explore strategies for disseminating EBP within your organization, community, or industry.
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.BELOW IS THE ASSIGNMENTPost 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.BELOW IS THE REQUIRED READINGRequired ReadingsMelnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.Chapter 10, “The Role of Outcomes on Evidence-based Quality Improvement and enhancing and Evaluating Practice Changes” (pp. 293-312)Chapter 12, “Leadership Strategies for Creating and Sustaining Evidence-based Practice Organizations” (pp. 328-343)Chapter 14, “Models to Guide Implementation and Sustainability of Evidence-based Practice” (pp. 378-427)Gallagher-Ford, L., Fineout-Overhold, 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), 54-60.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.0000302384.91366.8fMelnyk, 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.0b013e318249fb6aMelnyk, 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. American Journal of Nursing, 111(9), 57-60. doi:10.1097/01.NAJ.0000405063.97774.0eMelnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Choy, K. (2017). A test of the ARCC© model improves implementation of evidence-based practice, healthcare culture, and patient outcomes. Worldviews on Evidence-Based Nursing, 14(1), 5-9. doi:10.1111/wvn.12188please don’t forget to add 4 references not more than 5 years old with 7th edition APA format.Please don’t forget to go through the rubic. 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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