Discussion: Developing a Culture of Evidence-Based Practice
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.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 9Post 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 9Respond 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.Discussion reply one same requirements (Micheal)Given the ubiquitous nature of information available, due to research leading up to information overload following from advancement in technology and the urge to seek new applicable ways of approaching health care and patient safety based on evidence based practices, the need for information dissemination precedes its implementation. Following from the above excerpt, I will like to share on some of the means to information dissemination commonly used either on a professional scale or a semi formal setting.Depending on the type and nature of the information needed to be circulated, information dissemination can take the form of power point presentation, use of informative pamphlets, texting, emailing, use of poster boards and bill boards, use of television or radio announcements and the use of skype or other Internet based platforms like zoom for meetings. Based on the above listed information dissemination techniques, the strategy I would be most inclined to use will be the power point conference presentation style and the use of either skype or zoom for meetings or presentation. “Teams may also want to develop a key driver diagram to assist with initial planning by illustrating the pathway from development of the aim statement to achievement of the outcome.” (Melnyk, 2018, p303)My use of power point presentation centers on the need to have a captive audience, who understand the purpose and intent of our meeting and have the urge and desire for new information. “Using the standard templates and themes, you can create something visually appealing, even if you do not have much knowledge of basic graphic design principles.” (Retrieved, 2021). The use of power point presentation style not only presents with slides and picture with a presenter going over the information, this style presents with three variations to presenting the same information; the presenter speaks about the information, the power point slides back up what is been said and the pictures from the power point gives a pictorial perspective of the information disseminated this concept makes it a wining combination for attendees in the conference who learn new information using different dissemination styles. My use of zoom for meetings or presentation will center on the concept of convenience and the ease to reach across a wide global perimeter with the click of a button using an Internet based platform, its simplicity can be useful in moments where physically meeting will rob attendees of the time needed to travel, lodge and set up while the zoom meeting can be done at the comfort of our respective houses or offices without loosing the essence of the information communicated.From the aforementioned modes of information dissemination, the style I may not be inclined to use includes but is not limited to the following; emailing this is a form of communication that presents as informal and information tends to get mixed up in the junk mail or Spam folder, texting is another form of disseminating information but also comes across as informal even though it may be a quicker source to get once attention, it is definitely not a preferred platform for disseminating evidence based material.Based on my aforementioned intended method of information dissemination; power point presentation and the use of zoom for meetings and or presentations, some of the barriers I may encounter when using these platforms include the following; the problem of microphone not working or the presentation not downloading properly based on how it was formatted or its compatibility with the system, in the case of zoom, distraction could be a big factor since the meeting is done over the Internet at the comfort of each attendees environment, the lack of adequate streaming capacity due to Internet provider could also be a detrimental factor to consider. Some interventions that could help overcome the above mentioned barriers are; making sure the computer and microphone that is intended for use has been checked, tested and information intended for use has been uploaded and tested at least a day prior to the presentation to allow ample time for trouble shooting if the need arise. “In anticipation of the stakeholder kick-off meeting, Carlos and the team discuss the fundamentals of preparing for an important meeting, such as how to set up an agenda, draft key documents, and conduct the meeting. They begin to discuss a time and date for the meeting. Carlos suggests that Rebecca and Chen meet with their nurse manager to update her on the project’s progress and request her help in scheduling the meeting.” (Gallagher, et al., 2011). For the purpose of a hitch free meeting or dissemination over zoom, the organizers need to reach out at least two days prior to the meeting with a list of etiquette that attendees must adhere to alongside any recommendations for trouble shooting should attendees encounter platform emergencies.ReferencesGallagher-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 https://journals.lww.com/ajnonline/Fulltext/2011/03000/Evidence_Based_Practice,_Step_by_Step_.31.aspxMelnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.Retrieved January 25, 2021, from https://www.sophia.org/tutorials/the-advantages-and-disadvantages-of-powerpointDiscussion reply one same requirements (Deana)Main PostEven 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.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).ReferencesMelnyk, 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.0b013e318249fb6aMelnyk, 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