respond to post:
2 days agolindsey reed RE: Discussion – Week 9COLLAPSE
Main Post:
This post aims to describe two dissemination strategies I would be inclined to use, which dissemination strategies I would be least inclined to use, and two barriers I might face during dissemination. Evidence-based practice improves patient outcomes, decreases overall costs, and provides high-quality care (Melnyk, B. M., 2012). There are many ways evidence-based practice (EBP) can be distributed. The first dissemination strategy I am inclined to use is the unit-based approach. The unit-based approach promotes champions on each floor to assist in leading the new changes outlined by the policy being implemented (Gallagher-Ford, L. , Fineout-Overholt, E. , Melnyk, B. M. & Stillwell, S. B., 2011). The unit-based approach integrates EBP into care through skill-building workshops, mentors, and up-to-date resources (Gallagher-Ford, L. , Fineout-Overholt, E. , Melnyk, B. M. & Stillwell, S. B., 2011).
The second approach I am inclined to use for EBP dissemination is through governance committees. Governance committees include nursing leadership, quality improvement, standards of practice, education, and research (Newhouse, R., et al., 2007). The governance committees each hold responsibility for the EBP goal (Newhouse, R., et al., 2007). The committees then report and measure the EBP outcomes (Newhouse, R., et al., 2007). One approach I am disinclined to use is through podium/hospital presentations. Hospital and podium presentations require attendees in order for the message to be received. The presentation also is a one-time thing with limited repetition, thus might be difficult to translate into practice. The second dissemination strategy I would not readily be inclined to use is through peer journals/nursing journals. Disseminating EBP requires that the audience read the journal, interpret it, and put it into practice independently. Different interpretations can lead to confusion in practice and conflicting use of EBP.
Two barriers that I anticipate in disseminating EBP are staff hesitance and lack of communication from the governance committees. Nursing units can be short-staffed with high nurse-patient ratios, thus, time is also a factor to consider. Another barrier to consider is change; nurses with years of experience might experience difficulty adapting to change. In conclusion, EBP is necessary for the evolution of healthcare practice, and dissemination into practice is key.
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. doi: 10.1097/10.1097/01.NAJ.0000395243.14347.7e.
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.
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
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. doi: 10.1097/01.NNA.0000302384.91366.8f.