Last Updated on October 17, 2022 by Admin
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 9
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.
By Day 6 of Week 9
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.
Expert Answer and Explanation
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
Response 1
Thank you for bringing up academic journals and conferences as your preferred strategy for spreading evidence-based findings. Academic journals and conferences target audiences searching for knowledge and are ready for change. Over time, organizations have learned that dissemination of evidence-based practice findings alone does not bring the expected change; thereby, the is a need for mentoring. (Melnyk et al., 2011). I want to add that a poster presentation is another excellent way to disseminate evidence-based information because the speaker can engage the audience in an interactive section. (Gallagher -Ford et al. 2011)
I agree that social media and press releases are not the best channels for transmitting evidence-based findings. The critical step is to have leadership support in disseminating evidence-based findings because one can have the relevant resources. (Newhouse et al.,2007)
References
Gallagher-Ford, Lynn, MSN, RN, Fineout-Overholt, Ellen, PhD, RN, FNAP, FAAN, Melnyk, Bernadette, et al. (2011). Evidence-Based Practice, Step by Step: Implementing an Evidence-Based Practice Change. AJN, American Journal of Nursing, 111, 54-60. https://doi.org/10.1097/10.1097/01.NAJ.0000395243.14347.7e
Melnyk, Bernadette, Mazurek PhD, RN, PMHNP, FNAP, Fineout-Overholt, Ellen, PhD, RN, FNAP, FAAN, et al. (2011). Evidence-Based Practice, Step by Step: Sustaining Evidence-Based Practice Through Organizational Policies and an Innovative Model. AJN, American Journal of Nursing, 111, 57-60. https://doi.org/10.1097/01.NAJ.0000405063.97774.0e
Newhouse, Robin, PhD, RN, CNA, CNOR, Dearholt, Sandi, MS, RN, Poe, Stephanie, et al. (2007). Organizational Change Strategies for Evidence-Based Practice. Journal of Nursing Administration, 37, 552-557. https://doi.org/10.1097/01.NNA.0000302384.9136
Response 2
I like your thought-on dissemination as an ideal way in enhancing nursing practice and, more so, the aspect to do with evidence-based practice. It makes your preference to use academic journals and conferences. I support their effectiveness and great context, and they are ways to an effective presentation to the public (Brownson et al., 2018). I would also try as much to avoid using press releases. It is not a secure strategy for health care professionals. The approach is outgoing, but there lacks a direct connection with healthcare professions, which might lead to failure.
Time is a barrier to the effective publication of scientific journals. However, as you place it, one opts to manage time appropriately to avoid failure. I can add that scientific journals should be allocated more time to enhance effectiveness (Oshiro et al., 2020). I strongly feel that interpretation and translation should be a worry. The right audience will always find a way to connect with the message from the journal. I have to commend you for the great work. Keep it up.
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
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
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