Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion

Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion

Week 8 Discussion Post

Efficiently disseminating evidence-based practice (EBP) information is crucial to achieve the desired outcomes. This disseminated information should be tailored to a specific audience, such as nursing staff, technicians, relevant physicians, and support staff. For instance, when disseminating EBP information regarding fall risk assessment tools in the Emergency Department (ED), it should be targeted at all ED staff who come into contact with patients. Suggested strategies for successful dissemination, as proposed by Jordan et al. (2018), include formal staff training, mentorship, and collaboration. Two dissemination strategies that I would prioritize are education and engagement of the staff (Gallagher-Ford et al., 2012).

Educational Strategy

Educating all the stakeholders involved in implementing EBP information is essential for effective dissemination. Experts like Jordan et al. (2018) recommend a dissemination strategy that involves formal training of those engaged in the implementation process. For instance, conducting in-service training might be an excellent way to disseminate EBP information related to the use of new fall risk assessment tools. Clear communication of this information is crucial to prevent any misunderstandings regarding the new EBP practices.

NURS 5644 Advanced Health Assessment/ Differential Diagnosis

There are several barriers to educating stakeholders about EBP information in the ED. Among the most frequently cited barriers are time constraints and competing demands (Jordan et al., 2018). Many nurses at my workplace struggle to find time for additional training, especially face-to-face sessions. To overcome these barriers, as suggested by Jordan et al. (2018), scheduling training sessions and providing mentoring support can facilitate the dissemination of EBP information. Additionally, fostering EBP within organizations by enhancing infrastructure, including strong nursing leadership and adequate resources, can help alleviate some of these educational barriers (Newhouse et al., 2007).

Engagement Strategy

Engaging stakeholders is another effective dissemination strategy, as recommended by experts like Gallagher-Ford et al. (2012). This strategy involves involving all relevant players to ensure they are well-informed about the new Evidence Based Practices, such as the use of a new fall risk assessment tool in the ED. The “Engaging the Stakeholder Strategy” is crucial in keeping stakeholders informed and building their trust. I believe this approach is effective in gaining the buy-in of each stakeholder and making implementation decisions more straightforward. It also allows each stakeholder to identify outcome measures, which can be helpful in planning the implementation strategy (Ginex, 2018).

One commonly encountered barrier related to the “Engaging the Stakeholder Strategy” is resistance to change (Ginex, 2018). Many experts, like Ginex, believe that stakeholders are often hesitant to embrace change because they prefer the familiar “we’ve always done it this way” approach (Ginex, 2018). To overcome this resistance, it is essential to engage the appropriate stakeholders, build trust, learn from their experiences, and incorporate their input into the implementation of new EBP practices.

Least Preferred Strategy

While face-to-face presentations or conferences would be my preferred method for disseminating EBP, I would be less inclined to use electronic dissemination. I believe that face-to-face interactions are the most effective way to communicate EBP information. This approach encourages interaction and provides an opportunity for immediate feedback and clarifications. On the other hand, electronic dissemination often lacks clarity and immediate opportunities for clarification when needed, as noted by Betz et al. (2018).

References

Betz, C. L., Smith, K. A., Melnyk, B. M., & Tassa, T. (2018). Disseminating evidence through presentations, publications, health policy briefs, and the media. In B. M. Melnyk, & E . Fineout-Overholt, Evidence-based practice in nursing & healthcare: A guide to best practice (4th Ed.).

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.

Ginex, P. K. (2018). Overcome barriers to applying an evidence-based process for practice change. Retrieved from https://voice.ons.org/news-and-views/overcome-barriers-to-applying-an-evidence-based-process-for-practice-change

Jordan, J., Coates, W. C., Clarke, S., Runde, D., Fowlkes, E., Kurth, J., & Yarris, L. (2018). The Uphill Battle of Performing Education Scholarship: Barriers Educators and Education Researchers Face. Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 19(3), 619–629.

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.

Developing a Culture of Evidence-Based Practice NURS – 6052C Discussion Instructions

Discussion: Developing a Culture of Evidence-Based Practice

As your expertise in Evidence-Based Practice (EBP) continues to grow, you may find yourself in a position where you’re expected to share your knowledge with others. While EBP is often pursued with specific goals in mind, EBP practitioners who share their findings not only contribute to the collective knowledge base but also advocate for the wider adoption of EBP.

In this discussion, you will delve into various strategies for disseminating EBP within your organization, community, or industry.

To Prepare:

1. Review the provided resources and take some time to reflect on the diverse strategies introduced throughout the course that can facilitate effective and widely recognized EBP dissemination. This may encompass activities such as unit or organizational-level presentations, creating posters, delivering podium presentations at different levels (organizational, local, regional, state, and national), and publishing research in peer-reviewed journals.

2. Consider the dissemination strategy that resonates most with you and aligns with your preferences and capabilities.

By Day 3 of Week 9:

3. Share at least two dissemination strategies you are most inclined to use and provide reasons for your choices. Also, discuss which dissemination strategies you are less inclined to employ and elaborate on your reasons. Identify at least two potential obstacles you might encounter when implementing the dissemination strategies you favor. Be specific and offer examples. Furthermore, elucidate how you could surmount these identified barriers.

By Day 6 of Week 9:

4. Engage with your peers by responding to at least two colleagues on separate days. Offer additional insights into overcoming barriers for the strategies they propose or suggest alternative ideas to enhance the dissemination process.

This discussion aims to foster an understanding of effective EBP dissemination methods and promote a culture of evidence-based practice in various settings.