Evidence-based practice is an essential component of professional nursing, a crucial competency for healthcare providers that results in better patient outcomes,
First post
Evidence-based practice is an essential component of professional nursing, a crucial competency for healthcare providers that results in better patient outcomes, and higher levels of nursing autonomy (Newhouse, et. al., 2007). The research dissemination process is a crucial aspect of any study, especially research that directly involves the community (Hagan et al., 2017). Dissemination is the process of spreading or sharing information widely (Melnyk & Fineout-Overholt, 2018). As nurse researchers, we must acknowledge the value of our research across multiple audiences (Hagan et. al., 2017). In order to get the message across to a multitude of people, there are certain ways to get the message across.
There are a few ways to disseminate information quickly and to a wide audience. A simple idea is the three P’s which include posters, presentations, and papers. One way to get a large audience together is to first advertise with posters around the audience in which you choose to have participated in your idea. The poster could also be emailed to a large part of the audience as well. This will give the audience two ways to notice that a presentation will take place. On this poster, a simple explanation of the idea needs to be included along with the date and time of the presentation where you will explain the idea. These two dissemination strategies of posters and a presentation used together will help create a large group to get together and get the message across to a large audience. During this presentation, the presenter should also include a way for people who can’t make it to the event. On the posters, and in the email, the presenter should include a way for people to attend via zoom. This will increase the audience as attending if not living in the area, by a large percentage.
One dissemination strategy I would not use is writing a paper. This can get too lengthy and people may not take the time to read the idea. I also feel that a paper will not reach a large group of people which is the idea behind a dissemination strategy.
As far as barriers to the two strategies, the first one would be technology. If one is trying to include a large audience via zoom, internet connection and technology can be a huge barrier. More remote areas may not have the capability to produce enough of an internet connection to establish a connection with zoom. The same can be said for the emailed posters. Hanging posters shouldn’t be an issue, but again, with technology, the emailed posters could present a challenge. One way to overcome these challenges could be, to identify those that could truly be an important part of the audience for dissemination. Next, be sure to put up posters and establish a connection, whether in person or with the use of technology, to make sure that these important people have a way to attend your presentation.
References
Hagan, T. L., Schmidt, K., Ackison, G. R., Murphy, M., & Jones, J. R. (2017). Not the last word: dissemination strategies for patient-centered research in nursing. Journal of research in nursing: JRN, 22(5), 388-402. https://doi.org/10.1177/1744987117709516
Melnyk, B.B., & 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. Journal of Nursing Administration
37(12), 552-557. doi:0.1097/01.NNA.0000302384.91366.8f
second post
Dissemination involves the targeted distribution of information and intervention materials to stakeholders or specific public health or clinical practice audience, for example, nurses (McCormack et al., 2013). The aim for doing so is to relay and spread knowledge on evidence-based interventions. Different stakeholders require different dissemination strategies to achieve the intended result of conveying the evidence-based information gathered. The two dissemination strategies that I would most likely use include academic journals and conferences. These two are the most common dissemination strategies based on their effectiveness, especially when addressing an informed audience of health care professionals (Brownson et al., 2018). Academic journals are an ideal choice given that they promote critical thinking and offer a positive critique that can further enrich the presented content. Academic journals also provide a wider reach, especially when distributed using digital platforms. The advantage of conferences is that it allows direct interaction with the audience, elaborating the ideas captured in the evidence-based initiative.
The dissemination strategies I would be least inclined to use include press releases and sharing the information using social media. While the two methods can be effective, especially when disseminating evidence-based information to the public, they may not be ideal for a targeted audience of health care professionals. It is also difficult to assess their effectiveness, including collecting substantive critique from peers. However, for population-based interventions, the two approaches can be quite effective.
One of the barriers I may encounter, which is common in publishing scientific journals, is lack of time (Oshiro et al., 2020). Preparation and publication of journals is a lengthy process that requires adequate time, which can be a barrier when doing t alongside other activities. To overcome this barrier, prior planning is necessary, with set timelines to prioritize the preparation and publication of the journal. Another barrier is understanding of interpretation and translation of evidence by the audience (Oshiro et al., 2020). Understanding evidence-based publications or presentations requires some understanding of research methods that the audience may not have. Therefore, to overcome this barrier, it is important to put the content in a simplified format that the audience can understand.
References
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: JPHMP, 24(2), 102-111. https://doi.org/10.1097/PHH.0000000000000673
McCormack, L., Sheridan, S., Lewis, M., Boudewyns, V., Melvin, C. L., Kistler, C. & Lohr, K. N. (2013). Communication and dissemination strategies to facilitate the use of health-related evidence. Evidence Report/Technology Assessment, (213), 1-520. https://effectivehealthcare.ahrq.gov/products/medical-evidence-communication/research-protocol
Oshiro, J., Caubet, S. L., Viola, K. E., & Huber, J. M. (2020). Going Beyond “Not Enough Time”: Barriers to Preparing Manuscripts for Academic Medical Journals. Teaching and Learning in Medicine, 32(1), 71-81. https://doi.org/10.1080/10401334.2019.1659144 CORE SKILL: recognizing that evidence does not implement itself. Dissemination is a distinct skill from generating or appraising evidence, and it has its own strategy and audience analysis.
THE PROBLEM TO NAME: the research-to-practice gap, commonly estimated at around 17 years from publication to widespread adoption. Dissemination is the intervention on that gap.
MATCH THE STRATEGY TO THE AUDIENCE — this is the analytical core of the assignment:
— INTERNAL/UNIT LEVEL: unit in-services and huddles, journal clubs, nursing grand rounds, shared governance councils, UNIT-BASED CHAMPIONS and OPINION LEADERS (this is the highest-leverage, most evidence-backed tactic — peer influence changes behavior more reliably than administrative directive), skills fairs, and EHR-embedded decision support (a change that makes the right thing the DEFAULT will outperform any amount of education).
— ORGANIZATIONAL: policy and protocol revision, order-set changes, quality committee presentations, the nursing research council.
— EXTERNAL/PROFESSIONAL: POSTER PRESENTATIONS (low barrier, high reach, good for conversation), PODIUM presentations, and PEER-REVIEWED PUBLICATION (highest reach and durability, longest timeline, most rigorous). Professional organization meetings, webinars, professional social media.
TWO YOU’D BE MOST INCLINED TO USE, TWO LEAST — and the WHY is what’s graded. A strong answer discusses: audience reach vs. depth; the resource and time cost; your own comfort and skill; the timeline (a poster reaches people in months; a publication in a year or more); and the fact that internal, informal channels change PRACTICE fastest while external, formal channels change the FIELD. A good justification for avoiding a strategy might be that podium presentation induces anxiety and reaches fewer people per unit effort than a poster — that is an honest and defensible answer, and honesty about barriers is explicitly invited by the prompt.
BARRIERS TO DISSEMINATION AND ADOPTION: time and workload, lack of skill or confidence in writing/presenting, cost of conference attendance, organizational culture that treats EBP as an add-on, resistance to change (“we’ve always done it this way”), lack of leadership support, and the absence of protected time.
FRAMEWORKS WORTH CITING: Rogers’ DIFFUSION OF INNOVATIONS (innovators, early adopters, early majority, late majority, laggards — and the strategic implication that you should target EARLY ADOPTERS as champions rather than trying to convert laggards first, which is a real, actionable insight); the Ottawa Model of Research Use; the Knowledge-to-Action framework; and implementation science generally (RE-AIM, CFIR).
Address how you would OVERCOME the barriers, not merely list them.
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