Developing a Culture of Evidence-Based Practice Assignment
Developing a Culture of Evidence-Based Practice Assignment
Respond to the two of post below by offering additional ideas to overcome the barriers to strategies suggested by your colleagues and/or by offering additional ideas to facilitate dissemination.
POST 1
Image what it would be like for dissemination across the board within the healthcare system. It seems like a difficult goal to reach.
Two strategies that I would be inclined to use are with the use of a treatment bundle; the IHI defines a bundle as “a structured way of improving the processes of care and patient outcomes: a small, straightforward set of practices generally three to five that when performed collectively and reliably, have been proven to improve patient outcomes” (Taenzer et al., 2017). For example, if I wanted to bring forth a change, I would do it as a process and have focus areas of what changes needed to be made. Often with the change, if there are too many things at once, your staff can only remember parts of it, and then the whole change will not occur. Another strategy I would use is to engage with stakeholders within my team by building trust, connecting, and establishing goals for the intending project. This way a draft can be created, and agenda plans for upcoming meetings can be established. I would ensure I was ready to present the project to my team by use of a PowerPoint presentation with clear topic ideas and plan for implementing the process change.
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Two barriers I might encounter when using the dissemination strategies are insufficient staff training. If enough training is not provided on the new project plan, then employees will likely not want or understand the importance of participating in the process change. To overcome this, I would address the supervisors’ importance to monitor staff closely with the process change and, if things are not working well address the employee and offer further training. Another barrier could be an employee just not accepting the process change. To address this, Gallagher-Ford et al. explained the importance of helping project participants realize they’ll be doing the same thing they’ve been doing, just more efficiently and effectively. With this mindset it will help to allow them to accept the new process. Overall, working with all stakeholders closely, addressing the issues along the way, and listening when needed will allow for a smooth transition into the new work flow.Developing a Culture of Evidence-Based Practice Assignment
References
Andreas Taenzer, Allison Kinslow, Christine Gorman, Shelley Schoepflin Sanders, Shilpa J.
Patel, Sally Kraft, & Lucy Savitz. (2017). Dissemination and Implementation of Evidence Based Best Practice Across the High Value Healthcare Collaborative (HVHC) Using Sepsis as
a Prototype – Rapidly Learning from Others. EGEMs, 5(3). https://doi-org.ezp.waldenulibrary.org/10.5334/egems.192
Gallagher-Ford, Lynn, MSN, RN, NE-BC; Fineout-Overholt, Ellen, PhD, RN, FNAP, FAAN;
POST 2
Top of Form
Main Post
Even though there has been a huge movement in the use of evidence-based research, the research does not extend to clinical practices quickly. Research that would benefit patient outcomes may take years to implement into clinical practice (Melnyk, 2012). When it does penetrate clinical practices, there are several ways to disseminate the information. One way is the poster presentation. The presenter would stand next to the poster to allow for the audience to read it and would be available for any questions in regards to the evidence-based practice. The presenter would have handouts for the audience to take with them since the poster may not include all the information needed (Melnyk, 2018 p559). This is also a way for the presenter to support the evidence and show their excitement for the new practice being put in place.
Another way to disseminate the evidence-based information is through nurse team meetings. This one is facilitated at the hospital I work at. It is a way to reach different groups of people at once. This information is usually done during shift change. Once the information is presented by the charge nurse or nurse manager, there is a sign off sheet that you acknowledge and understand the change that is taking place. After a few weeks, the team leaders will come around and ask how the new practice is working and may even ask you to show them how you implemented the change.Developing a Culture of Evidence-Based Practice Assignment
There are also dissemination strategies that I would be least inclined to use and that would be through email. Emails can become overwhelming at work. The dissemination of the evidence-based information could be looked over or even deleted before even being read. Even though you can reach many people at once, this is not an effective way to promote evidence-based changes. Another dissemination strategy that I would not use is brochures. Brochures are just handouts without the proper support to answer questions. Many brochures would end up in bags or the garbage and then the information in the brochure would not be used to promote best practices for the patients.
When using the dissemination strategies, there may be barriers encountered. One of those barriers is the behavior of nurses who do not think there needs to be a change. For example, nurses who believe that the way things are done work just fine and do not want change. Another barrier is not enough education on EBP. Staff may not understand EBP or how to implement it. There are ways to overcome these barriers. One of the ways to break these barriers is through research and on the job learning. This should be the culture of the facility. Supporting this type of culture allows for nurses to use EBP and incorporate it into their daily practices as nurses. This becomes natural for them and patients benefit because they are receiving the best evidence-based practices (Mick,2017).
Developing a Culture of Evidence-Based Practice Assignment
References
Melnyk, B. M. (2012). Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. Nursing Administration Quarterly, 36(2), 127–135. doi:10.1097/NAQ.0b013e318249fb6a
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Mick, J. (2017). Funneling evidence into practice. Nursing Management, 48(7), 27–34. https://doi-org.ezp.waldenulibrary.org/10.1097/01.NUMA.0000520719.70926.79
Bottom of Form
Respon
d
to the two
o
f pos
t below
by offering additional ideas to overcome the barriers to strategies
suggested by your colleagues and/or by offering additional ideas to facilitate dissemination
.
POST 1
I
mage
what
it
would
be
like
for
dissemination
across
the
board
within
the
healthcare
system.
It
seems
like
a
difficult
goal
to
reach.Developing a Culture of Evidence-Based Practice Assignment
Two
strategies
that
I
would
be
inclined
to
use
are
with
the
use
of
a
treatment
bundle;
the
IHI
defines
a
bundle
as
“a
str
uctured
way
of
improving
the
processes
of
care
and
patient
outcomes:
a
small,
straightforward
set
of
practices
generally
three
to
five
that
when
performed
collectively
and
reliably,
have
been
proven
to
improve
patient
outcomes”
(Taenzer
et
al.,
2017).
For
example,
if
I
wanted
to
bring
forth
a
change,
I
would
do
it
as
a
process
and
have
focus
areas
of
what
changes
needed
to
be
made.
Often
with
the
change,
if
there
are
too
many
things
at
once,
your
staff
can
only
remember
parts
of
it,
and
then
the
whole
chang
e
will
not
occur.
Another
strategy
I
would
use
is
to
engage
with
stakeholders
within
my
team
by
building
trust,
connecting,
and
establishing
goals
for
the
intending
project.
This
way
a
draft
can
be
created,
and
agenda
plans
for
upcoming
meetings
can
be
est
ablished.Developing a Culture of Evidence-Based Practice Assignment
I
would
ensure
I
was
ready
to
present
the
project
to
my
team
by
use
of
a
PowerPoint
presentation
with
clear
topic
ideas
and
plan
for
implementing
the
process
change.
Two
barriers
I
might
encounter
when
using
the
dissemination
strategies
are
ins
ufficient
staff
training.
If
enough
training
is
not
provided
on
the
new
project
plan,
then
employees
will
likely
not
want
or
understand
the
importance
of
participating
in
the
process
change.
To
overcome
this,
I
would
address
the
supervisors’
importance
to
monitor
staff
closely
with
the
process
change
and,
if
things
are
not
working
well
address
the
employee
and
offer
further
training.
Another
barrier
could
be
an
employee
just
not
accepting
the
process
change.
To
address
this,
Gallagher
–
Ford
et
al.
explained
the
importance
of
helping
project
participants
realize
they’ll
be
doing
the
same
thing
they’ve
been
doing,
just
more
efficiently
and
effectively.
With
this
mindset
it
will
help
to
allow
them
to
accept
the
new
process.
Overall,
working
with
all
stakeholders
closely,
addressing
the
issues
along
the
way,
and
listening
when
needed
will
allow
for
a
smooth
transition
into
the
new
work
flow.
Developing a Culture of Evidence-Based Practice Assignment
