crucial in determining the strengths and weaknesses of an organization related to the implementation of evidence-based practices. Thus, organizational readiness for change was assessed based on three indicators: strength of the evidence underpinning the proposed change; organizational culture; and organizational capacity to support the change. First, the hospital has identified diabetes as a severe condition affecting patients with psychotic conditions. Recent findings from the healthcare providers and systems (HCAHPS) survey revealed low levels of satisfaction among psychiatric patients. Additionally, 70% of patients with prediabetes were transitioning to Type 2 diabetes because of poor management. Foley et al. (2016) have found that patients presented with depression and prediabetes have a higher risk of developing
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DISCUSSION 8 2 T2MD compared to the general population. Therefore, the hospital is open to evidence-based interventions that would facilitate effective management of prediabetes in psychotic patients. The second element of organizational readiness to change involved the assessment of the hospital’s culture. Shirey (2013) has indicated that a culture of safety is central to improving patient safety. The organization has adopted a culture of safety, as evidenced by the successful implementation of bedside nurse-to-nurse shift reporting and electronic health records (EHRs).
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  • Fall '11
  • UNKNOWN
  • Diabetes, Diabetes mellitus type 2, organizational readiness, acarbose

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