Organizational Readiness For Change: Impacts on Successful EBP Implementation

Intriduction

Billsten, Fridell, Holmberg, & Ivarsson (2018) state that trying to implement changes in an unconducive atmosphere can adversely influence chances of success unless challenges are determined and addressed accordingly. According to the Organizational Readiness for Change survey (ORC), my organization had high scores concerning its readiness for EBP implementation in terms of staff attributes, program needs, organizational climate, and institutional resources (Billsten et al., 2018). For example, the firm had a high rating on program needs since the hospital staff was aware of the necessity of improving clinical functions, and training. Additionally, the firm scored moderately high on staff attributes, which revealed the employee's excellent adaptability, efficacy, growth, and influence towards change. Fourthly, the organization highly scored on institutional resources since it has adequate equipment, training, staffing, offices, and supervision resources to facilitate the transition

Is your time best spent reading someone else’s essay? Get a 100% original essay FROM A CERTIFIED WRITER!

Save 25%

Possible project barriers include the nurses' lack of sufficient research skills, where they are unable to identify and utilize research evidence effectively; instead, they opt to seek clarifications from colleagues as opposed to using scholarly textbooks and journal articles. On the other hand, program facilitators include competent nurse managers, availability of support resources, increased awareness about the need for change, and accountability among clinicians, leaders, and developers. The firm can offer adequate training concerning research methods to the nurses to improve their researching skills to strengthen its weak areas (Billsten et al., 2018). The situation is vital to promote the integration of clinical inquiry in practice, where nurses can create PICOT statements, and use EBP to improve quality of patient care and clarify various clinical challenges.

Proposal/Problem Statement and Literature Review

For an extended period, various medical interventions have been utilized to aid people living with diabetes to manage their condition. Notably, despite the intervention being available to the public, they are unavailable to marginalized communities. Additionally, the situation makes it difficult for youths belonging to disadvantaged communities to manage Type one diabetes (Clark & Utz, 2014). As a result, the development of modern methods, such as self-management, that aid in the reduction of healthcare disparities is necessary to ensure that specific marginalized groups have access to diabetes management techniques. Because interventions that provide modest lifestyle changes can be used to prevent the prevalence of DM, behavioral health should be assimilated in standard pediatric diabetes care to facilitate better health and behavioral wellbeing among people living with DM.

Lifestyle changes, such as regular exercises, diet change, and weight loss, aid in the prevention and management of T2DM. Firstly, Chong et al. (2017), claim that regular physical exercises prevent the occurrence of T2DM, enhance blood pressure control, and reduce complications associated with the disorder. Notably, moderate to vigorous physical activities (MVPAs) minimize the risk of multiple causes of cardiovascular mortality among people living with T2DM independent of their smoking status, cholesterol levels, blood pressure, and body mass index (BMI). Noticeably, moderate physical activities include walking, water aerobics, rollerblading, cycling, and other house chores. On the other hand, vigorous physical exercises consist of swimming, jogging, gymnastics, football, and skipping.

According to Asif (2014), when individuals exercise, their body muscles utilize glucose; hence reducing the amount of glucose in the body. Additionally, exercises prevent gaining excess body weight, which can magnify complications associated with the disorder. In this case, when an individual engages in physical activity, his or her body burns calories, which in turn reduces body weight. The more a person works out the more calories they burn. Moreover, physical exercise aid in the management of stress levels, which are vital factors contributing to cardiovascular complications such as heart problems and increased blood pressure. In this case, exercise facilitates the production of endorphins-that act as natural sedatives-and enhances the ability to sleep, which reduces stress levels.

Secondly, maintaining a healthy body weight plays a significant role in the prevention and management of T2DM. According to Chong et al. (2017), people living with the disorder are often overweight; therefore, considerable weight loss allows them to control their blood sugar level and improves their self-esteem. Physicians recommend people living with diabetes to maintain a moderate body mass index through regular exercises and diet check. For instance, healthy BMI ranges from 18.5 to 25. Therefore, if individuals have a BMI higher than 25, they are obligated to consult their general practitioners on appropriate methods to lose weight. However, weight loss is a gradual process that requires commitment and goal setting (Asif, 2014). It is advisable for people living with diabetes and high BMI to reduce more than 5% of their weight annually. Notably, individuals should combine diet change and exercises, which are appropriate ways to cut weight.

Thirdly, Asif (2014) states that people living with T2DM should reduce consumption of fats and improve the intake of dietary fibers. Notably, foods such as sweetened fruit juices, processed substance, full-fat dairy, carbonated drinks, and fatty meats increase the blood glucose level magnifying complications associated with the disorder. The above materials have high calorific value, which increases body weight putting the victims in the way of cardiovascular risks. According to Galaviz, Narayan, Lobelo, & Weber (2015), overweight people are advised to consume low calorific foods to manage their weight. Recommended foods with high fiber content include vegetables, cereals, and fruits. Moreover, people should consider adopting a low-glycemic index or Mediterranean eating patterns, which have proved their effectiveness in the reduction of cardiovascular diseases.

On the other hand, individuals should consider modifying other lifestyle habits such as alcoholism and smoking. The two are associated in triggering pancreatic inflammation leading to TIDM. Moreover, they reduce the body's immunity to fight other diseases (Asif, 2014). Noticeably, alcoholics should seek advice from their GPs concerning methods they can use to quit alcohol without having dire withdrawal complications.

Nevertheless, application of the above lifestyle modifications may face various limitations. Firstly, some people living with diabetes may not be able to change their lifestyle due to their profession. For instance, people working under tight schedules may lack enough time to undertake physical exercises. Therefore, they may have problems maintaining healthy body weights. Secondly, alcohol and smoking addiction may pose as limitations to this intervention (Galaviz et al., 2015). Unluckily, alcohol and cigarette addicts cannot stop their habits abruptly since they risk having deadly withdrawal symptoms. Therefore, they require a lengthy rehabilitation process to permit them to quit, which may expose them to the risk of acquiring cardiovascular diseases.

References

Asif M. (2014). The prevention and control the type-2 diabetes by changing lifestyle and dietary pattern. Journal of Education and Health Promotion, 3, pp. 1. doi:10.4103/2277-9531.127541

Billsten, J., Fridell, M., Holmberg, R., & Ivarsson, A. (2018). Organizational Readiness for Change (ORC) test used in the implementation of assessment instruments and treatment methods in a Swedish National study. Journal of Substance Abuse Treatment, 84, pp. 9-16. doi: 10.1016/j.jsat.2017.10.004.

Chong, S., Ding, D., Byun, R., Comino, E., Bauman, A., & Jalaludin, B. (2017). Lifestyle changes after a diagnosis of type 2 diabetes. Diabetes Spectrum: A Publication of the American Diabetes Association, 30(1), pp. 43-50. doi:10.2337/ds15-0044

Clark, M. L., & Utz, S. W. (2014). Social determinants of type 2 diabetes and health in the United States. World Journal of Diabetes, 5(3), pp. 296. doi: 10.4239/wjd.v5.i3.296

Galaviz, K. I., Narayan, K., Lobelo, F., & Weber, M. B. (2015). Lifestyle and the Prevention of Type 2 Diabetes: A Status Report. American Journal of Lifestyle Medicine, 12(1), 4-20. doi:10.1177/1559827615619159