Melnyk and fineout overholt 2019

Respond to Marco and Cody by offering additional ideas to overcome the barriers to strategies suggested by your colleagues and/or by offering additional ideas to facilitate dissemination.

Marco

RE: Discussion - Week 10 main post

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Dissemination of Evidence-based practice (EBP) is a targeted sharing of information with stakeholders involved in a particular policy or practice change. Several different strategies can be utilized to share this information. One such strategy in an active dissemination strategy is an organizational-wide presentation (Fineout-Overholt, Gallagher-Ford, & Mazurek-Melnyk, 2011). This strategy focuses on the sharing of information within the organization in which the EBP change will take place. I would be inclined to utilize this strategy in my EBP practice change project. This strategy involves the stakeholder in the organization and offers a live presentation in which questions and active participation is encouraged. Another strategy that appears to be effective in disseminating the information to staff that will be affected directly is a unit-level presentation (Melnyk & Fineout-Overholt, 2019). One way to make this strategy to disseminate this practice change is to obtain buy-in from a champion in the department, such as the department manage or lead attending physician. Procuring this collaboration would improve stakeholder participation and acceptance of the information and practice change.

It is possible that these two strategies mentioned above could face some barriers to information dissemination. One such barrier that can be anticipated is a lack of buy-in from the organization based on the cost of the change in practice. One way to mitigate this challenge is to have information on how this will benefit the community and improve the reputation and legitimacy of the hospital. We will be able to demonstrate, and report improved outcomes for our patients during the evaluation phase of the practice change (Agency of Healthcare Research and Quality, 2012). This will, in turn, improve community utilization of the hospital, thereby improving hospital revenues. Another barrier that can be foreseen is a lack of attendance to the presentation by staff and other stakeholders. This problem could be eliminated if we elicit the participation of the department manager or champion of the department. If attendance to this presentation is made mandatory by the department heads, then the problem of lack of attendance will not be an issue, thus making the dissemination of the evidence-based policy change a success.

References

Communication and Dissemination Strategies To Facilitate the Use of Health-Related Evidence. (2012). Retrieved January 27, 2020, from

https://effectivehealthcare.ahrq.gov/products/medical-evidence-communication/research-protocol

Fineout-Overholt, E., Gallagher-Ford, L., & Mazurek-Melnyk, B. (2011, July). Evidence-Based Practice, Step by Step: Evaluating and Disseminating the Impact of an Evidence-

Based Intervention: Show and Tell. AJN, 111, 56-59. http://dx.doi.org/doi: 10.1097/01.NAJ.0000399317.21279.47

Melnyk, B., & Fineout-Overholt, E. (2019). Evidence-Based Practice (Fourth ed.). Philadelphia, PA: Wolters Kluwer.

3 hours ago

Cody

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As healthcare grows and changes, so must the way we acquire and grow our knowledge and the way it gets delivered. More commonly we focus on evidence-based practice (EBP) to gain the most up to date scientific data and information. Evidence-based practice is the integration of best research evidence with clinical expertise (including internal evidence) and patient values to facilitate clinical decision making (Melnyk & Fineout-Overholt, 2018). We deliver this information through a process known as dissemination. Dissemination is the process of distributing or circulating information widely (Melnyk & Fineout-Overholt, 2018). There are many different methods one can use to disseminate EBP to an organization or mass of people. EBP is a vital part of healthcare. EBP is an essential component of professional nursing, a crucial competency for healthcare providers, and a basic force in Magnet hospitals and results in better patient outcomes and higher levels of nursing autonomy (Newhouse, Dearholt, Poe, Pugh & White, 2007).

Personally, I would start on a small level to disseminate EBP. For example, start at an email process to a department head i.e., manager or clinical coordinator. Once having the emailing the individual I would follow up in person. Then recruiting an individual of this status would help aid the process to make the EBP move easier and better. This would help in taking the EBP move to an organizational level when have backing from stakeholders or people in positions to help make the transition and EBP push smoother. I also would utilize an educational presentation in conjunction with reaching out to the department head. Once the EBP and data is presented to these individuals it would also help to make the transition to an organizational level easier too. These two methods together can work cohesively and be able to use multiple methods at once to push the EBP and better enhance patient care.

With any process barrier can be encountered. One barrier might be leadership lack of buy in per say or support from management staff. This is a big factor to balance. If we are unable to convince management, the EBP will most likely not happen. Secondly, is the environment and culture of the organization itself (Melnyk, 2012). So, these are factors that are essential to keep in mind with any EBP movement. Thinking about the plan and adapting it to the culture of the organization is aspect to keep in mind. You must make the plan fit the organization. Also, another way is to have all the factors and data needed to support the EBP plan you are trying to push. Be prepared to answer questions and have support to make valid proof. Next, having effective communication skills and the ability to present information to keep the attention of the intended audience. The presenter must be versed and able to keep the information presented in a timely and purposeful manner. Practicing and preparing the information will help aid in making it a seamless transition.

Personally, I would not use video presentation or having someone else present for me. I feel this is less personal and would make me question why someone wants to do something but has someone else do the work for them. Now, I am no public speaker but, I would practice and do the work myself. This shows the personal aspect and personal passion behind the process. Ultimately, have support and doing the work shows passion and purpose to anything. Getting the information to the right hands can help to better care for our patients. Using EBP is essential and it is up to us as EBP practitioners to convey the information and use our abilities to help provide the best care for our patients and better our profession.

References

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare:

A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

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

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. doi:0.1097/01.NNA.0000302384.91366.8f. Retrieved from

http://downloads.lww.com/wolterskluwer_vitalstream_com/journal_library/nna_0002044

3_2007_37_12_552.pdf

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