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Organizational Needs Assessment NR703

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Organizational Needs Assessment NR703

Organizational Needs Assessment NR703

NR703 Week 2 Organizational Needs Assessment

Assignment

Purpose

The purpose of this assignment is to identify a practice problem based on an organizational needs assessment, including the identification of the practice gap and formulation of the practice question. This assignment will allow for the assimilation of professional leadership competencies in project management as a DNP-prepared nurse. Assignment content supports professional formation, communication, and dissemination skills relevant to the DNP-prepared nurse.

Please note that this is the first part of a 3-part assignment submitted in Weeks 2, 5, and 7. You will receive corrective feedback from your course faculty on the Week 2 and Week 5 assignments that you will use to prepare the Week 7 assignment.

Also Read:

NR703 Week 3 Leading Interprofessional Teams Discussion

NOTE: All NR703 assignments and their requirements should be discussed in relation to your proposed or hypothetical DNP practicum project. **No DNP practicum project will be approved for implementation until the second practicum course, NR-705 Project & Practicum II

Organizational Needs Assessment NR703

Instructions

Complete the Organizational Needs Assessment: Practice Gap Identification Table on a healthcare organization of your choice. This will be submitted as Table 1.

Include the following in your paper:

  1. Introduction
    1. Introduce the topic and establish the importance of an organizational needs assessment.
    2. Present a clear purpose statement.
    3. Create an organizing (outline) statement for the paper that matches the required level 1 headings (except for listing the conclusion).
  2. Problem: Using the information that you gathered on the Organizational Needs Assessment: Practice Gap Identification (Table 1), describe the practice problem by explaining these elements:
    1. Describe a specific location (hospital unit, community health clinic, surgical suite, primary care practice).
    2. Identify the key stakeholders (decision-makers).
    3. Explain the practice problem as would be identified by the stakeholders.
  3. Practice Gap
    1. In 1-2 organized paragraphs, summarize your findings in table 1, the Organizational Needs Assessment: Practice Gap Identification. Ensure the table is placed after the reference list starting on its own page with the heading Table 1.
  4. Practice Question: Define and briefly explain the project’s intended population, evidence-based intervention, and measurable outcomes (PICOT):
    1. Population: Describe the specific characteristics of the population that is the focus of the intervention.
    2. Intervention: Citing evidence listed in the Johns Hopkins Individual Evidence Summary Tool (Table 2) which was initiated in NR-716, describe the evidence-based intervention. There should be a total of three (3) references listed in Table 2 for this assignment. If necessary, add one research study or systematic review to support your intervention unless one already exists on the table from your previous courses.
    3. Comparison: State “compared to current practice” for the purposes of this assignment.
    4. Create and explain specific outcome measurements based on the current evidence you have collected in the Johns Hopkins Individual Evidence Summary Tool (attached as Table 2). If needed, add one research study or systematic review that supports your proposed outcome measurements.
    5. The source can be the same one that was used to support the intervention as long as it speaks to measurable outcomes. There should be a total of three (3) references listed in Table 2 for this assignment.
    6. Time: Time frame for the project implementation. (Practicum projects are typically 8 – 10 weeks long).
    7. State the Practice Question. Example: (P) For the critical care team in X hospital’s ICU, (I) does the implementation of the medical sepsis protocol (C) compared to the current practice (O) reduce the incidence of medical sepsis diagnoses in ICU patients as measured before and after the intervention (T) over a 10-week period?
  5. Conclusion
    1. Recap the paper’s purpose statement and organizing (outlining) statement of the three level 1 headings (not including the conclusion).
    2. Draw major conclusions from the body of your paper.
    3. Summarize the importance of effective communication for the DNP-prepared nurse in performing the practice gap and problem identification.
  6. References
    1. Create the reference page.
    2. Ensure each reference has a matching citation.
    3. Include a minimum of three (3) scholarly references (all three references on the Johns Hopkins Table should be included).
  7. Tables
    1. Add the completed Table 1 & Table 2 after the reference list. For directions on how to copy a table in Microsoft Word go to the following link:
      • Link (webpage): Move or Copy a TableLinks to an external site.
      • Table 2, the Johns Hopkins Individual Evidence Summary Tool, is attached (after Table 1) & completely filled out with at least three (3) quantitative research studies at a minimum. (NOTE: a minimum of three [3] references should be included on the reference list, including those in Table 2).

Table 1: Organizational Needs Assessment: Practice Gap Identification

What is currently happening in the practicum site that causes the problem? What should be happening in the practicum site based on current evidence*? What do the stakeholders (decision-makers) identify as the gap between what is currently happening and what should be happening (this is your practice gap)? Why is there a gap in practice?

What factors are contributing to the gap in practice?

 What evidence* do you have to demonstrate there is a practice gap (e.g., NDNQI, AHRQ Quality Indicators, National Hospital Quality Measures, HCAHPS, Joint Commission ORYX®, etc.)?
*Reference & citation required.
[Add text] [Add text] [Add text] [Add text] [Add text]
[Add text] [Add text] [Add text] [Add text] [Add text]

 

PICOT Problem Statement:

P (Population – example: For critical care team in X hospital ICU…)

I (Intervention – example: Does the implementation of the medical sepsis protocol…)

C (Comparison – example: Compared to current practice). NOTE: “C” is most commonly used for research projects, not DNP translation science projects. “C,” or Comparison intervention, is implied for DNP projects, although you will see instances where the C does not apply.

O (Outcome, measurable – example: Reduce the incidence of medical sepsis in patients as measured before and after…)

T (Time – Usually 8-10 weeks for a DNP practicum project)

Review the rubric below for the grading criteria.

APA Guidelines

Use the current Publication Manual of the American Psychological Association (APA Manual) and the Chamberlain Guidelines for Writing Professional Papers: Graduate Programs (located in the Canvas Resources menu under the Writing Center) to complete this assignment. Follow these guidelines when completing each component. Contact your course faculty if you have questions.

  1. Use the standard APA Paper Template (located in the Canvas Resources: Writing Center) to format this assignment.
  2. Turn on Grammarly to check the correctness of the grammar and punctuation as you write. (Note: if you have not already done so, please download the free version at Grammarly.com before constructing the assignment.)
  3. Use the title, “Organizational Needs Assessment,” for your project and construct a title page using the APA paper template.
  4. Use the following prescribed Level 1 headings for this paper (do not include the outline letters):
    1. Problem
    2. Practice Gap
    3. Practice Question
    4. Conclusion

Writing Requirements (APA format)

  • Length: 3-4 pages (not including title page, references page, or attachments)
  • 1-inch margins
  • Double-spaced pages
  • 12-point Times New Roman
  • Headings & subheadings
  • In-text citations
  • Title page
  • Reference page
  • Standard English usage and mechanics
  • CARE Plan paragraph development structure

Program Competencies

This assignment enables the student to meet the following program competences:

  1. Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)
  2. Appraises current information systems and technologies to improve health care. (POs 6, 7)
  3. Creates a supportive organizational culture for flourishing collaborative teams to facilitate clinical disease prevention and promote population health at all system levels. (PO 8)

Course Outcomes

This assignment enables the student to meet the following course outcomes:

  1. Compare and contrast theories of organizational behavior and leadership. (PCs 2, 4; PO6)
  2. Investigate the role of advanced nursing practice in innovation and transformation to propose solutions impacting healthcare systems. (PCs 2, 4; PO 6)
  3. Differentiate attributes of effective leaders and followers in influencing healthcare. (PCs 2, 4; PO 6)
  4. Formulate selected strategies for leadership and influence across healthcare systems. (PC 6; PO 8)

Due Date

  • By 11:59 p.m. MT on Sunday
  • Late Assignment Policy applies

Rubric

Organizational Needs Assessment NR703 Week 2 Assignment Grading Rubric

W2 Assignment Grading Rubric
Criteria Ratings Pts
This criterion is linked to a Learning Outcome Introduction

Requirements:
1. Introduce the topic and establish the importance of an organizational needs assessment.
2. Present a clear purpose statement.
3. Create an organizing statement for the paper that matches the level 1 headings (except for listing the conclusion).
10 pts

Includes all requirements and provides an in-depth introduction.

 9 pts

Includes 2 requirements and/or provides a sufficient introduction.

 8 pts

Includes 1 requirement and/or provides a partial introduction.

 0 pts

Provides an undeveloped introduction.
10 pts
This criterion is linked to a Learning Outcome Problem: Using the information that you gathered on the Organizational Needs Assessment: Practice Gap Identification (Table 1), describe the practice problem.

Requirements:
1. Describe a specific location (hospital unit, community health clinic, surgical suite, primary care practice).
2. Identify the key stakeholders (decision makers).
3. Relate the practice problem identified by the stakeholders.
30 pts

Includes all requirements and provides an in-depth description of the problem.

 27 pts

Includes at least 2 requirements and/or provides a sufficient description of the problem.

 24 pts

Includes at least 1 requirement and/or provides a partial description of the problem.

 0 pts

Provides an undeveloped description of the problem.
30 pts
This criterion is linked to a Learning Outcome Practice Gap

Requirements:
1. In 1-2 organized paragraphs, summarize your findings in Table 1, the Organizational Needs Assessment: Practice Gap Identification

2. Include a thoroughly completed Organizational Needs Assessment: Practice Gap Identification Table as Table 1, placed after the reference list.
30 pts

Includes Table 1 and provides an in-depth summary of the Organizational Needs Assessment: Practice Gap Identification (Table 1).

 27 pts

Includes Table 1 and provides a sufficient summary of the Organizational Needs Assessment: Practice Gap Identification (Table 1).

 24 pts

Includes no Table 1 and/or provides a partial summary of the Organizational Needs Assessment: Practice Gap Identification (Table 1).

 0 pts

Provides no Table 1 and/or an undeveloped summary of the Organizational Needs Assessment: Practice Gap Identification (Table 1).
30 pts
This criterion is linked to a Learning Outcome Practice Question: Define and briefly explain the project’s intended population, evidence-based intervention, and measurable outcomes (PICO).

Requirements:
1. Population. Describe the specific characteristics of the population that is the focus of the intervention.
2. Intervention. Citing evidence listed in the Johns Hopkins Individual Evidence Summary Tool (Table 2), which was initiated in NR-716, describe the evidence-based intervention.
3. Comparison: State “compared to current practice” for the purposes of this assignment.
4. Outcome. Create and explain specific outcome measurements based on the current evidence collected in the Johns Hopkins Individual Evidence Summary Tool (attached as Table 2, placed after Table 1).
5. Time. State the time length for the project (i.e., 8-10 weeks).
6. State the Practice Question.
7. Table 2, the Johns Hopkins Individual Evidence Summary Tool, is attached & completely filled out with at least three (3) quantitative research studies at a minimum. (NOTE: all three [3] references should be included on the reference list).
40 pts

Includes Table 2 and all data requirements and provides an in-depth summary of the practice question.

 36 pts

Includes Table 2, no fewer than 5 of the requirements, and provides a sufficient summary of the practice question.

 32 pts

Includes Table 2, no fewer than 4 of the requirements, and provides a partial summary of the practice question.

 0 pts

Includes no attached Table 2, fewer than 4 of the requirements, and/or provides an undeveloped summary of the practice question.
40 pts
This criterion is linked to a Learning Outcome Conclusion

Requirements:
1. Recap the paper’s purpose and organizing (outline) criteria that revisit the three level 1 headings (not including the conclusion).
2. Draw major conclusions from the body of your paper.
3. Summarize the importance of effective communication competencies for the DNP-prepared nurse in performing the practice gap and problem identification.
10 pts

Includes all requirements and provides an in-depth summary in the conclusion.

 9 pts

Includes at least 2 requirements and/or provides a sufficient summary in the conclusion.

 8 pts

Includes at least 1 requirement and/or provides a partial summary in the conclusion.

 0 pts

Provides an undeveloped summary in the conclusion.
10 pts
This criterion is linked to a Learning Outcome References

Requirements:
1. Create the reference page using the APA template and the Chamberlain Guidelines for Writing Professional Papers.
2. Ensure each reference has a matching citation that follows the formatting guidelines in the APA manual/ Chamberlain Guidelines for Writing Professional Papers.
3. Include at least three (3) scholarly references at a minimum (including those from the Johns Hopkins Table)
10 pts

Includes all requirements of the reference section, at least three scholarly references with matching citations, and the reference page is formatted without errors.

 9 pts

Includes at least 2 requirements for the reference section, and/or the reference page is formatted with 1-2 errors.

 8 pts

Includes 2 requirements for the references, and/or the reference page is formatted with several errors.

 0 pts

Includes fewer than 1 requirement for the reference section, and/or the reference page is formatted with multiple errors.
10 pts
This criterion is linked to a Learning Outcome APA Style and Organization for Scholarly Papers

Requirements:
1. Use prescribed level I headings for section organization.
2. Format the paper using APA formatting conventions.
3. Length of APA formatted paper is 3-4 pages (excluding title page, reference page, and tables).
10 pts

Includes all requirements of APA style and standards.

 9 pts

Includes 2 requirements of APA style and standards.

 8 pts

Includes 1 requirement of APA style and standards

 0 pts

Includes no requirement of APA style and standards that conforms to APA style.
10 pts
This criterion is linked to a Learning Outcome Clarity of Writing

Requirements:
1. Use of standard English grammar and sentence structure.
2. No spelling errors or typographical errors.
3. Organized and logical presentation of ideas in paragraphs (CARE Plan), sentences, and phrases
10 pts

Includes all requirements of clarity of writing.

 9 pts

Includes 2 requirements of clarity of writing.

 8 pts

Includes 1 requirement of clarity of writing.

 0 pts

Includes no clarity of writing requirements that conform to standard English (APA) style.
10 pts
Total Points: 150

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NR703 Week 2 Lesson 2 Leading through Translational Science Change Frameworks

Organizational Needs Assessment

A primary role of DNP-prepared nurses is translating evidence into practice. You have already been conceptualizing the topic areas you are interested in developing for your DNP practice change project and have begun collecting evidence for them in a Johns Hopkins Individual Evidence Summary Tool (Dang & Dearholt, 2018).

However, you may not have considered what your practicum site needs, which may not be what you have envisioned. That raises several questions.

  • What do the stakeholders or practicum site decision-makers want you to do?
  • What answers to practice gaps do stakeholders invested in your project need answered?
  • Is the idea you have practical for the practicum site?
  • Does the organization have a larger project or agenda that a DNP project might serve?

So, the first thing a DNP-prepared nurse must do to implement a practice change project is to understand what needs to be done and why. An organizational needs assessment is the foundational planning step that you must take for your DNP practice change project. Benjamin Franklin once said, “By failing to prepare, you are preparing to fail.” You cannot prepare unless you know what needs to be done, and that may not necessarily be what you have in mind.

As Yogi Berra once quipped, “If you don’t know where you’re going, you’ll end up someplace else.”

Many nurses conceptualize an organizational needs assessment by using the familiar nursing process format (ADPIE).

ADPIE Image Description

The needs assessment also drives the three primary conceptual project areas shown here in this Conceptual Project Portrait.

Conceptual Project Portrait Image Description

Practice Gap Identification

In this week’s assignment, you will construct an organizational needs assessment at a hypothetical practicum site. This will give you practice in performing the task and reinforce that a needs assessment to identify the practice gap is the foundational starting point for your practice change project. (Typical practicum sites include advanced practice setting, acute hospital care, LTC, community setting [church], health department, and home care.)

To perform a needs assessment with the practicum site stakeholders, use the following guide to help you understand what gaps are occurring between current practice and evidence-based practice.

Practice Gap Identification Image Description

Review the following examples:

Practice Problem What is currently happening in the practicum site that causes problems? What should be happening in the practicum site based on current evidence? What do the stakeholders (decision-makers) and the evidence identify as the gap between what is currently happening and what should be happening (this is your practice gap)? Why is there a gap in practice? What factors are contributing to a gap in practice? What evidence do you have to demonstrate there is a practice gap (NDNQI, AHRQ Quality Indicators, National Hospital Quality Measures, CAHPS Hospital Survey, Joint Commission ORYX®, etc.)?
Pediatric Practice There are no clinical practice guidelines being used for the management of obese patients in a pediatric setting. Nurse Practitioners (NPs) should be using evidence-based clinical practice guidelines to better manage children who are obese. Approximately 40% of the patient population have been identified as being obese; however, there are no clear guidelines in place for the NPs to use/follow when planning patient care. Potential issue with lack of knowledge associated with updated guidelines for pediatric obesity.

Physician-owned facility; potential lack of NP autonomy regarding practice.

 Comments provided by the NPs.

NPs report they want to be able to better manage and plan care for pediatric patients who are obese.

National best-practice identifies that clinical practice guidelines should be used.

Diagnostic indicators by incidence demonstrate an increase in obesity at this practice.
Long-Term Care Facility The current practice for the prevention of unassisted falls is ineffective. Unassisted falls, including falls with injuries, should not occur in the facility. Stakeholders (particularly administrator, DON, & corporate governance) and ACHA survey results have established that there is an unacceptable rate of unassisted falls in the facility that is not being adequately addressed. The current falls prevention process is not being followed.

Specifically, the gap in practice revealed

·    The initial fall risk factor assessment was not completed consistently.

·    Patients’ medications were not always reviewed for fall risk.

·    Patients with frequent toileting needs are not always assisted in a timely manner.

 MDS assessment data for falls

Nursing Home Compare (NHC) measures

Internal QI data reports per unit

Internal Falls Prevention Audit

Risk Management data & litigation results

NR703 Week 2 References

Bunting, M. (2016). The mindful leader: 7 practices for transforming your leadership, our organization and your life. John Wiley & Sons Australia, Ltd.

Dang, D., & Dearholt, S. (2018). Johns Hopkins nursing evidence-based practice: Model and guidelines. Sigma Theta Tau International.

Nadler, R., Carswell, J. J., & Minda, J. P. (2020). Online mindfulness training increases well-being, trait emotional intelligence, and workplace competency ratings: A randomized waitlist-controlled trial. Frontiers in Psychology, 11, 1-19. https://doi.org/10.3389/fpsyg.2020.00255