NUR 590 Week 2 DQs

Week 2 DQ 1 Do you foresee any issues with implementation of your project? Identify stakeholders who could assist in supporting you, and any theoretical frameworks (organizational change, leadership, role-specific) or models that could help you adapt.

Management and Organizational Stability Tool is a structured participatory process that allows organizations to assess their management performance, develop a concrete action plan, and implement it. This tool facilitates clear identification of critical management components that require further development, identifies management improvement priorities, and requires skillful facilitation of group participants. It is applicable to organizations in which group participation is welcomed by leadership and staff (Management Sciences for Health, 2013).

The Organizational Capacity Assessment Tool assists organizations in assessing the critical elements for effective organizational management and identifying areas that need further development. The OCA tool assesses capacity in 5 key areas, governance, organizational management, program management, human resource management, and financial management (Advancing Partners and Communities, 2023).

These 2 tools are appropriate for assessing my current organization. I currently work for a for-profit organization so the OCA tool would be helpful in assessing capacity in the key areas stated. Although it is a huge corporation with multiple facilities not just in the US but around the world, each individual facility is encouraged to identify its own areas that require improvement as each facility may have different improvement priorities so the MOST tool would be appropriate as an assessment tool on a smaller scale.

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NUR 590 Week 2 DQs References:

Management Sciences for Health. (2023). Management and organization sustainability tool (MOST). https://msh.org/resources/management-and-organizational-sustainability-tool-most/

Advancing Partners and Communities. (2023). Organizational capacity assessment (OCA) tool. https://www.advancingpartners.org/resources/organizational-capacity-assessment-oca-tool

Week 2 DQ 2 What strategies will you use in your new practice as an advance registered nurse to review and critique literature pertinent to your practice?

The spirit of inquiry is an essential component in nursing practice. It encompasses the curiosity to learn about the best available evidence that can be used for decision-making in clinical practice. The inquiry helps nurses to be constantly engaged in seeking answers to the issues they experience in their practice and how to optimize care outcomes. A spirit of inquiry is important in nursing since it contributes to evidence-based practice. It helps nurses to utilize best available evidence to make decisions that contribute to outcomes such as safety, quality, and efficiency (Bell, 2021). Spirit of inquiry also contributes to knowledge generation since nurses constantly engage in nursing research with the aim of introducing new practices to patient care.

Nurses play several roles in contributing and encouraging spirit of inquiry in their organizations. One of the roles is advocating for the culture of spirit of inquiry. Nurses can be drivers of change by consistently using best evidence in making their decisions. They are advocate for the leadership and management to implement measures that will contribute to the spirit of inquiry and use of evidence-based data. The other way in which nurses can encourage the spirit of inquiry is by coaching and mentoring others on the use of evidence-based practices. Coaching and mentorship to the other nurses will address barriers to the use of evidence-based practices such as those related to the lack of knowledge and skills. The last way is by providing other nurses and healthcare providers resources for acquiring knowledge on evidence-based practice and spirit of inquiry. The role of advanced registered nurses and implementation of evidence-based practice in my specialty is like other specialties in my practice site. Advanced registered nurses are involved in assessing, implementing, monitoring, planning, and evaluating change (Melnyk & Fineout-Overholt, 2022; O’Shea & Fischer-Cartlidge, 2020). The similarity in roles and implementation ensures the use of standardized procedures when implementing change in the organization.

NUR 590 Week 2 DQs References

Bell, S. G. (2021). Step 0: The Spirit of Inquiry. Neonatal Network: NN, 40(1), 38–39. https://doi.org/10.1891/0730-0832/11-T-686

Melnyk, B. M., & Fineout-Overholt, E. (2022). Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice. Lippincott Williams & Wilkins.

O’Shea, D., & Fischer-Cartlidge, E. (2020). Building Evidence-Based Practice Competency Through Interactive Workshops. Clinical Nurse Specialist, 34(5), 217. https://doi.org/10.1097/NUR.0000000000000544