Dissemination Strategies of Evidence-Based Practice Essay

By Day 3 of Week 9

By Day 6 of Week 9

  Dissemination of Evidence-Based Practice 

Evidence-based practice is only as effective as its ability to be shared understood and carried out.  Multiple strategies exist to disseminate this information to those who can utilize the data and make changes in patient safety. An article by Gallagher-Ford et al. (2011) shares the process of enacting a new protocol designed by the pertinent evidence-based practice.  Theirs is a multiple-step process, but steps to their plan can be utilized on a smaller scale to properly distribute information.  My research has demonstrated that although changes within the hospital can significantly impact patient outcomes post-STEMI, that total ischemic time, or the time from onset of STEMI to balloon time, not just arrival from arrival at the hospital, is imperative in improving patient outcomes.  Therefore, information must not only be disseminated to the healthcare workers involved, but also to the continuously growing community of cardiac patients.

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                                                                            Strategies Preferred  

The first step involved is “engaging the stakeholders” (Gallagher-Ford et al., 2011). As it is impossible to accomplish change without the support of peers, leadership, and upper administration, specific strategies are required to educate these individuals. Two suggested in the article are “spend[ing] time and effort building trust” and “solicit[ing] input from stakeholders” (Gallagher-Ford et al., 2011, p. 54).  Without a team behind you, it is impossible to achieve such a significant goal, therefore these two strategies are key to establish a team and publicize the data. You can use many methods to gather input. Technology allows us to send educational posters and fliers by email with attached surveys and quizzes to understand perception.  Utilizing social marketing is key to my project as well, as the research I have discovered shows that community understanding of when to come to the emergency room is vital to patient outcomes. Brownson et al. (2018) share an important point when they state that “the

dissemination of research to nonscientists is enhanced when messages are framed in ways that evoke emotion and interest and demonstrate usefulness” (p. 103).

                                                                      Unlikely Strategies to Use 

I am unlikely to write an article for a peer-reviewed journal as it does not address my target audience which is the leadership of my organization, the healthcare workers involved in STEMI care, and the general public. In order to reach mass amounts of people, face-to-face meetings such as podium talks, seminars, and health fairs are impossible due to the current state of our country regarding social distancing and the pandemic. Therefore, I would presently avoid these methods.

                                                                              Two Barriers 

A significant barrier to using social media and marketing to reach the community is the difficulty of measuring outcomes, the ability to follow up to evaluate understanding, and conveying a message that will enact change. Secondly, reaching large audiences with a campaign can be costly and requires significant backing from your organization to place advertising such as posters, bus signs, online ads, etc. (George et al., 2016).  This barrier can be overcome by “appeal[ing] to an audience in a way in which the benefits (eg, lives saved by a new policy) outweigh the risks (eg, economic or opportunity costs” (Brownson et al., 2018, p. 104).

It is possible to overcome financial barriers by appealing to the organization’s goals. In order to obtain backing, it is essential to prove how an increase in the education of the community would benefit costs, readmission rates, and overall patient outcomes.

Overcoming these barriers and applying these strategies has the potential to significantly improve patient outcomes related to STEMI care.  Therefore, we must strive to clearly and accurately disseminate the information to health care professionals and patients in the hospital as well as the community.

                                                                                            References 

Brownson, R. C., Eyler, A. A., Harris, J. K., Moore, J. B., & Tabak, R. G. (2018). Getting the word out: New approaches for

disseminating public health science. Journal of Public Health Management and Practice, 24(2), 102–111.

https://doi.org/10.1097/phh.0000000000000673

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. AJN, American Journal of Nursing, 111(3), 54–60.

https://doi.org/10.1097/10.1097/01.naj.0000395243.14347.7e

George, K. S., Roberts, C. B., Beasley, S., Fox, M., & Rashied-Henry, K. (2016). Our health is in our hands. American Journal of

          Health Promotion, 30(4), 283–286. https://doi.org/10.1177/0890117116639559

Dissemination Strategies of Evidence-Based Practice Essay sample 3

EBP  Dissemination Strategies 

The art of dissemination is described by Melnyk & Fineout-Overholt (2019), as spreading information widely so as to increase the circulation of information to others.

Dissemination Strategies

Two means of dissemination I would be inclined to use would be a presentation in meetings for people who are

stakeholders within the mental health arena. This could include multiple people such as nurses, doctors, administrators, the public, and also legislative persons.  Another means of dissemination I would prefer to use is social media or a mental health website Dissemination Strategies of Evidence-Based Practice Essay.  According to Osha, Lerma, and Topf, 2020,  visual abstracts increased the visibility of research and have become good tools for dissemination resulting in greater views.

Least Dissemination Strategies

       Email would be my least dissemination strategy.  The reason is email is designed for quick connections not for a

complete assessment of my information regarding adolescent mental health. This could become quite time consuming for the reader. A possible quick message regarding an upcoming meeting or webinar could be used .  Persons should be able to ask questions about new or different information and not just spoon fed.

Barriers to Overcome

       My limited knowledge and experience would be one barrier to dissemination strategies.  Overcoming this would

require study and research on my development of my process of dissemination and of course more experience. Talking with peers and reading would enrich my ability (Forgarty International Center, 2020).  Another barrier for the dissemination strategy may include getting information published on a mental health website. This could be overcome with use of an online journal club whichprovides opportunity for access to greater amounts of information from clinicians on particular subject matter (Melnyk & Fineout-Overholt, 2019) Dissemination Strategies of Evidence-Based Practice Essay.

References

Fogarty International Center. 2020. Toolkit Part 3: Dissemination Strategies  in Evidence-Based Policy and Practices. https://wwwfic.nih.gov

Melnyk, B. & Fineout-Overholt, E. (2019). Evidence-based practice in nursing and healthcare: A guide to best practice. (4th ed.)

Wolters Kluwer Osha, S., Lermer, E. Topf, J., (2020). A Picture is worth a thousand views: A triple crossover trial of visual abstracts to

examine their impact on research dissemination. Journal of medical internet research [J. Med Internet Res] 2020.  Vol 22 (12). pp e22327 

Dissemination Strategies of Evidence-Based Practice Essay sample 3

Main Post

Evidence-based practice has become a vital component in the modern healthcare system due to the need for continuous efficiency and quality services. Curtis, Fry, Shaban, and Considine (2017) note that most healthcare facilities rely on EBP to improve and revolutionize processes for better patient outcomes. Medication errors are among the most outstanding factors affecting different healthcare institutions across the world. For this reason, there is a need to develop and disseminate EBP among nurses and other professionals working in healthcare facilities Dissemination Strategies of Evidence-Based Practice Essay.

Disseminating clinical evidence in a healthcare environment targets all stakeholders, including physicians, nurses, other healthcare workers, and administration. Gallagher-Ford et al. (2011) note that presentations have been effective in helping nurses share new clinical and healthcare practices Dissemination Strategies of Evidence-Based Practice Essay. The use of a podium presentation is ideal for healthcare facilities, especially among nurses. Nurses can use the presentations to relate EBP to real problems facing nurses. For instance, presentations have been effective in helping improve the relationship between nurses and members of management by replicating strategies that have worked in other regions. Podium presentations include question and answer sessions that allow the presenter to take questions and suggestions from the audience.

The other suitable dissemination strategy for a healthcare environment is the use of poster or artwork presentation. Melnyk et al. (2011) point out that the selection of communication strategy for EBP evidence must consider the effective methods for the target audience. Poster messages in strategic locations within a healthcare facility can reach a vast target audience. Dissemination Strategies of Evidence-Based Practice Essay The suitability of poster presentations rests on their simplicity to develop and disseminate with little cost and effort.

Newhouse et al. (2007) and Melnyk (2012) identify professional bodies, corporate websites, journal publications, and educational events as the common strategies used to disseminate EBP evidence. However, these strategies are undesirable when trying to reach out to a particular group of people within a healthcare facility. Many nurses are not members of professional bodies or take the time to read journal publications or attend educational events.

Melnyk et al. (2017) note that challenges in disseminating EBP evidence affect the implementation of new clinical and health practices. Some of the barriers expected in podium presentation include a lack of time to answer all questions and keeping the audience interested. Another concern with podium presentation, is the lack of space due to current social distancing guidelines. Barriers expected in poster presentation include limited space available to include information and the inability to easily update information Dissemination Strategies of Evidence-Based Practice Essay.

Overcoming these barriers includes building positive relations with all stakeholders. Such a relationship will be a starting point when seeking to engage and communicate any new evidence or practice that can improve the health outcomes of patients. When all stakeholders know the importance of innovative clinical evidence, they will warm up to podium and poster presentation that communicate this information. Therefore, presenters need to keep their target audience prepared through sustaining positive relations and awareness to create a receptive environment for EBP evidence.

References

Curtis, K., Fry, M., Shaban, R. Z., & Considine, J. (2017). Translating research findings to clinical nursing practice. Journal of Clinical Nursing, 26(5-6), 862-872. https://doi-org.ezp.waldenulibrary.org/10.1111/jocn.13586

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. https://journals.lww.com/ajnonline/Fulltext/2011/03000/Evidence_Based_Practice,_Step_by_Step_.31.aspx

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. https://oce-ovid-com.ezp.waldenulibrary.org/article/00006216-201204000-00006/HTML

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. https://oce-ovid-com.ezp.waldenulibrary.org/article/00000446-201109000-00027/HTML

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. https://doi-org.ezp.waldenulibrary.org/10.1111/wvn.12188

Newhouse, RP, Dearholt, S, Poe, S, Pugh, LC, & White, KM. (2007). Organizational change strategies for evidence-based practice. JONA: The Journal of Nursing Administration, 37(12), 552–557. https://doi-org.ezp.waldenulibrary.org/10.1097/01.nna.0000302384.91366.8f

Dissemination Strategies of Evidence-Based Practice Essay sample 4

Dissemination is essential for professional research and learning and is a key step in the evidence-based practice process within the health care system and should incorporate quality improvement (Melnyk & Fineout-Overholt, 2018).  When planning to search for evidence for a project research study and searching for the best evidence it is imperative to use evidence-based research tools such as systematic reviews, clinical practice guidelines, expert committee reports, and single studies using resources such as journals, websites, books, bibliographic databases (Melnyk & Fineout-Overholt, 2018). Dissemination Strategies of Evidence-Based Practice Essay  Two dissemination strategies I would use would be sharing information over social media and creating pamphlets and flyers.  I chose social media because in this age of time most of the world is networking, marketing, working, socializing, and even buying clothing, housing goods, and food on social media (RHI, 2021).  I chose pamphlets and flayers because the majority of people are visual, if something catches their eyes they are more prone to reading what is on the pamphlet and flyer’s as opposed to reading a journal (RHI, 2021).  With pamphlets and flyers, you are able to get your point across with short statements adding color and flair to make it attractive for the public eye who is not in school trying to put together a research paper.  I know what’s most attractive to me colorful flyers and pamphlets and social media is.

The least dissemination strategy I would use is a national journal.  The reason says I do not like national journals is because not everyone reads national journals.  I’ll be honest, the only reason I have ever read a national journal was that I was either in school and needed to write a paper or research something for work.  I don’t believe a typical person reads national journals. Dissemination Strategies of Evidence-Based Practice Essay I have asked all of my patients this week if they have ever read a national journal before and 1/20 people said that they have read a national journal and that is because she is a retired nurse.

With every negative, there is a positive and with every positive, there is a negative.  Social media is a great way to get information across to people, but the downfall of social media is that there is no filtering or system for peer review which means that the information that is placed on social media can be changed to false information that is not supported by evidence-based information.  Anyone can write a blog “proven by studies” and no factual evidence-based information is used.  To overcome these barriers is a challenge but can be managed by educating to the public on how to decipher fake information from real information.  It is crazy to me that some people are satisfied looking up information to support their opinion instead of using resourceful evidence-based sources to form an opinion even if it goes against their beliefs and opinions Dissemination Strategies of Evidence-Based Practice Essay.  I think education is the key to everything in life, how do we know what is real and fake if we don’t have the resources to know that there is fake news and real news.  I encounter this on a day-to-day basis.   

References

Melnyk, B. M.K., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4^th ed.). Philadelphia, PA: Wolters Kluwer.

Rural Health Information. (2021).  Methods of Dissemination retrieved from https://www.ruralhealthinfo.org/toolkits/rural-toolkit/6/dissemination-methods

Dissemination Strategies of Evidence-Based Practice Essay sample 5

Dissemination Strategies of EBP

 To keep my theme of reduction of medication administration errors going, I chose to write on the implementation of patient identifiers in my workplace through best evidence-based practice. To begin, this would be geared towards the treatment team side of our unit; nurses, mental health techs (MHT), resident counselors (RC) and supervisors from each disciplinary. Leadership is critical to build organizational readiness for change (Newhouse, et al., 2007). To support nurses’ readiness to implement EBP adequate training, management support, and system access all must be provided (Rahmayanti, et al., 2020).

Possible 2 Dissemination Strategies

The first strategy to disseminate evidence of patient identifiers would be using a roundtable presentation model. Choosing this model allows for a more personable approach and includes the frontline employees that this implementation will affect the most. Including supervisors of nurses, MHTs, and RCs and one employee from both day shift and night shift will provide a well rounded group to discuss the practical application of the content (Melnyk, et al., 2018). Dissemination Strategies of Evidence-Based Practice Essay Providing hand-outs of pertinent information and possible step-by-step procedures would be a great way to show key points of the implementation of patient identifiers as well as give the opportunity for suggestions and tweaks to the processes (Melnyk, et al., 2018).

The second strategy to disseminate evidence of patient identifiers would be the use of poster presentations of the finalized step-by-step process that was decided upon during the roundtable presentation. This poster would piggy-back from the handout and would be placed in areas of importance such as assessment rooms, patient belonging rooms, and could also be emailed out for quick reference. The initial roll out of this implementation would be given by upper management during an all-staff meeting. Using the poster presentation would allow for interaction amongst co-workers and create a sharing and learning environment (Melnyk, et al., 2018).

Not Recommended 2 Dissemination Strategies

One strategy that is overused by leadership at my job is media in the form of video messages. The reason it is not a recommended strategy is the impersonal and fact driven approach that each video emits. There is no option for staff to interact or ask questions about information that is given. It is also hard to take the video seriously when you are asked to get on YouTube to watch a homemade video with comedic effects on matters that most staff deem not of the highest importance. Another strategy that would not be recommended is the organizational level presentations. It is hard to touch on specific topics when such a broad presentation is being given. For this instance, the implementation would not be at the organizational level, therefore, not a good recommendation for the dissemination of evidence.

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Two Barriers

The first barrier to the strategies chosen for dissemination of evidence would be support of leadership. This would include leadership approving change in process, adding new policies to support the implementation, and of course, budgeting to allow for supplies needed. The second barrier to the strategies chosen is the willingness of frontline staff to implement change in their processes and procedures. With change comes push-back, especially in healthcare. To have a successful implementation of evidence-based practice leadership must support the plan, training and requirements of staff must be flexible to fit schedules, and the incorporation of models and tools (Newhouse, et al., 2007).

Responses

Mazurek Melnyk, B., & Fineout-Overholt, E. (2018). Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry. In Evidence-Based Practice in Nursing and Healthcare (4th ed., pp. 555–556). Philadelphia : Wolters Kluwer Health.

 Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). Organizational change strategies for evidence-based practice. JONA: The Journal of Nursing Administration, 37(12), 552–557. https://doi.org/10.1097/01.nna.0000302384.91366.8f

Rahamayanti, E. I., Kadar, K. S., & Saleh, A. (2020). Readiness, Barriers and Potential Strength of Nursing in Implementing Evidence-Based Practice. International Journal of Caring Sciences, 13(2), 1203-1211 Dissemination Strategies of Evidence-Based Practice Essay.