Develop a presentation no longer than 10-12 minutes with comprehensive speaker’s notes that covers all of the major areas of your proposal.

You will need to post your Evidence-Based Practice Presentation to the main forum in Topic 8 as directed by the instructor for class discussion and peer feedback.

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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

Organizational Culture and Readiness Assessment

The purpose of the assessment is to evaluate the strengths and weakness, in the readiness of evidence-based practice (EBP) innovation, practice change and the capacity to facilitate EBP changes in the Cuyahoga County Correctional Center (CCCC). The Organization Culture and Readiness Assessment (OCRA), will measure questions about EBP focusing on the culture and its readiness for application (Melnyk & Fineout-Overholt, 2015, p. 569). The use of the assessment scale will view what support is needed to assist in the changing attitudes, behaviors, skills and the thought processes of individuals who are responsible for caring for patient/inmates (Helfrich, Li, Sharp, & Sales, 2009).

Based on the OCRA the CCCC is getting ready for EBP organizational change in some areas, but the scores of the assessment questions both can hinder and support efforts for implementation. For example, scores were noted for the nursing administrators, providers and the healthcare staff focus themselves on committing to EBP. However, mentorship from Advanced Practiced Nurses scored lower due to those currently employed and possible time constraints. However, the security rating was much lower with obligating themselves to EBP in healthcare, they are more focused on the safety of the environment but rank high on the shared responsibility of the outcome of the care, possibly due to the entire system is employed under the sheriff’s department.

Another area that had interesting sores were the overall workshops, technology for implementing communication and collaboration to support EBP. The scores were higher in the EMR for medical staff interoperability for healthcare shared medical records with the county hospital. However, the ratings were much lower in the internal connection of innovation that promotes EBP between medical providers and security. Another attractive area was the extent of decision generation in this type of environment suggesting there is a lack of administration healthcare leadership in implementing EBP, which leads to decisions generated from the administration who has little to no knowledge of scientific understanding or skill that encourage EBP. The overall rating for the CCCC is a two, which indicate that the CCCC is getting ready for EBP implementation (Melnyk & Fineout-Overholt, 2015, p. 569).

There are challenges and barriers to implementing EBP in the correctional healthcare setting and can be a slower process due to lack of time in research understanding, insufficient time available, inadequate access to internal interoperability, personal characteristics, lack of medical libraries and organizational and cultural barriers. However, it is imperative that in this different environment that manages the safe care of patient/inmate must understand the initiative to implementing EBP must be a strategic interconnection system that promotes appropriate practices that support common challenges of safety for those in the custody of the CCCC.


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