NURS 8302 Assignment 1: Organizational Culture Assessment Tool ANSWER

NURS 8302 Assignment 1: Organizational Culture Assessment Tool ANSWER

The Assignment: (2–3 pages)

Complete the Organizational Culture Assessment Tool for the healthcare organization or nursing practice you selected. Then, address the following:

  • What is the state of cultural/organizational readiness for quality improvement?
  • Is the organizational culture present for quality improvement?
  • What leadership strategies are present in the organization to support quality improvement, positive patient experiences, and healthcare quality?

One of the major focuses of healthcare organizations is to offer safe, efficient, and acceptable patient care services. As such, organizations should always be in pursuit of quality improvement projects geared toward improving patient care services and solving identified problems in the care environment. However, the success of such quality improvement initiatives hinges on the organizational culture in place (Coles et al.,2020). Therefore, the onus lies with the quality improvement project or change implementers to assess the organization’s culture and evaluate if it is ready for the implementation of the proposed quality improvement initiatives (Yoder-Wise & Sportsman, 2022). Therefore, the purpose of this assignment is to explore the organization’s culture and determine its readiness for the implementation of the proposed quality improvement initiative. As such, various aspects will be discussed, including the state of the organizational readiness for quality improvement, whether the organizational culture is for quality improvement, and the leadership strategies present in the organization to support quality improvement experiences and health quality.

The State of Cultural/Organizational Readiness for Quality Improvement

As discussed earlier, organizational culture and readiness can hugely affect the implementation process of quality improvement initiatives. Therefore, it is important to assess the state of the organizational readiness for quality improvement (Fulop & Ramsay, 2019). In an effort to accomplish this, an organizational culture assessment tool with a total of sixteen questions was completed, as shown in the appendix.  These questions are designed in such a way that they help probe various aspects of the organization in terms of its readiness for quality improvement implementation. From the responses given, it is evident that the organization is ready for the implementation of the quality improvement initiatives. Such an observation was supported by a response of strongly agreeing to correct a process, approach, or procedure in case they are not working. Such a response showed that the organization and its leaders are ready to undertake a change process to help correct a procedure or a process that is not working. The response is encouraging and relevant as it shows that the organization is ready to welcome the proposed quality improvement as it can help improve the management of sepsis.

The Organizational Culture For Quality Improvement

The success of a quality improvement project also requires that the staff be supportive of the initiative. Therefore, it is also important to explore the staff’s attitude, behavior, and knowledge alongside that of the organization’s leaders in relation to quality improvement implementation (Crawford et al.,2023).  The organizational assessment tool revealed that the existing culture supports quality improvement. The organization uses various strategies, such as open and effective communication, which are both known to be quality improvement implementation enablers. Besides, the collaborative environment revealed among the staff members can be important in supporting the quality improvement initiative. Again, such aspects point further to the organization’s readiness to accept and support the proposed quality improvement to help improve patient outcomes and the organization’s reputation.

Leadership Strategies Present In the Organization to Support Quality Improvement Experiences and Healthcare Quality

At the center of any organization’s failure or success is the existing type of leadership. Previous research has shown that certain types of leadership styles and strategies have more potential to push organizations to success than others (Robbins& Davidhizar, 2020). Therefore, the organization assessment completed also revealed that the organization has various strategies that can support quality improvement and healthcare quality. One of the strategies identified is role or duty assignment and delegation. This is a strategy that the leaders use to ensure that every staff member is involved in the organization’s activities; as such, they feel part of the organization and valued as staff members. Therefore, it will be easier to implement the quality improvement initiative as the staff will be ready to support it without resistance.

The other strategy used in the organization is effective and open communication. There are well-established communication channels that are always open and also support two-way communication. As such, the members of staff and leaders are able to get information and communication in time and act on the same (Jankelová & Joniaková, 2021). Open and effective communication will be key to supporting the quality improvement initiative and ensuring success in its implementation. The leaders also use a strategy of empowering and supporting staff members, especially those with proposals for improving the quality of patient care as well as safety. Therefore, these leadership strategies will also play a significant role in supporting the proposed quality improvement to ensure that its implementation is a success.


This write-up has explored the organization’s culture and readiness to support the proposed quality improvement. As such, an organizational culture assessment tool was used where a total of sixteen questions were addressed to assess various aspects of the organization. The assessment revealed that the organization is generally ready for the quality improvement project. In addition, the organization’s leadership strategies that are currently being used support the implementation of quality improvement projects. It was revealed that some of the strategies used include open and effective communication and offering support to the staff.



Coles, E., Anderson, J., Maxwell, M., Harris, F. M., Gray, N. M., Milner, G., & MacGillivray, S. (2020). The influence of contextual factors on healthcare quality improvement initiatives: a realist review. Systematic Reviews9, 1-22. Doi: 10.1186/s13643-020-01344-3

Crawford, C. L., Rondinelli, J., Zuniga, S., Valdez, R. M., Tze‐Polo, L., & Titler, M. G. (2023). Barriers and facilitators influencing EBP readiness: Building organizational and nurse capacity. Worldviews on Evidence‐Based Nursing20(1), 27–36.

Fulop, N. J., & Ramsay, A. I. (2019). How organizations contribute to improving the quality of healthcare. BMJ365.

Jankelová, N., & Joniaková, Z. (2021). Communication skills and transformational leadership style of first-line nurse managers in relation to job satisfaction of nurses and moderators of this relationship. In Healthcare (Vol. 9, No. 3, p. 346). MDPI.

Robbins, B., & Davidhizar, R. (2020). Transformational leadership in health care today. The Health Care Manager39(3), 117-121. Doi: 10.1097/HCM.0000000000000296

Yoder-Wise, P. S., & Sportsman, S. (2022). Leading and Managing in Nursing E-Book. Elsevier Health Sciences.

Week 6 discussion

Improvement work invariably involves work across multiple systems and disciplines within a practice.  The quality improvement (QI) team or committee (QIC) is the group of individuals within a practice charged with carrying out improvement efforts (  The QI initiative I’ve selected focuses on the medication reconciliation.  Medication reconciliation is the process of creating the most accurate list possible of all medications a patient is taking including drug names, dosage, frequency and route (  Indications of use should also be reviewed during the medication reconciliation.  Adverse events related to incomplete or inaccurate medication reconciliation in my facility are usually handled through having a root cause analysis with all involved.   This will allow the team to see where the error occured, how it could have been prevented  and how they can move forward to prevent it from happening again. This method deals with the problem at the source and focuses on preventing further incidents.  More than 40% of medication errors are believed to result from inadequate reconciliation in handoffs during admission, transfer and discharge of patients.  Of these errors, about 20% are believed to result in harm (Barnsteiner, 2008).   Often negative outcomes such as death from medication errors could often become headline news, causing the public to sometimes loose trust in the health care systems.

The article I chose is as follows.

A 71-year-old female accidentally received thiothixene ( Navane ), an antipsychotic, instead of her anti-hypertensive medication amlodipine ( Norvasc) for 3 months. She sustained physical and psychological harm including ambulatory dysfunction, tremors, mood swings, and personality changes. Despite the many opportunities for intervention, multiple health care providers overlooked her symptoms (DaSilva, 2016).  This incident is a perfect example of just how important the medication reconciliation is.   Reviewing the outside pharmacy records or simply calling this patient’s pharmacy, could have picked up on this error, before it had such serious effects on the patient.  Medication errors can across throughout all aspects of a patient’s care.  when we think of medication errors the first thing that usually come to mind is a nurse administering the wrong medication or the wrong dose.  Though this is probably the most common type of medication error, other health care professionals can make medication errors as well.


Barnsteiner, JH (2008).  Patient safety and qualtiy:  an evidence-based handbook for nurses.

DaSilva, B.  Krisshnamurthy, M. (2016).  The alarming reality of medication error:  A patient case and review of Pennsylvania and national data.

Module 14. Creating Quality Improvement Teams and QI Plans | Agency for Healthcare Research and Quality (

Quality improvement is critical for a healthcare organization’s efforts to offer safe and better patient care services. Therefore, a quality improvement initiative has to be formulated and implemented. However, the success of such an implementation effort heavily depends on the organizational culture (Mannion & Davies, 2018). The implication is that there is a need to assess the organization’s culture to evaluate the readiness for quality improvement initiative implementation. The purpose of this week’s assignment is to complete the organizational culture assessment tool for a healthcare organization and explore the state of the organizational readiness for quality improvement. In addition, the write-up will explore the leadership strategies present in the organization to support quality improvement, positive patient experiences, and healthcare quality.

The State of the Organizational Readiness for Quality Improvement

As earlier highlighted, the success of implementing a quality improvement initiative heavily hinges on an organization’s culture, which affects its readiness for a quality improvement initiative implementation (Fulop & Ramsay, 2019). As such, an organizational culture assessment tool (Appendix 1) was completed by responding to sixteen questions reflecting on various aspects of the organization’s readiness for quality improvement. In general, the organization looks ready for quality improvement; this is indicated in the answers to some prompts in the assessment tools. For instance, a strongly agree response was given for the prompt, “If a process, procedure, approach is not working, we can correct it with ease.” The response indicates that the organization is always ready to change a process or a procedure in a case where it is not working. This is where the quality improvement initiative comes in, where the organization will readily accept the proposed quality improvement initiative to improve the organization.

The organizational culture is also present for quality improvement. Quality improvement initiatives require the involvement of every staff. The organization’s assessment revealed that the organization uses tools and platforms internally to help collaborate and communicate more effectively. This is an indication that the culture is present for quality improvement. Collaboration and communication between various staff members will be key for successfully implementing the quality improvement initiative (Busse et al., 2019). Therefore, the organizational culture is likely to support the prosed quality improvement initiative fully.

Leadership Strategies Present in the Organization

The organization’s assessment also revealed various leadership strategies present in the organization that can support quality improvement, positive patient experience, and healthcare quality. One of such strategies is effective communication. The leadership has established well-defined communication channels and kept the channels open. The implication is that every staff and patient can communicate to the right person what bothers them so that action can be taken as appropriate. Such effective communication will foster quality improvement and positive patient experiences (Asif et al., 2019).

Another strategy present in the organization’s leadership is the willingness to delegate duty. Duty delegation and responsibility assignment make the staff feel valued and part of the organization. This ensures that the implementation of the quality improvement initiative will be successful since everyone will be involved. The organization leadership also fully supports various organizational administrators in proposals to improve patient care services. Such support will be key in improving patient satisfaction and healthcare quality (Asif et al., 2019). When various administrators receive the full support of the top leadership, they will accomplish the patient service quality improvement initiatives improving the patient experience and healthcare quality in the process.


The implementation of a quality improvement initiative substantially depends on the organizational culture. Therefore, it is imperative to embark on the organizational culture assessment to ascertain the organization’s readiness for the quality improvement initiative implementation. This write-up has presented an assessment of organizational culture and a discussion of the readiness to implement the quality improvement initiative.


Asif, M., Jameel, A., Sahito, N., Hwang, J., Hussain, A., & Manzoor, F. (2019). Can leadership enhance patient satisfaction? Assessing the role of administrative and medical quality. International journal of environmental research and public health16(17), 3212.

Busse, R., Klazinga, N., Panteli, D., Quentin, W., & World Health Organization. (2019). Improving healthcare quality in Europe: characteristics, effectiveness, and implementation of different strategies. World Health Organization. Regional Office for Europe.

Fulop, N. J., & Ramsay, A. I. (2019). How organizations contribute to improving the quality of healthcare. BMJ365.

Mannion, R., & Davies, H. (2018). Understanding organizational culture for healthcare quality improvement. Bmj363.

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Important information on Writing a Discussion Question

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