NURS 6052 Week 9 Discussion Developing a Culture of Evidence-Based Practice
Walden University NURS 6052 Week 9 Discussion Developing a Culture of Evidence-Based Practice-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NURS 6052 Week 9 Discussion Developing a Culture of Evidence-Based Practice assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
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Whether one passes or fails an academic assignment such as the Walden University NURS 6052 Week 9 Discussion Developing a Culture of Evidence-Based Practice depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NURS 6052 Week 9 Discussion Developing a Culture of Evidence-Based Practice
The introduction for the Walden University NURS 6052 Week 9 Discussion Developing a Culture of Evidence-Based Practice is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NURS 6052 Week 9 Discussion Developing a Culture of Evidence-Based Practice
After the introduction, move into the main part of the NURS 6052 Week 9 Discussion Developing a Culture of Evidence-Based Practice assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NURS 6052 Week 9 Discussion Developing a Culture of Evidence-Based Practice
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NURS 6052 Week 9 Discussion Developing a Culture of Evidence-Based Practice
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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In contemporary healthcare, evidence-based practice has become crucial in ensuring quality and optimal care. According to Gallagher (2011), EBP is associated with nurses’ effective and efficient performance since it offers the knowledge to solve several clinical issues. Ideally, disseminating evidence enables healthcare practitioners to share and advocate for using EBP in healthcare. Nurses and clinicians can share and advocate for the development and integration of EBP in medical practice due to the sharing of evidence.
Dissemination Strategies
To disseminate EBP, my initial technique would be to use electronic poster presentations. Electronic poster presentations can be established on screens in various locations across healthcare institutions to reach a larger audience. An electronic poster presentation saves time and money while being “green” (Melnyk & Fineout-Overholt, 2018). For instance, in my healthcare organization, we use electronic poster boards, which are more efficient and time-saving since nurses can examine the content more regularly and in a more pleasant setting, such as our breakroom. Roundtable presentations are the second method of disseminating information. For instance, new EBP changes are communicated to inpatient units within the hospital during briefings before the start of each workday. Roundtable discussions allow for a more in-depth conversation with complete participation from the clinical team and possibilities for professional development (Harper et al., 2019).
Least Inclined Dissemination Strategy
The utilization of online modules would be the least inclined dissemination technique. Online modules are only helpful if the user completes the module and engages completely in the EBP. Several educational modules are offered to physicians; for instance, question if you have reviewed the message and provide a yes or no button. Most physicians do not even read the instructions and check the box indicating that they have completed the module when, in fact, they still need to.
Two Barriers and How to Overcome
I might have one barrier when using electronic poster presentations: there are no possibilities for learners to ask questions, and they lose the ability to be explicitly specified. A limited amount of space for education is available in an electronic poster presentation, similar to a PowerPoint presentation (Melnyk & Fineout-Overholt, 2020). The second hurdle to the diffusion strategy to roundtable presentations is that the number of clinical staff attending EBP presentations is limited. The EBP material cannot be pushed due to low attendance during roundtable presentations. One way to deal with these issues would be to advocate for implementing the EBP to aid in educating, promoting, and lobbying for change (Walden University, 2018). Some other strategies will include allowing enough time for clinical personnel to attend roundtables, complete online modules, and create easy-to-read electronic poster presentations with all relevant material.
NURS 6052 Week 9 Discussion Developing a Culture of Evidence-Based Practice
In the contemporary healthcare society, evidence-based practice has emerged to be very important in ensuring quality and optimal care. According to Gallagher (2011), EBP is associated with nurses’ effective and efficient performance since it offers the knowledge to solve several clinical issues. Ideally, the dissemination of evidence enables healthcare practitioners to share and advocate for the use of EBP in healthcare. Nurses and clinicians can share and advocate for the development and integration of EBP in medical practice due to the sharing of evidence.
Dissemination Strategies
To disseminate EBP, my initial technique would be to use electronic poster presentations. Electronic poster presentations can be established on screens in various locations across healthcare institutions to reach a larger audience. Using an electronic poster presentation saves time and money while being “green” (Melnyk & Fineout-Overholt, 2018). For instance, in my healthcare organization, we use electronic poster boards, which are more efficient and time-saving since nurses can examine the content more regularly and in a more pleasant setting, such as our breakroom. Roundtable presentations are the second method of disseminating information. For instance, new EBP changes are communicated to inpatient units within the hospital during briefings before the start of each workday. Roundtable discussions allow for a more in-depth conversation with complete participation from the clinical team and possibilities for professional development (Harper et al., 2019).
Least Inclined Dissemination Strategy
The utilization of online modules would be the least inclined dissemination technique. Online modules are only useful if the user completes the module and engages completely in the EBP. Several of the educational modules offered to physicians, for instance, question if you have reviewed the message and provide a yes or no button. Most physicians do not even read the instruction and check the box indicating that they have completed the module when, in fact, they haven’t.
Two Barriers and How to Overcome
When using electronic poster presentations, I might have one barrier: there are no possibilities for learners to ask questions, and they lose the ability to be explicitly specified. A limited amount of area for education is available in an electronic poster presentation, which is similar to a PowerPoint presentation (Melnyk & Fineout-Overholt, 2018). The second hurdle to the diffusion strategy to roundtable presentations is that the number of clinical staff attending EBP presentations is limited. The EBP material cannot be pushed due to low attendance during roundtable presentations. One way to deal with these issues would be to advocate for implementing the EBP to aid in educating, promoting, and lobbying for change (Walden University, 2018). Some other strategies will include allowing enough time for clinical personnel to attend roundtables, complete online modules, and create easy-to-read electronic poster presentations with all relevant material.
References
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.0000395243.14347.7eLinks to an external site.
Harper, M. G., Warren, J. I., Bradley, D., Bindon, S. L., & Maloney, P. (2019). Nursing Professional Development’s Spirit of Inquiry Focus Areas. Journal for Nurses in Professional Development, 35(3), 118–124. https://doi.org/10.1097/nnd.0000000000000515Links to an external site.
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Walden University (Producer). (2018). Evidence-based Decision Making [Video file]. Baltimore, MD: Author.
When it comes to educating the general public about prolonged emergency wait times and the effect that it has on patient outcomes, it is clear that the only way we can reach the majority of the population is through social media or mass communications (for example commercials, billboards, etc.) I would create a digital design that could be published on social media sites about appropriate visit types for primary care offices, urgent care centers, and for emergency rooms. There has also been an increase in urgent care that specializes in orthopedic care, which would be another topic that could be addressed. If we can get the proper patients to the proper level of care, then we could decrease the volume of the emergency rooms and be able to appropriately treat those patients.
The second dissemination strategy that I would use is the spread of billboards. I would show the same information, just in smaller amounts, on billboards, ideally in a sequence, and all in a row. This would catch the attention of people and would mainly be effective if these billboards were in a location that had urgent care and could give the appropriate exit.
The dissemination strategy that I would not use is publishing my research or direct presentation to staff. As staff hospital employees, we already know this information and deal with it daily. The most appropriate strategy that would make this research effective would be a presentation to the public. The barriers we would most likely see are if people do not have social media or maybe use transportation in an area where they would not see the billboards. In a perfect world, we would try to educate 100% of the population, but logically we know that is not possible. We need to look at ways that we can reach the maximum amount. If we see that there is not much change, or the same patient population is still misusing the ER, we would look and see if there would be a different strategy that would be more efficient.
Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals: Model and Guidelines, Fourth Edition. Sigma Theta Tau.
Tucker, S. J., & Gallagher-Ford, L. (2019). EBP 2.0: From Strategy to Implementation. AJN The American Journal of Nursing, 119(4), 50. https://doi.org/10.1097/01.NAJ.0000554549.01028.afLinks to an external site.
Schipper, K., Bakker, M., De Wit, M., Ket, J. C., & Abma, T. A. (2016). Strategies for disseminating recommendations or guidelines to patients: a systematic review. Implementation Science: IS, 11(1), 82. https://doi.org/10.1186/s13012-016-0447-xLinks to an external site.
NURS 6052 Week 9 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 10
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.
NURS 6052 Week 9 Discussion Developing a Culture of Evidence-Based Practice
By Day 6 of Week 10
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.
Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.
nit-level presentations are another great strategy that can be utilized as a method of facilitating dissemination of research. Sharing information during a change-of-shift huddle is a great way to share information with multiple staff members. Learning can be completed online through the hospital website and can consist of PowerPoint presentations.
Meeting deadlines can certainly be a challenge when it comes to publishing research. Setting goals for completing the article can help ensure that it is completed by a certain timeline. Different journals publish at different dates throughout the year. Time will also need to be allotted for article revisions, if needed. Looking ahead at approval deadlines and issue publishing dates can help plan out requirements and manage time constraints.
The lack of knowledge can pose a challenge when it comes to implementing evidence into practice. First, it is important to know your audience. For example, presenting information on bedside rounding would not be received or clearly understood by outpatient nurses. Having the information available in different languages and accounting for cultural differences is another great way to overcome the communication barrier and increase understanding of the intervention (Schipper et. al., 2016). My previous unit would have short educational briefings at the nurse’s station a couple of times a month. Though nurses are very busy in a shift, the charge nurse can also help to ensure that each nurse has time for a quick educational session. This is a great way to provide teaching on the research and aid in implementing interventions or change to practice.
References
Schipper, K., Bakker, M., De Wit, M., Ket, J. C., & Abma, T. A. (2016). Strategies for disseminating recommendations or guidelines to patients: a systematic review. Implementation Science: IS, 11(1), 82. https://doi.org/10.1186/s13012-016-0447-x
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9 months ago
Mindy Stringer
RE: Discussion – Week 10
Dissemination strategies aim to spread knowledge and the associated evidenced-based interventions on a wide scale within or across geographic locations, practice settings, or social or other networks of end-users such as patients and health care providers (Melnyk, Fineout-Overholt, Stillwell, Williamson, 2016).
Strategies can include large scale seminars to sharing small peer-reviewed articles with your co-workers after report. Sharing information can be done in various forms and forums. Once an evidenced-based change has been adopted or approved in your facility, the information must be transferred to the masses. One strategy is to introduce information in an all staff meeting. The new policy and procedure can be introduced and signed. Handouts, or power point presentations can be utilized to appeal to the visual and auditory learners. If the change includes hands on skill development, the watch one, do one teach one method is always helpful for those learners who may be more kinetic type learners (Walden Library).
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Foreseeable barriers include lack of staff buy in, lack of understanding, or financial issues within the budget of the facility. Ways to overcome these barriers include working in teams with education and support. Ongoing follow up to assure understanding and mastery of skills. Lastly assure that the evidenced-based change is also presented to and supported by the administrative team in order to include in the budgetary planning projects and fiscal justification. The more information and planning that can be done, the greater chance for success.
Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2016). Evidence-
based practice: step by step: igniting a spirit of inquiry: an essential foundation for evidence-based practice. The American Journal of Nursing, 109(11), 49–52. https://doi-org.ezp.waldenulibrary.org/10.1097/01.NAJ.0000363354.53883.58
Walden University Library. (n.d.). Databases A-Z:
Nursing. https://academicguides.waldenu.edu/az.php?s=19981
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9 months ago
Constance Cooper Walden Instructor Manager
RE: Discussion – Week 10
Mindy, You provided good ideas on how to disseminate change related to EBP. Change is difficult for many nurses so the presenter needs to understand the group and their individual needs. Often times the statement comes up “We have always done it this way” so now the presenter needs to help the challenging ones to understand. An example is when we changed from heparin locks to saline locks.
Evidence-based practice plays an immense role in contributing to optimum care outcomes in nursing practice. Nurses utilize evidence-based interventions to ensure their patients are assured to receive highest possible safety, quality, and efficiency in the care process. Nurses should be competent in disseminating evidence-based practice data to influence the profession. Therefore, the purpose of this paper is to explore the dissemination strategies that I may use in my practice and potential barriers that may be experienced in the process.
Dissemination Strategies
One of the dissemination strategies that I am most inclined to use in my practice is presenting results of my project in conferences. Often, nurses participate in scientific conferences that aim at increasing the availability of current evidence on nursing practice and healthcare. Nursing conferences provide immense opportunities to interact with other nurses and reach a wider audience with the project. It also offers the opportunity to get feedback on ways of improving the evidence-based practice project and enhancing its generalizability to different populations (Lewis et al., 2021). The impact of sharing the evidence-based practice intervention and results in a conference is significant since I can be offered an opportunity to publish it and lead similar evidence-based initiatives in nursing practice.
The second dissemination strategy that I am most inclined to use in my practice is publishing an article about the project and its outcomes. Publishing an article provides opportunities to reach the global audience and inform them about the need and significance of the project. It also informs future evidence-based practice projects in nursing (Mangold & Arring, 2019). Some of the credible publishers that I may consider to achieve this objective includes PubMed, EMBASE, and CINAHL among others. Publishing will contribute to my local, regional, and global recognition as a nurse scholar.
Least Inclined Dissemination Strategies
I am least inclined to use strategies such as forcefully implementing the evidence-based practice intervention in the organization without informing or involving the other organizational stakeholders. Accordingly, the adopters of the evidence-based intervention should be actively involved in assessing, planning, implementing, monitoring, and evaluating the need and effectiveness of the intervention (Jones, 2019; Tucker & Gallagher-Ford, 2019). Implementing the initiative without their involvement increases the risk of poor outcomes due to resistance to change and their inadequate preparedness to embrace the initiative.
Barriers
One of the barriers that I may experience in using the above dissemination strategies is time constraints in publishing the intervention. Accordingly, different publishers have requirements that must be met for the project to be published. For example, it may take a long period for the project to be approved and published, affecting its clinical significance and impact. The other challenge is the lack of adequate knowledge and skills among nurses who should adopt the evidence-based intervention. Dissemination of results in scientific conferences may not result in the direct adoption of the intervention in clinical practice. Strategies such as training nurses on the use of the intervention at the organizational level may be needed for its successful adoption (Dang et al., 2021). However, issues such as resource shortages and competing organizational needs may hinder the successful use of the intervention in nursing practice.
Conclusion
In summary, disseminating evidence-based practice project outcomes is important in nursing. I am most likely to adopt dissemination strategies such as publishing an article and presenting results in scientific conferences for my evidence-based practice project. I am least likely to forcefully translate the intervention in my workplace. I will explore anticipatory strategies to overcome barriers to disseminating the evidence-based initiative.
References
Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals: Model and Guidelines, Fourth Edition. Sigma Theta Tau.
Jones, S. (2019). Faculty and students find a niche in scholarship: Teaching strategies to disseminate scholarly evidence-based practice projects. ABNF Journal, 30(4), 109–112.
Lewis, C. C., Powell, B. J., Brewer, S. K., Nguyen, A. M., Schriger, S. H., Vejnoska, S. F., Walsh-Bailey, C., Aarons, G. A., Beidas, R. S., Lyon, A. R., Weiner, B., Williams, N., & Mittman, B. (2021). Advancing mechanisms of implementation to accelerate sustainable evidence-based practice integration: Protocol for generating a research agenda. BMJ Open, 11(10), e053474. https://doi.org/10.1136/bmjopen-2021-053474
Mangold, K., & Arring, N. (2019). Advancing Professional Practice Through a Research and Evidence-based Practice Festival. Nurse Leader, 17(1), 59–64. https://doi.org/10.1016/j.mnl.2018.09.013 Tucker, S. J., & Gallagher-Ford, L. (2019). EBP 2.0: From Strategy to Implementation. AJN The American Journal of Nursing, 119(4), 50. https://doi.org/10.1097/01.NAJ.0000554549.01028.
Great post! I love going to conferences and hearing colleagues discussed new information or experiences they have encountered at their organization. These conferences provide education, sharpen skills, gives us the ability to interact with peers, and try new equipment which leads to improvement in health-care delivery, and patient outcomes. (Mishra, S, 2016).
Sometimes, we may think that our place of work is the only one going through an issue, when, it happens more often, but not discussed. At conferences, I learn about issues, or techniques that are being used or no longer in use and the nurses elaborate as to why. Their input is valuable, and gives us as a whole a much clearer understanding.
Publishing an article is another great dissemination strategy. Writing for a publication allows you to contribute to nursing practice and help build nursing and healthcare knowledge. Clinical articles aim to help nurses understand the clinical presentation and progression of a disease or health issue and the subsequent care for a specific patient population.
The nursing literature serves as a primary means of communicating new knowledge to nurses and should provide some discussion about the nursing perspective and nurses’ contributions to these health care initiatives. It is important not to lose our nursing perspective. (Oerman et al, 2019). Journal articles, websites, books, and other publications provide our primary means of communicating this knowledge and new information to others.
I concur with you about forcefully implementing the evidence-based practice intervention in the organization without informing or involving the other organizational stakeholders. This is a recipe for disaster, lack of support, an unwillingness to learn and implement, and dissatisfaction among leaders, nurses and other stakeholders.
References
Mishra S.(2016). Do medical conferences have a role to play? Sharpen the saw. Indian Heart J. 68(2):111-3. doi: 10.1016/j.ihj.2016.03.011. PMID: 27133315; PMCID: PMC4867024. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4867024/Links to an external site.
Oermann, M, Chinn, P, Carter-Templeton, H, Nicoll, L. (2019). The Importance of Nursing in Nursing Publications. https://doi.org/10.1111/j.1750-4910.2019.tb00043.xLinks to an external site.
Unit-level presentations are another great strategy that can be utilized as a method of facilitating dissemination of research. Sharing information during a change-of-shift huddle is a great way to share information with multiple staff members. Learning can be completed online through the hospital website and can consist of PowerPoint presentations.
Meeting deadlines can certainly be a challenge when it comes to publishing research. Setting goals for completing the article can help ensure that it is completed by a certain timeline. Different journals publish at different dates throughout the year. Time will also need to be allotted for article revisions, if needed. Looking ahead at approval deadlines and issue publishing dates can help plan out requirements and manage time constraints.
The lack of knowledge can pose a challenge when it comes to implementing evidence into practice. First, it is important to know your audience. For example, presenting information on bedside rounding would not be received or clearly understood by outpatient nurses. Having the information available in different languages and accounting for cultural differences is another great way to overcome the communication barrier and increase understanding of the intervention (Schipper et. al., 2016). My previous unit would have short educational briefings at the nurse’s station a couple of times a month. Though nurses are very busy in a shift, the charge nurse can also help to ensure that each nurse has time for a quick educational session. This is a great way to provide teaching on the research and aid in implementing interventions or change to practice.
References
Schipper, K., Bakker, M., De Wit, M., Ket, J. C., & Abma, T. A. (2016). Strategies for disseminating recommendations or guidelines to patients: a systematic review. Implementation Science: IS, 11(1), 82. https://doi.org/10.1186/s13012-016-0447-xLinks to an external site.
Thanks for your detailed post. I agree with you that evidence-based practice intervention cannot be useful in the organization without informing or involving the other organizational stakeholders. From my research, I want to add that Inadequate and delayed implementation of best scientific evidence into practice contribute to clinical errors, safety issues and patient deaths. Clinical practice based on scientific evidence increases the quality and safety of care and consequently improves patients’ outcomes.
Furthermore, nurses working in an organizational environment that promotes and supports evidence-based practice (EBP) are more empowered and satisfied with their work. Despite this, in many contexts the implementation of EBP at the patient’s bedside is not yet a reality, but the Advance Research and Clinical Practice through Close Collaboration (ARCC) model focuses on system-wise implementation of evidence-based practice (EBP) and sustainability of EBP to achieve quality outcomes.
The model involves assessing organizational culture and readiness for EBP in addition to the development of a critical mass of EBP mentors who work with point-of-care clinicians to facilitate the implementation of evidence-based care. Determining how the various components of the ARCC Model relate to one another is important for understanding how EBP culture and mentorship impact EBP implementation, nurses’ job satisfaction, and intent to stay. Its aim is to provide hospitals and health care systems with an organized conceptual framework to guide system-wide implementation and sustainability of EBP for the purpose of improving quality of care and patient outcomes. In addition, this model can be used to achieve a “high reliability” organization (one that delivers safe and high-quality care), decrease costs, and improve clinicians’ job satisfaction.
References
Giuffrida, S., Bernasconi, S., & Levati, S. (2021). The Role of APNs in Developing an EBP Culture: the ARCC Model in Switzerland.
Melnyk, B. M., Tan, A., Hsieh, A. P., & Gallagher‐Ford, L. (2021). Evidence‐based practice culture and mentorship predict EBP implementation, nurse job satisfaction, and intent to stay: Support for the ARCC© model. Worldviews on Evidence‐Based Nursing, 18(4), 272-281.
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. Links to an external site.American Journal of Nursing, 111(9), 57–60. doi:10.1097/01.NAJ.0000405063.97774.0e
Dissemination is the targeted distribution of information and intervention materials to a specific public health or clinical practice audience. (AHRQ, 2012). It is used to spread knowledge and evidence-based practice on a wide scale within or across geographic locations, practice settings, social media, or other networks for the benefit of patients and health care providers.
The two dissemination strategies I would be most inclined to use are social media and mass communication. The reason being, we live in a social media world, everyone is on some type of social media platform, and they find out information very quickly. If a specific topic is trending, it is most likely going to reach the masses of people in a matter of seconds. Social media helps facilitate to most recent and most relevant information.
Mass communication is another great way to exchanging information on a large scale to a wide range of people. It has brought information to people that otherwise could not be reached and has increased awareness among people about what is happening in other parts of the world. Websites and healthcare applications are great in delivering mass communications on topics that need to be discussed to a particular population an also keep the community up to date and in the know. (Krohn et al, 2022).
I would be least likely to distribute program materials, such as flyers, guides, pamphlets and DVDs because most of the time, they end up in the trash. Having a phone or tablet to search for information is more convenient and less clutter for humans. It will take more time to find the pamphlet and scan for the information as opposed to searching online.
The barriers I might encounter when using social media and mass communication are social anxiety, depression, and exposure to content that is not age appropriate. (Dalomba, 2022). People tend to believe everything on social media, it is not always a good thing, and people do not talk about what they read but tend to internalize it.
Ways to overcome these barriers are to display some type of public service announcement or disclaimer after the information. Sometimes, people need to be reminded about things they just read, and know that there is help, or someone here to further explain and answer questions.
References
Agency for Healthcare Research and Quality. (AHRQ). (2012). Communication and Dissemination Strategies To Facilitate the Use of Health-Related Evidence. https://effectivehealthcare.ahrq.gov/products/medical-evidence-communication/research-protocolLinks to an external site.
Dalomba, F. (2022). Lifespan: Pros and Cons of social media. https://www.lifespan.org/lifespan-living/social-media-good-bad-and-uglyLinks to an external site.
Krohn, Kristina M. MD1; Crichlow, Renee MD2; McKinney, Zeke J. MD3; Tessier, Katelyn M. MS4; Scheurer, Johannah M. MD5; Olson, Andrew P.J. MD6 (2022). Introducing Mass Communications Strategies to Medical Students: A Novel Short Session for Fourth-Year Students. Academic Medicine 97(7):p 999-1003 https://journals.lww.com/academicmedicine/Fulltext/2022/07000/Introducing_Mass_Communications_Strategies_to.42.aspxLinks to an external site.
Mass communications can be very difficult to submit information to an organization for mass distribution but ensuring that the providers receive appropriate media training and stay up to date on the information posted, it can benefit the community and nation due to the high levels of trust in physicians and other health care providers. (Krohn, et al, 2022).
It is important for the organizations to understand the need for the information to be reached beyond the community they serve. Information technology and public relations also plays a huge part in mass communications because they act as “air traffic controllers” and monitor what is happening in response to the information in the communications.
Mass communication and social media provides health research and services to patients, and in shaping public perceptions and decisions about health. Providing patients with credible, evidence-based, and up-to-date information on a wide range of health issues is key. (Van Bekkum & Hilton, 2013).
References
Krohn, Kristina M. MD1; Crichlow, Renee MD2; McKinney, Zeke J. MD3; Tessier, Katelyn M. MS4; Scheurer, Johannah M. MD5; Olson, Andrew P.J. MD6 (2022). Introducing Mass Communications Strategies to Medical Students: A Novel Short Session for Fourth-Year Students. Academic Medicine 97(7):p 999-1003 https://journals.lww.com/academicmedicine/Fulltext/2022/07000/Introducing_Mass_Communications_Strategies_to.42.aspxLinks to an external site.
Van Bekkum J, Hilton S. (2013). Primary care nurses’ experiences of how the mass media influence frontline healthcare in the UK. 14:178 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4222829/Links to an external site.
evidence-based procedure remains a continuous process in which data accuracy and correctness plays a key role. However, the infusion of these principles into clinical practice is a challenging process. While evidence-based nursing requires noncompliance with guidelines which are interventions that lack scientific evidence, compliance is required with the use of evidence-based interventions in the practice (Dang et aal., 2021). Nurses are required to exercise their discretion within their scope of practice to adequately use information provided by scientific research in evidence-based practice. evidence-based procedure remains a continuous process in which data accuracy and correctness plays a key role.
However, the infusion of these principles into clinical practice is a challenging process. While evidence-based nursing requires noncompliance with guidelines which are interventions that lack scientific evidence, compliance is required with the use of evidence-based interventions in the practice (Magura et al., 2022). Nurses are required to exercise their discretion within their scope of practice to adequately use information provided by scientific research in evidence-based practice.
References
Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines. Sigma Theta Tau.
Magura, S., Lee, M. J., Abu-Obaid, R. N., Landsverk, J., DeCamp, W., Rolls-Reutz, J., … & Perkins, D. F. (2022). The influence of evidence-based program registry websites for dissemination of evidence-based interventions in behavioral healthcare. Evaluation and Program Planning, 102214.
Thanks for sharing about different dissemination strategies. I appreciate your thoughts and the ways that you would choose to disseminate information.
I agree with you that social media can be an effective tool when choosing to disseminate information and may become an even more popular tool as time goes on. Social media is just one form of dissemination (F, n.d.). What are the ways that social media may be a dangerous form of dissemination? How can we limit the way that false information may be spread through social media? Do you believe that political standpoints of the government may influence what information is monitored on social media?
I agree that physical information may be thrown away most of the time but I also believe it may be an effective form of education for some (Methods of Dissemination, n.d.). Some learners like to have a physical tool that they can look at and read to introduce a topic and then may choose to research more on the topic later. I also think that these forms of education can be helpful in clinic or hospital settings where patients may be waiting to see their provider and would like something to read. These can be easy tools to introduce evidence based practice material to a patient population without overwhelming or flooding them with information.
Thanks for sharing on this topic.
References
F, C. (n.d.). Disseminating Evidence in Nursing. Study.com. https://study.com/academy/lesson/disseminating-evidence-in-nursing.html
Methods of Dissemination. (n.d.). https://www.ruralhealthinfo.org/toolkits/rural-toolkit/6/dissemination-methods
This week’s post was phenomenal and offered great insight. I do agree that social media and mass communication are great sources for dissemination strategies. Social media can be full of false information. At the hospital in which I am employed, a group is utilized on Facebook as a means of communication. Oftentimes, the group conveys any vital information or updates to anyone that has been off for days and is not present for huddle meetings. Social media can be useful in the spread of helpful information, amongst others. According to Advent Health University, “According to GlobalWebIndex, 97% of internet users are on social media. People around the world use social media platforms to connect with other people on a social, as well as professional, level.
In fact, industries ranging from politics to healthcare are turning to social media to expand their platforms. Because of this, social media has become a popular tool among nurses and healthcare professionals who want to help educate patients — and stop the spread of misinformation — online.” (Advent Health University, 2020). My suggestions to decrease the barriers that could be encountered while using social media as a form of communication is to create a specific group for your particular organization. Creating a specific group would eliminate the underage population or inappropriate audiences. Clipboard Academy suggests, “Niche professional groups on platforms like LinkedIn and Facebook are a great way for nurses to connect with their peers, seek advice, or vent about the stresses of working in the modern healthcare field. Best of all, they’re free to join and only require an active user account on the platform.” (Paul, M., 2020). Great post Robin!
References
AdventHealth University, & AdventHealth University. (July, 08, 2020). Social Media and nursing: Tips for nurses to promote health online. AdventHealth University. Retrieved from https://www.ahu.edu/blog/social-media-and-nursing
Paul, M. (2020, June 2). Professional nurse social media groups to join. Clipboard Academy. Retrieved January 28, 2023, from https://clipboardacademy.org/professional-social-media-groups-for-nurses/
I enjoyed reading your post. Using social media to disseminate information has grown into more of a controversial topic along with healthcare since the emergence of the COVID-19 pandemic. Social media and mass communication have many benefits in the ability to quickly and broadly disseminate information. The barrier, as you mentioned, of misinformation, has been proven to be problematic over these last few years. It has been seen that just getting the information out is not always enough. Getting the right information to the right people is an important aspect of dissemination.
I believe that another large barrier to social media is the average level of public health literacy. The National Library of Medicine (NNLM) notes that 9 out of 10 people struggle with health literacy. The NIH goes on to stress that health literacy is more than just the skill of reading and that the complexity of health literacy can lead to difficulties with items such as managing medications, following detailed pre/post-operational directions, managing multiple chronic diseases, skipping preventative services (flu/covid vaccines), and poor health outcomes. Healthy People 2030 also are addressing health literacy as it is one of its central focuses in achieving improved health and well-being for all.
These changes have four new points: emphasizing people’s abilities to use health information, focusing on abilities to make “well-informed” decisions, incorporating public health perspectives, and acknowledging that organizations have a responsibility to address this need as well. Another group with a focus on health literacy is the Rural Health Information Hub (RHIH). They are trying to address this with the use of social media. They note to use platforms such as Twitter, Facebook, Instagram, Youtube, and LinkedIn to help put out information about health literary programs and program results to targeted audiences on these networks.
Rural Health Information Hub. (n.d.). Defining Health Literacy. Retrieved on January 27, 2023, from https://www.ruralhealthinfo.org/toolkits/health-literacy/1/definitionLinks to an external site.
Healthy People 2030. (n.d.). Health Literacy in Healthy People 2030. Retrieved on January 27, 2023, from https://health.gov/healthypeople/priority-areas/health-literacy-healthy-people-2030Links to an external site.
National Library of Medicine. (n.d.). An Introduction to Health Literacy. Retrieved on January 26, 2023, from https://www.nnlm.gov/guides/intro-health-literacyLinks to an external site.
Thanks for your contribution to this discussion. I particularly do agree with you that the use of program materials like flyers, guides, pamphlets and DVDs are not the most reliable or dependable strategies to communicate evidence-based practice as most often, they end up in the trash. Nurses and other members of healthcare teams are more than ever the advocates for and providers of high-quality, compassionate care using evidence-based practice. There is anxiety related to lack of evidence with specific to lack of evidence surrounding COVID-19. What we use and how we share evidence-based practices ought to be very reliable as it is a problem-solving approach to clinical decision-making within a healthcare organization.
Fundamental to the process of evidence informed decision-making is the ability of those at the point of care to access synthesized research evidence. Active dissemination (rather than passive) is therefore an important component part of this. Active dissemination includes active methods to spread information (email, social media), formats to encourage motivation/uptake (info-graphics, decision aids, icon arrays) and knowledge spreaders (champions, thought leaders). Passive dissemination is of course still important, but we need to be aware of its limitations. This is largely a communicative function aimed at spreading knowledge/evidence on a large scale within and across practice settings and other networks of end users.
References
Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines. Sigma Theta Tau.
Jordan, Z., Lockwood, C., Munn, Z., & Aromataris, E. (2019). The updated Joanna Briggs Institute model of evidence-based healthcare. JBI Evidence Implementation, 17(1), 58-71.
Countless research studies have shown that evidence-based practice in healthcare has proven to improve the standard of healthcare and patient care outcomes (Chien, 2019). Dissemination or distribution of information gathered from evidence-based practice depends on a carefully planned communication process, one that involves a targeted audience and the vital info that needs to be shared (NHMRC, n.d.). Selecting the right channel to communicate is crucial and should consider the stakeholders in the process (NHMRC, n.d.).
According to Curtis et al., the knowledge-to-action cycle consists of seven steps which are: (1) identifying the problem and conducting relevant research, (2) adapting the research to local context, (3) assessing barriers to using knowledge, (4) tailoring the interventions, (5) monitoring the knowledge use, (6) evaluating the outcomes and finally (7) sustaining the knowledge use (2017).
With the technological advancements of our modern-day world, we live in a world that is heavily focused and dependent on social media. This would be one of the ways that I would choose to distribute information. Social media platforms provide an excellent alternative to face-to-face discussions, which can allow people to access those on their own time and be connected (Khan et al., 2021). Social media runs on state-of-the-art technology at the speed of light and would be great for reaching a larger group of people.
Another one I think would be useful is doing workshops and seminars/webinars. Short courses offered through workshops and seminars are a good way of getting communication out, and a great hands-on way to learn and demonstrate knowledge (Prevention Research Center in St Louis, n.d.).
I think one of the worst ways that information can be disseminated is when the administration in an organization makes rules and guidelines and forces those on stakeholders without getting their feedback. I had this unfortunate experience at one of my previous jobs and it made it a very challenging work environment.
References
Chien L. Y. (2019). Evidence-Based Practice and Nursing Research. The journal of nursing
research : JNR, 27(4), e29. https://doi.org/10.1097/jnr.0000000000000346Links to an external site.
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/10.1111/jocn.13586Links to an external site.
Guidelines for guidelines. NHMRC. (n.d.). Retrieved January 22, 2023, from
Khan, M. N., Ashraf, M. A., Seinen, D., Khan, K. U., & Laar, R. A. (2021, April 29). Social Media for knowledge acquisition and dissemination: The impact of the COVID-19 pandemic on Collaborative Learning Driven Social Media Adoption. Frontiers. Retrieved January 22, 2023, from https://www.frontiersin.org/articles/10.3389/fpsyg.2021.648253/full Links to an external site.
Prevention Research Center in St Louis. (n.d.). Getting the word out: New approaches for disseminating… : Journal of Public Health Management and Practice. LWW. Retrieved January 22, 2023, from https://journals.lww.com/jphmp/fulltext/2018/03000/getting_the_word_out__new_approaches_for.4.aspx
The Advancing Research and Clinical Practice through close Collaboration (ARCC) is a model that can be used by health care systems to appropriately promote and educate staff on EBP changes in a way that addresses known barriers. The ARCC model acknowledges the barriers to EBP change initiatives and deconstructs the process into manageable steps. ARCC subject matter contains EBP skills building, generating a vision to inspire change to EBP, team building and communication, mentorship to promote EBP, strategies to create EBP culture, quality improvement methods, data management and outcomes assessment, and principles of individual and organizational change (Mylnyk, 2012). Employing the ARCC template is an effective method to overcoming identified hurdles that will be met when promoting EBP initiatives in a health care organization.
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://doi-org.ezp.waldenulibrary.org/10.1097/NAQ.0b013e318249fb6a
Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Cruz, R. (2010). Correlates among
cognitive beliefs, EBP implementation, organizational culture, cohesion and job
satisfaction in evidence-based practice mentors from a community hospital
system. Nursing Outlook, 58(6), 301–308. https://doi-org.ezp.waldenulibrary.org/10.1016/j.outlook.2010.06.002
Healthcare professionals conduct numerous studies focusing on different clinical issues with varying findings. To influence practice change on a broader scale, healthcare professionals should share their findings with other practitioners and policymakers within and outside the health practice. Critical to promoting a culture of evidence-based practice (EBP), dissemination encompasses the targeted distribution of information and intervention to a broader audience to maximize the benefits of research (Ravinetto & Singh, 2020). The targeted population usually includes a specific public health or clinical practice audience.
There are multiple dissemination methods, and nurses should select the most suitable according to situations, objectives, and audience characteristics. To communicate EBP, I would be most inclined to a policy brief and organization-wide seminar. A policy brief summarizes the research information and enhances it with charts, tables, and other visualized data (Brownson et al., 2018). Seminars or workshops allow researchers to share information and interact with the audience as they clarify issues related to research findings. Ashcraft et al. (2020) advised research disseminators to use printed materials and personal communication since they are the most common channels. Therefore, the choice of policy briefs (print materials) and workshops as dissemination channels is justified. I would be less inclined to use news media and social to disseminate EBP. News media could be valuable for reaching healthcare practitioners and policymakers but could be expensive. Social media reaches a limited audience and could not be highly effective for academic engagements.
It is possible to encounter some barriers when using policy briefs and organization-wide seminars for EBP dissemination. A potential barrier with policy briefs is information choice since they should be brief, tailored to the audience’s needs, and appealing (Brownson et al., 2018). Failure to meet these needs can hamper the readability and usability of research information. A possible barrier with organization-wide seminars or workshops is timing. The busy nature of the healthcare environment can limit healthcare practitioners’ and leaders’ availability for the seminar.
References
Ashcraft, L. E., Quinn, D. A., & Brownson, R. C. (2020). Strategies for effective dissemination of research to United States policymakers: a systematic review. Implementation Science, 15(1), 1-17. https://doi.org/10.1186/s13012-020-01046-3
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. DOI: 10.1097/PHH.0000000000000673
Ravinetto, R., & Singh, J. A. (2022). Responsible dissemination of health and medical research: Some guidance points. BMJ Evidence-Based Medicine. http://dx.doi.org/10.1136/bmjebm-2022-111967
Sample Answer for NURS 6052 Week 9 Discussion Developing a Culture of Evidence-Based Practice
Evidence-based practice (EBP) projects promote positive change in health practice by providing scientific, relevant, and up-to-date solutions to different health problems. Dissemination involves sharing EBP results to add to the general body of knowledge (Brownson et al., 2018). Generally, dissemination entails distributing results to a targeted population, particularly health care professionals. EBP results dissemination plays a critical role in promoting an EBP culture.
Dissemination strategies vary according to contexts. I would be most inclined to use a policy brief and posting the EBP results on the organization’s education page. In health practice, policy briefs provide a concise summary of a clinical issue and the policy interventions that address the problem adequately (Ashcraft et al., 2020). Policy briefs are highly effective in raising awareness and enhancing knowledge about a clinical issue. Posting the results on the organization’s education page is a suitable way of sharing EBP results internally. Unlike other dissemination methods such as presentations, a policy brief and posting on the education page would consume minimal time and resources. I would be less inclined to use social media and publishing the information. Social media is not highly effective in addressing formal issues since its influence depends on a person’s following and the audience’s activity levels (Jiang &Ngien, 2020). Publishing the results would be costly from financial and commitment dimensions.
The main barrier when using policy briefs and posting information on the education page is the organization’s reading culture. Significant practice changes cannot be realized if the staff and management have not embraced a reading culture. Commitment in daily roles may also hamper information delivery since nurses may lack adequate time to read, analyze, and implement EBP results (Hashish et al., 2020). In response, awareness is vital through text messaging and emails. Outcomes can be further improved by supplementing the methods with other strategies such as distributing educational materials like pamphlets and flyers.
References
Ashcraft, L. E., Quinn, D. A., &Brownson, R. C. (2020). Strategies for effective dissemination of research to United States policymakers: a systematic review. Implementation Science, 15(1), 1-17. https://doi.org/10.1186/s13012-020-01046-3
Brownson, R. C., Eyler, A. A., Harris, J. K., Moore, J. B., &Tabak, R. G. (2018). Research full report: getting the word out: new approaches for disseminating public health science. Journal of Public Health Management and practice, 24(2), 102-111.doi: 10.1097/PHH.0000000000000673
Hashish, A., Aly, E., &Alsayed, S. (2020). Evidence-based practice and its relationship to quality improvement: A cross-sectional study among Egyptian Nurses. The Open Nursing Journal, 14(1), 254-262. http://dx.doi.org/10.2174/1874434602014010254
Jiang, S., &Ngien, A. (2020). The effects of instagram use, social comparison, and self-esteem on social anxiety: A survey study in Singapore. Social Media+ Society, 6(2), 2056305120912488. https://doi.org/10.1177%2F2056305120912488
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