Melnyk & Fineout-Overholt,
Respond to Marco and Cody by offering additional ideas to overcome the barriers to strategies suggested by your colleagues and/or by offering additional ideas to facilitate dissemination.
Marco
RE: Discussion – Week 10 main post
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Dissemination of Evidence-based practice (EBP) is a targeted sharing of information with stakeholders involved in a particular policy or practice change. Several different strategies can be utilized to share this information. One such strategy in an active dissemination strategy is an organizational-wide presentation (Fineout-Overholt, Gallagher-Ford, & Mazurek-Melnyk, 2011). This strategy focuses on the sharing of information within the organization in which the EBP change will take place. I would be inclined to utilize this strategy in my EBP practice change project. This strategy involves the stakeholder in the organization and offers a live presentation in which questions and active participation is encouraged. Another strategy that appears to be effective in disseminating the information to staff that will be affected directly is a unit-level presentation (Melnyk & Fineout-Overholt, 2019). One way to make this strategy to disseminate this practice change is to obtain buy-in from a champion in the department, such as the department manage or lead attending physician. Procuring this collaboration would improve stakeholder participation and acceptance of the information and practice change.
It is possible that these two strategies mentioned above could face some barriers to information dissemination. One such barrier that can be anticipated is a lack of buy-in from the organization based on the cost of the change in practice. One way to mitigate this challenge is to have information on how this will benefit the community and improve the reputation and legitimacy of the hospital. We will be able to demonstrate, and report improved outcomes for our patients during the evaluation phase of the practice change (Agency of Healthcare Research and Quality, 2012). This will, in turn, improve community utilization of the hospital, thereby improving hospital revenues. Another barrier that can be foreseen is a lack of attendance to the presentation by staff and other stakeholders. This problem could be eliminated if we elicit the participation of the department manager or champion of the department. If attendance to this presentation is made mandatory by the department heads, then the problem of lack of attendance will not be an issue, thus making the dissemination of the evidence-based policy change a success.
References
Communication and Dissemination Strategies To Facilitate the Use of Health-Related Evidence. (2012). Retrieved January 27, 2020, from
https://effectivehealthcare.ahrq.gov/products/medical-evidence-communication/research-protocol
Fineout-Overholt, E., Gallagher-Ford, L., & Mazurek-Melnyk, B. (2011, July). Evidence-Based Practice, Step by Step: Evaluating and Disseminating the Impact of an Evidence-
Based Intervention: Show and Tell. AJN, 111, 56-59. http://dx.doi.org/doi: 10.1097/01.NAJ.0000399317.21279.47
Melnyk, B., & Fineout-Overholt, E. (2019). Evidence-Based Practice (Fourth ed.). Philadelphia, PA: Wolters Kluwer.
3 hours ago
Cody
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As healthcare grows and changes, so must the way we acquire and grow our knowledge and the way it gets delivered. More commonly we focus on evidence-based practice (EBP) to gain the most up to date scientific data and information. Evidence-based practice is the integration of best research evidence with clinical expertise (including internal evidence) and patient values to facilitate clinical decision making (Melnyk & Fineout-Overholt, 2018). We deliver this information through a process known as dissemination. Dissemination is the process of distributing or circulating information widely (Melnyk & Fineout-Overholt, 2018). There are many different methods one can use to disseminate EBP to an organization or mass of people. EBP is a vital part of healthcare. EBP is an essential component of professional nursing, a crucial competency for healthcare providers, and a basic force in Magnet hospitals and results in better patient outcomes and higher levels of nursing autonomy (Newhouse, Dearholt, Poe, Pugh & White, 2007).
