[Answered]: The culture at my practicum site, a skilled…

The culture at my practicum site, a skilled nursing facility, emphasizes compassionate, patient-centered care but also faces challenges related to communication, staffing, and workflow consistency. Teamwork among nurses and certified nursing assistants (CNAs) is strong, yet high workload demands and staffing shortages sometimes lead to delayed responses to patient needs. Implementing my evidence-based intervention, structured hourly rounding and improved communication protocols, may face barriers such as limited time for education, inconsistent adherence to rounding schedules, and resistance to workflow changes. Understanding these cultural and operational barriers is essential for developing realistic strategies that align with existing routines and staff capabilities. Recognizing the organization’s health care system at the local level is crucial when planning evidence-based practice (EBP) implementation. Local systems shape staffing patterns, leadership support, resource allocation, and communication flow. When interventions are designed without considering these factors, they are less likely to be accepted or sustained. Melnyk et al. (2023) emphasize that successful EBP implementation depends on leadership engagement, organizational readiness, and a culture of continuous improvement. Additionally, Tzeng and Larson (2021) note that cultural awareness within a facility directly influences the success of patient-safety initiatives. Understanding local culture ensures that EBP projects are practical, supported by stakeholders, and ultimately improve patient outcomes.