Organizational Culture and Readiness Essay Assignment
Problem Statement
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Organizational Culture and Readiness
This should be a cut and paste from an earlier class (NUR 590)
Literature Review
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Change Model or Framework
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Implementation Plan
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Evaluation Plan
This should be a cut and paste from an earlier class (NUR 590) Organizational Culture and Readiness Essay Assignment
PICOT Question
In adults 18 years of age and older with obesity, does implementing an individualized intensive lifestyle modification program, including dietary interventions and physical activity, compared to current practice, impact weight loss over six months?
Introduction
This project aims to prove research evidence that can be validated with a PICOT question you have developed on your chosen topic. With these criteria, the five-year articles from PICOT will be searched to identify six translational research papers from peer-reviewed institutions. The “Literature Evaluation Table” is used to check each article, and a rationale on how the research aligns with the “PICOT” is provided.
Literature Evaluation Table
Article | Research Question, Hypothesis, Purpose or Aim of Study | Study Design Organizational Culture and Readiness Essay Assignment | Setting and Sample | Methods | Analysis and Data Collection | Outcomes and Key Findings | Recommendations | Explanation of How Articles Support Proposed Evidence-Based Practice Project Proposal |
Article 1
Vaz et al. (2021) |
Evaluate a smartphone app-based lifestyle intervention vs. control for weight loss in obese adults | Randomized Controlled Trial (RCT) | 28 adults with a BMI of 25-42 kg/m2, sedentary jobs | Smartphone app with activity trackers, food logs, coaching | Weight, waist circumference, HbA1c | Significant weight loss in the intervention group, improved metabolic health | More extensive, more extended studies are needed | Demonstrates effectiveness of tech-based, individualized interventions in weight loss over six months |
Article 2
Beleigoli et al. (2020) |
Compare web-based interventions with and without personalized feedback for weight loss. | Randomized Trial | 1298 Brazilian university students/staff, BMI ≥25 kg/m2 | Web platform, dietitian feedback, control with e-booklet | Self-reported weight, dietary habits, physical activity | Significant weight loss in personalized feedback groups | Personalized feedback improves engagement and outcomes | Supports the use of personalized dietary and activity feedback for better weight loss results |
Article 3
Lugones-Samchez et al. (2022) |
Long-term effectiveness of mobile health intervention for weight loss | Randomized Controlled Trial | 650 Spanish adults, primary care centers | Smartphone app, activity tracker, brief counseling | Weight, BMI, physical activity, diet adherence | Modest weight loss, improved body composition, increased physical activity | Ongoing support necessary for sustained weight loss | Highlights the need for continuous support in mobile health interventions for weight management |
Article 4
Spring et al. (2024) |
Effectiveness of wireless feedback system vs. system with coaching for weight loss | Noninferiority Randomized Trial | 400 adults with BMI 27-45, US academic center | Wireless feedback, activity tracker, scale, coaching | Weight change at six months | Significant weight loss with added coaching, not noninferior without coaching | Further strategies needed to optimize weight loss interventions | Emphasizes the importance of personalized coaching in enhancing weight loss outcomes |
Article 5
Naz et al. (2023) |
Feasibility of WhatsApp-assisted lifestyle modification for weight loss | Quasi-experimental Study | 50 adults from Karachi slum, BMI >23 kg/m2 | WhatsApp-based intervention, peer support | Weight, calorie intake/expenditure | Weight loss, reduced calorie intake, high retention | Scale-up recommended with modifications | Demonstrates feasibility and acceptability of tech-based peer-supported interventions |
Article 6
Stevens et al. (2023) |
Review of weight management interventions for adults with severe mental illness | Systematic Review | 490,000 adults with SMI in England | Various weight management programs | BMI, body weight | Minor effect on weight loss, no significant BMI change | Integration of qualitative methods in future research | Highlights the need for tailored interventions for specific populations |
How Articles Support Proposed Evidence-Based Practice Project Proposal
Article 1: Smartphone App-Based Lifestyle Intervention
Support for PICOT
It reflects an all-sided lifestyle intervention basen an app to substantially decrease weight and enhance metabolic health in 6 months. It highlights technology as the critical component of customizable, interactive, and engaging weight management programs. The connection between the engagement levels and weight loss outcomes for clarity gives value to individualism and consistent monitoring and support. Organizational Culture and Readiness Essay Assignment
Article 2: Web-Based Interventions with Personalized Feedback
Support for PICOT
The results of this research demonstrate that internet-based platforms for behavior change with personalized feedback (both computerized and human-delivered) can increase weight loss more than nonpersonalized interventions. This reflexes the PICOT question as it gives evidence of continuous and individualized feedback that helps with weight loss’s positive results.
Article 3: Long-Term Effectiveness of Mobile Health Interventions
Support for PICOT
This article provides supportive data for the prospect that the multi-component mobile health intervention is more effective than the isolated diet and exercise regimen for weight loss and body composition improvement in overweight and obese adults. Such findings, again, suggest that the combined use of counseling with tech-based interventions is likely to result in pleasing consequences. On the one hand, it displays the enduring requirement for constant commitment and consolation to preserve these advantages by the proposed intervention that centers on consistent support.
Article 4: Wireless Feedback System with Coaching
Support for PICOT
This article is about the study’s success in supplying wireless feedback systems solely to the same system with coaching. The observed high percentage of weight loss in the group with coaching attests to the fact that the delivery of one-to-one support in a humane manner is crucial in ensuring better outcomes. The study provides data substantiating the PICOT query by showing that coaching can ensure better weight loss results and lifestyle modification.
Article 5: WhatsApp-Assisted Lifestyle Modification
Support for PICOT
The WhatsApp-based lifestyle modification program, accompanied by peer support, was proved effective in terms of participants’ weight loss and high participant persistence through the feasibility study. Peer-based technology-enhanced interventions seem to be especially promising in answering the PICOT type of question with a focus on the weight loss issue. The result also signifies that such interventions are likely feasible and acceptable even in resource-constrained settings, suggesting that they could be scaled for general applications. Organizational Culture and Readiness Essay Assignment
Article 6: Weight Management Interventions for Severe Mental Illness
Support for PICOT
The systematic review presented here is specifically targeted at adults with serious mental illness. However, it brings forth some evidence about the effectiveness of different weight management strategies. Researchers’ preliminary results indicate insignificant weight loss and the absence of substantial BMI change, both challenging barriers in this population. Nevertheless, the review reveals the necessity of tailored approaches, thus making the PICOT question specifically emphasizing personalized programs a suitable query.
Conclusion
The group of articles, together with the whole, demonstrates evidence that diets, physical activities, and customized intensive lifestyle programs are effective in helping adults lose weight. The research brings up the topic of personalized feedback, constant support, and the use of technology in favor of building engagement and success. The data obtained corresponds with the proposed evidence-based practice project and shows what obesity solutions can be implemented to do the job well. The subsequent assignments will advance the knowledge built on the earlier paper. They will integrate and synthesize the evaluated literature to develop a comprehensive evidence-based practice project proposal. Organizational Culture and Readiness Essay Assignment
References
Beleigoli, A., Andrade, A. Q., Diniz, M. D. F., & Ribeiro, A. L. (2020). Personalized web-based weight loss behavior change program with and without dietitian online coaching for adults with overweight and obesity: randomized controlled trial. Journal of medical Internet research, 22(11), e17494. https://www.jmir.org/2020/11/e17494/
Lugones-Sanchez, C., Recio-Rodriguez, J. I., Agudo-Conde, C., Repiso-Gento, I., G Adalia, E., Ramirez-Manent, J. I., … & EVIDENT 3 Investigators. (2022). Long-term effectiveness of a smartphone app combined with a smart band on weight loss, physical activity, and caloric intake in a population with overweight and obesity (evident 3 study): randomized controlled trial. Journal of medical Internet research, 24(2), e30416. https://www.jmir.org/2022/2/e30416/
Naz, S., Haider, K. A., Jaffar, A., Khan, U., Azam, I., Siddiqui, A. R., & Iqbal, R. (2023). Feasibility of a peer-supported, WhatsApp-assisted, lifestyle modification intervention for weight reduction among adults in an urban slum of Karachi, Pakistan: a mixed-methods, single-group, pretest–post-test, quasi-experimental study. BMJ open, 13(8), e070913. https://bmjopen.bmj.com/content/13/8/e070913.abstract
Spring, B., Pfammatter, A. F., Scanlan, L., Daly, E., Reading, J., Battalio, S., … & Nahum-Shani, I. (2024). An Adaptive Behavioral Intervention for Weight Loss Management: A Randomized Clinical Trial. JAMA. https://jamanetwork.com/journals/jama/article-abstract/2818967
Stevens, H., Smith, J., Bussey, L., Innerd, A., McGeechan, G., Fishburn, S., & Giles, E. (2023). Weight management interventions for adults living with overweight or obesity and severe mental illness: a systematic review and meta-analysis. British Journal of Nutrition, 130(3), 536-552. https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/weight-management-interventions-for-adults-living-with-overweight-or-obesity-and-severe-mental-illness-a-systematic-review-and-metaanalysis/1E30612F740976E17EC2FD617E637D51
Vaz, C. L., Carnes, N., Pousti, B., Zhao, H., & Williams, K. J. (2021). A randomized controlled trial of an innovative, user‐friendly, interactive smartphone app‐based lifestyle intervention for weight loss. Obesity science & practice, 7(5), 555-568. https://onlinelibrary.wiley.com/doi/abs/10.1002/osp4.503 Organizational Culture and Readiness Essay Assignment