NUR 590 Comparison of Organizational Readiness Tools | exclusivewritings.com

NUR 590 Comparison of Organizational Readiness Tools

NUR 590 Comparison of Organizational Readiness Tools

Compare two organizational readiness tools. Identify the tool you selected and explain why it is most appropriate for assessing your organization.
The two organizational readiness tool that I had chosen are The Patient Assessment of Chronic Illness Care (PACIC) and the Organization Readiness Change Assessment (ORCA). The organization’s readiness assessment for change is a crucial factor in the implementation phase of any given public health intervention (“Selecting A Tool”, n.d.). These tools can assist in evidenced-based practice (EBP) interventions. The Patient Assessment of Chronic Illness Care Questionnaire also known as PACIC is a tool that is used to make an evaluation of the perspective of the patient with regards to the receipt of patient care delivery in the 5 domains namely: activation, delivery system, goal setting, problem solving, and follow-up (Gensichen et al., 2011). PACIC tool can be used for conditions that incurable and illnesses that lasts for a prolonged period time. On the other hand, the ORCA tool has 4 main purposes: learning about the degree of motivation, assessment of organizational abilities, improvement of organizational capacities, and empowerment of organizations (Dearing, 2018).

The most appropriate tool for assessing my organization is the ORCA tool because it can help with identifying and monitoring of organizational strengths and weakness or an organization (“Organizational Readiness”, 2017).By using this tool in clinical settings which it was originally intended for, can help with providing support and success of EBP.

References

Dearing, J. (2018). Organizational readiness tools for global health intervention: A review. Frontiers In Public Health. https://doi.org/10.3389/fpubh.2018.00056

Gensichen J, Serras A, Paulitsch MA, Rosemann T, König J, Gerlach FM, Petersen JJ. (2011).The Patient Assessment of Chronic Illness Care questionnaire: Evaluation in patients with mental disorders in primary care. Community Ment Health J, 47(4):447-53. doi: 10.1007/s10597-010-9340-2.

“Organizational Readiness”. (2017). National Collaborating Centre for Methods and Tools. http://www.nccmt.ca/resources/search/187.

“Selecting A Tool”.(n.d.). National Collaborating Centre for Methods and Tools. https://www.nccmt.ca/knowledge-repositories/search/279
Organizational readiness assessments allow for change leaders and champions to assess key areas of organization structure, stability and culture in order to make an informed decision as to whether or not a change or improvement initiative is going to be successful, and the right intervention at the right time (HRSA, 2021). Upon comparison of two different examples of organizational readiness assessments designed for healthcare, there are certainly similarities but also differences that must be considered when selecting one that is right for a particular organization and initiative.

The Agency for Healthcare Research and Quality (AHRQ) has an evidence-based safety and teamwork communication program by the name of TeamSTEPPS. This evidence-based program has been around for 20 years, and is now an evidence-based intervention effective at improving perceptions of teamwork, communication and trust, as well as sound data supporting improved patient safety metrics in an organization (AHRQ, 2021). With this, a readiness assessment is highlighted as a key part of the process to ensure an organization is ready for TeamSTEPPS implementation. Utilizing the AHRQ TeamSTEPPS Readiness Assessment, areas of defined need, readiness for change in culture, time/resources/personnel, and sustainment of the change are assessed in a checklist format that is easy-to-use for any individual assessing whether or not this intervention is right for one’s organization (AHRQ, 2021).

Comparatively, the Maryland Healthcare Commission (2019) provides a tool for healthcare organizations interested in implementing a standardized telehealth program with aim to improve the safety, quality, fiscal stewardship and patient experience side of healthcare. The readiness assessment provided- includes core readiness, financial considerations, operations, staff engagement and patient readiness. Maryland Healthcare Commission highlights a toolkit they’ve created to guide the assessment of successful improvement of one’s healthcare system telehealth practices.

Upon comparison of these two organizational readiness assessments, I believe that both highlight similar high-level aims, such as resources, leadership support and current human culture and openness to change. However, due to the current state of my place of employment, the TeamSTEPPS organizational readiness assessment appears to be targeted toward our highlighted goals of patient safety and teamwork/communication among staff. With these key areas highlighted in the assessment, and a pre-survey attached to the AHRQ readiness assessment to gauge with sound validity and reliability the perceptions of the caregivers, I believe this would be best suited for my current organization.

References

US Department of Health and Human Services (2021). Readiness assessment & developing project aims. Https://www.hrsa.gov/sites/default/files/quality/toolbox/508pdfs/readinessassessment.pdf

Agency for Healthcare Research and Quality (2021). Readiness assessment. https://www.ahrq.gov/teamstepps/reaidness/index.html

Maryland Healthcare Commission (2019). Telehealth readiness assessment toolkit. https://mhcctelehealthtool.herokuapp.com
There are many challenges in improving the health of populations and one of the biggest challenges has to do with the delivery and utilization of the interventions that are being proposed (Dearing, 2018). When it comes to the delivery of the interventions, it incorporates more than one factor. The factors that are considered in the delivery of the interventions include communication, training, leadership, coordination, and management (Dearing, 2018). When it comes to change, organizational readiness needs to be assessed. Two tools that can be used to assess organizational readiness includes the Organizational Readiness to Change Assessment (ORCA) tool and the Organizational Readiness for Implementing Change (ORIC). As my organization is a Magnet facility and already supports and implements evidence-based practices, I chose the ORIC tool to discuss. The ORIC tool is the most appropriate for assessing my organizations readiness as this tool focuses on the readiness of the organizational members for implementing change. Being a Magnet facility, my organization has proven that they support nursing excellence and to determine if the team members are ready for change implementation, the ORIC tool would be ideal to evaluate this. When the organization’s readiness is high, the members are more likely to initiate and put forth greater effort for implementing change and on the flip side when the organization’s readiness is low, the team members are more than likely to view change as undesirable and may resist change (Shea et al., 2014). With my proposed evidence-based change, it does involve a fully engaged team which is even more of a reason to use the ORIC tool to help determine the team’s readiness for change and hopefully lead to a successful change implementation.

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NUR 590 Comparison of Organizational Readiness Tools

NUR 590 Comparison of Organizational Readiness Tools

References:
Dearing, J. W. (2018). Organizational readiness tools for global health intervention: A review. Frontiers in Public Health, 6, 56. doi:10.3389/fpubh.2018.00056

Shea, C. M., Jacobs, S. R., Esserman, D. A., Bruce, K., & Weiner, B. J. (2014). Organizational readiness for implementing change: A psychometric assessment of a new measure. Implementation Science, 9, 7. doi:10.1186/1748-5908-9-7
There were so many great organizational readiness tools to use. The first tool I researched was the Discussion-Oriented Organizational Self-Assessment (DOSA) which provided a broad view assessment for an organization. The outline of the assessment offered discussion topics for each of the seven categories. The tool intended to evaluate the organizations capacity from a bird’s eye view (Resource Centre, 2018). The DOSA tool was a great option but I elected to search further for a more appropriate readiness tool.
Upon further research I found the Organizational Capacity Assessment Tool which offers a comprehensive and systematic approach for organizations to evaluate their organizational capacity in seven key areas. The key areas include governance, financial, operations, human resources, program management, project management and organizational sustainability. The tool utilizes the self-assessment approach for each of the key areas. The tool guides the organization but doesn’t dictate a plan, instead it assists with plan development. Therefore, the tool allows the organization to define what’s important to them and ultimately creates their own plan. The tool also provides guidance by offering assistance with next steps for ways to expand capacity (Learning Lab, 2016). The tool goes above and beyond to assess various aspects in greater detail that will offer a true reflection of my organization’s readiness. Currently, my organization is in the planning phase of a merger therefore a thorough assessment, such as Organizational Capacity Assessment, of my organization is vital to the overall process. In fact, the tool is so comprehensive I’m a little intimidated to use such a well-thought-out guide.

References

Resource Centre. (2018). Discussion-Oriented Organizational Self-Assessment (DOSA). https://resourcecentre.savethechildren.net/library/discussion-oriented-organizational-self-assessment-dosa

Learning Lab. (2016). Organizational Capacity Assessment….

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Mock wedding toast speech | exclusivewritings.com

You will deliver a  3-4 minute  wedding toast-style speech live over Zoom, celebrating the pretend marriage between  one celebrity  (any famous public figure, past or present, which can include actors, musical artists, athletes, authors, and politicians) and  one fictional character  (someone from TV, film, literature, comics, videogames, etc). Unlike previous speech assignments, you can now structure this speech however you choose, as long as you meet the following criteria: your speech must include (a) a  personal introduction  explaining who you are and how you know the couple, (b) a  reference to how the couple met , (c) an  anecdote  about whichever member of the couple you have known the longest, and finally, (d) your Mock Wedding Toast must clearly and prominently  honor the couple  on their happy day. This assignment is meant to be completed with creativity, so let loose and enjoy!

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revise the following sentences to make related items parallel. Traveling and with letctures, Susan B. Anthony spread word about women’s… | exclusivewritings.com

revise the following sentences to make related items parallel. Traveling and with letctures, Susan B. Anthony spread word about women’s suffrage.

 

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Childrens Ward Consultant Essay | exclusivewritings.com

You are a consultant in a children’s ward for a long-term care hospital facility geared towards ages 3 to 10 years old. The facility directors ask you to construct an indoor/outdoor play center and activity schedule to allow those in early and middle childhood to maintain and develop their cognitive, physical, social, and emotional growth while recovering from their injuries/illnesses.

Justify for the facility’s stakeholders the use and placement for each piece of play equipment, toy, and furniture. Make it clear when and why you would need to divide some of the space to separate children in early childhood from those in middle childhood. Be sure to specify:

  1. How does each piece of play equipment, toy, and furniture contribute to the four types of development (e.g., fine-motor movement helps physical growth)?
  2. How does each piece facilitate social-emotional bonds of children with their families?
  3. How does each piece improve coping and adjustment to long-term care?

Paper Requirements:

  • Your paper should be seven- to nine-pages (not including the required title or reference pages) and double spaced.
  • The paper should be based on references to scholarly materials (rather than on introductory textbooks, popular website writings, or musings, for example). To that, your paper should synthesize current, relevant research on your topic from at least five scholarly sources. Cite and reference these sources according to APA style.
  • Include an introduction that provides a clear statement of your position on the topic, a body that discusses the implications of possible solutions for the project under consideration, and a conclusion regarding how best to manage the issue (i.e., your informed opinion on the issues raised).
  • Format your entire paper according to APA guidelines.

The paper must demonstrate what you have learned about current issues related to human development. Your paper is expected to have depth and offer a thoughtful analysis on the topic. The most common mistakes in writing an essay are (a) simply summarizing the topic and not analyzing it or discussing your views and (b) failing to relate the subject to the broader context of restorative justice, as discussed in class and as found in the readings.

Adequately including the broader contexts includes, for example, considering how your research might yield a different approach to restorative justice in the United States.

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resesch paper about the plants – Essay Lab >>eduessaylab.com

You have to write the advantage of the two plants. Either medical or day to day advantage.Please follow the following outline and format. No grammatical error.

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time series in r | exclusivewritings.com

This assignment provides practice in decomposing the seasonal time series data and then subtract that effect from the data and then to show how to address issues of correlations between successive values of the time series.

Before beginning this assignment, review the learning resources for this module, especially focus on Decomposing Time Series, Forecasting using Exponential Smoothing and ARIMA Models sections of A Little of R for Time Series by Avril Coghlan.

Complete the following steps and write a report to record your work, results and analysis.

You may use the attached data sets (average price data and NY benchmarked employment data) or one of time series data from data( ). Please note that some time series are more amenable to time series analysis than others.

It is important that you understand data structure and be able to appropriately transform/clean raw data prior to analysis. “Average price data.xlsx” is in the long format. The data series are stacked on top of each other. That is how the data is provided the Bureau of Labor Statistics. The names of variables are provided in the “series” worksheet. You need to pick one series name and use it to filter or subset the data prior to analysis. Some series are better than others. You may want to use only the portions of the series after 2009, since the Great Recession was an one-time event that cannot be modeled.

A. Decompose seasonal time series data and subtract that effect from the data:

  1. Identify an appropriate time series data set, this can be a data set in R or a data set you find.
  2. Then, use R to display decompose the seasonal time series and seasonally adjust to subtract the seasonal components from the time series.
  3. In your report, provide insights to the results.

B. Address issues of correlations between successive values of the time series:

  1. Identify an appropriate data set, this can be this can be a data set in R or a data set you find.
  2. Then use R time series functions to address autocorrelation issues in data sets. In many cases you can make a better predictive model by taking correlations in the data into account. Address autocorrelation issues (irregular components of the time series) using a technique called ARIMA (Autoregressive Integrated Moving Average) models for irregular components of time series.
  3. In your report, provide insights to the results.

Report

Your assignment/project should have a good cover/title page, introduction of what the goals of the project and the methods you use. It also should follow APA format with at least 1000 words (excluding title page and references page) and references page. In the body of your project you should incorporate the R codes and R outputs with interpretation of your results. Finally, you need to make sense of your results to make good points with proper conclusions, to show your understanding of the course material and its application to the dataset.

Graphs, figures, charts, tables are very useful to increase visual effects to impress your readers. You also should do your best to give insight and understanding to the project with a good conclusion. Please use subtitles to make your assignment more reader friendly as well.

 

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matlab homework 34 – Essay Lab >>eduessaylab.com

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In the attachment, you will find 3 questions. Using MATLAB, Write the code for them in one (.m) file

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describe a illegal case about media and law, Law homework help – myassignmentgeek.net | exclusivewritings.com

describe a illegal case about media and law, Law homework help – myassignmentgeek.net

The story will be about the intersection of media and the law (the First Amendment, specifically). Not part of the 150- 200 words will be a description of where you found this news item (N.Y. Times, CNN on TV, etc.), the title of the story, the date, and URL, if applicable. In addition to the summary of the story, I’m looking for any insights you might have on why this is an important case or issue and any implications for journalists, organizations, the media in general, corporations, etc. 

Legal cases are always italicized. so you need write illegal case about media and law.

please read the PDF clearly. There are three kind of example. You can learn from it.

weekly_news_summaries_instructions_final.pdf

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Solve each inequality by graphing. y < 2x – 3 y > 5 | exclusivewritings.com

Solve each inequality by graphing. y [removed] 5

 

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Need help now | exclusivewritings.com

What are the highest and lowest payments from the writer that the bookkeeper farmer team will accept for the 6th day? Assume that the farmer can dispose of $7 from the writer as she wishes, what range of payments will the beekeeper accept? Assuming that the beekeeper gets that amount, what range of payments will the farmer accept? (Remember that negative payments are also possible.) Answer the same question for the 5th day. 13. Some fields have large enough quantities of both oil and natural gas that coordination must be achieved for the production of both, rather than oil alone as in our examples. Will fields with both oil and gas have greater difficulties in unitization than fields with oil or gas alone? Explain.

 

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