Developing a Culture of Evidence-Based Practice Essay

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP. In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry. To Prepare: Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP. Developing a Culture of Evidence-Based Practice Essay. This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals. Reflect on which type of dissemination strategy you might use to communicate EBP. By Day 3 of Week 9 Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified. By Day 6 of Week 9 Respond to at least two of your colleagues on two different days by offering additional ideas to overcome the barriers to strategies suggested by your colleagues and/or by offering additional ideas to facilitate dissemination. Main Posting– Novice 45 (45%) – 50 (50%) Competent 40 (40%) – 44 (44%) Proficient 35 (35%) – 39 (39%) New Column4 0 (0%) – 34 (34%) Main Post: Timeliness– Novice 10 (10%) – 10 (10%) Competent 0 (0%) – 0 (0%) Proficient 0 (0%) – 0 (0%) New Column4 0 (0%) – 0 (0%) First Response– Novice 17 (17%) – 18 (18%) Competent 15 (15%) – 16 (16%) Proficient 13 (13%) – 14 (14%) New Column4 0 (0%) – 12 (12%) Second Response– Novice 16 (16%) – 17 (17%) Competent 14 (14%) – 15 (15%) Proficient 12 (12%) – 13 (13%) New Column4 0 (0%) – 11 (11%) Participation– Novice 5 (5%) – 5 (5%) Competent 0 (0%) – 0 (0%) Proficient 0 (0%) – 0 (0%) New Column4 0 (0%) – 0 (0%) Resources Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer. Chapter 10, “The Role of Outcomes on Evidence-based Quality Improvement and enhancing and Evaluating Practice Changes” (pp. 293–312) Chapter 12, “Leadership Strategies for Creating and Sustaining Evidence-based Practice Organizations” (pp. 328–343) Chapter 14, “Models to Guide Implementation and Sustainability of Evidence-based Practice” (pp. 378–427) Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Implementing an evidence-based practice change. American Journal of Nursing, 111(3), 54–60. doi:10.1097/10.1097/01.NAJ.0000395243.14347.7e. Retrieved from. Developing a Culture of Evidence-Based Practice Essay. https://journals.lww.com/ajnonline/Fulltext/2011/03000/Evidence_Based_Practice,_Step_by_Step_.31.aspx Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). Organizational change strategies for evidence-based practice. Journal of Nursing Administration, 37(12), 552–557.

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doi:0.1097/01.NNA.0000302384.91366.8f Note: You will access this article from the Walden Library databases. 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 Note: You will access this article from the Walden Library databases. Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Sustaining evidence-based practice through organizational policies and an innovative model. American Journal of Nursing, 111(9), 57–60. doi:10.1097/01.NAJ.0000405063.97774.0e Note: You will access this article from the Walden Library databases. Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Choy, K. (2017). A test of the ARCC© model improves implementation of evidence-based practice, healthcare culture, and patient outcomes. Worldviews on Evidence-Based Nursing, 14(1), 5–9. doi:10.1111/wvn.12188 Note: You will access this article from the Walden Library databases. Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Sustaining evidence-based practice through organizational policies and an innovative model. American Journal of Nursing, 111(9), 57–60. doi:10.1097/01.NAJ.0000405063.97774.0e Note: You will access this article from the Walden Library databases.

Nurses and Nurse Practitioners (NPs) are at the center of ensuring patient safety and delivering high-quality patient-centric care. One of the most effective strategies used by nurses and NPs to deliver quality care is evidence-based practice (EBP). However, implementing and sustaining EBP in clinical settings requires a strong foundation anchored on an organization’s philosophy, mission, vision, and objectives, and organizational culture (Gallagher-Ford, Buck & Melnyk, 2018).Developing a Culture of Evidence-Based Practice Essay.  In this paper, the author discusses the most and least likely dissemination strategies to use to communicate EBP and potential barriers that may be encountered during dissemination. Nurses play a critical role as peer leaders in promoting EBP and developing EBP programs and clinical guidelines for best practice.

Dissemination Strategies

Poster Presentations

Poster presentations allow a researcher to summarize research projects in an aesthetic and concise format. Therefore, when done appropriately,   posters are an attractive and succinct way to share research findings with staff in meetings or conferences. Good posters can generate discussions among members of an audience. Posters are usually set up as billboards or monitor screens in strategically designated areas to reach a broad audience. According to Melnyk & Fineout-Overholt (2018), posters encourage a two-way exchange of information where a researcher engages with members of an audience who the similar interests as that of a researcher. Besides, they are cost-effective, less formal, and less anxiety-provoking for a presenter.

In the author’s organization, the in charge of the quality assurance department used poster presentations to inform staff about updated clinical guidelines for various clinical practices such as stepwise management of asthma,  diagnosing and managing COPD, and hand hygiene among others. However, before dissemination,  the in-charge printed a  version of the guidelines and posted it at the nursing station to be viewed by staff and each team that received the guidelines was to sign as a sign of acknowledgment and understanding the guidelines. Developing a Culture of Evidence-Based Practice Essay.

Podium Presentations

Podium presentations provide a researcher with the opportunity to share research findings with a large audience. Members of an audience can also seek clarification of important data from a researcher and ask questions as a strategy to promote two-way feedback (Betz et al, 2018).  A perfect example of where podium presentations are used is in nursing doctoral programs. Doctoral programs provide nursing students with the opportunity to build, enhance, and refine their research, communication, and critical thinking skills before sharing project outcomes in a panel of assessors.

Dissemination Strategies That Would Be Least Inclined

The less preferred dissemination strategy by the author is the use of online modules as they require extra dedication from staff members to learn, understand, and provide feedback. However, most nurses agree to comprehend online modules without comprehensively reading the modules. As a result, staff members obtain very minimal information to implement in practice.

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Potential Barriers and How to Overcome

A major barrier with poster presentations is the lack of feedback which is important in determining areas that may need changes during implementation into practice for more successful outcomes. According to Melnyk & Fineout-Overholt (2018), the best way to address this barrier is by having unit champions who not only advocate for the implementation of EBP intervention in practice but also help in collecting, analyzing, and communicating feedback.

When making a podium presentation, the most likely barrier to encounter is poor attendance of clinical nurse leaders and this may hinder the effective implementation of evidence-based research findings into practice. Another barrier is limited time which can prevent a presenter from disseminating more important data to an audience. To address these barriers, the scheduling of the presentations should be timed with the availability of most clinical nurse leaders.  Developing a Culture of Evidence-Based Practice Essay.During the presentation, a presenter should allocate specific time to each component in a presentation as this will help to ensure a more accurate presentation.

References

Betz, C. L., Smith, K.A., Melnyk, B.M., & Tassa, T. (2018). Disseminating evidence through

presentations, publications, health policy briefs, and the media. In B.M. Melynk, & E.

Fineout-Overholt, Evidence-based practice in nursing & healthcare: A guide to best

practice (4^th ed.). Philadelphia, PA: Wolters Kluwer.

Gallagher-Ford, L., Buck, J.S., & Melnyk, B.M. (2018). Leadership strategies for creating and sustaining evidence-based practice organizations. In B.M. Melnyk, & E Fineout-Overholt, Evidence (4th ed.). Philadelphia, PA: Wolters Kluwer.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer. Developing a Culture of Evidence-Based Practice Essay.