PLEASE RESPOND TO MY CLASSMATE
Dissemination strategies are ways to develop recommendations to make a change or changes based on evidence that is effective, strong, compelling and provides consistent results (Melnyk, Fineout-Overholt, 2019). As nurses, we utilize scientific research and evidence based practice to guide us in our practice. When we incorporate dissemination approaches, tools and strategies, we professionally inform our team of new technology, practices or other information, in an effort to provide high quality healthcare to patients (Melnyk, Fineout-Overholt, 2019).
Two dissemination strategies I would be inclined to use are 1) nurse team meetings, such as huddle and 2) utilization of a PowerPoint presentation with EBP data (Gallagher-Ford, Fineout-Overholt, Melnyk, & Stillwell, 2011). I am a people person and enjoy connecting with others. I also appreciate and encourage input from others, therefore this active engagement is an effective way for me to discuss a project. PowerPoint presentations are an effective way to present evidence based practice information, without overloading the listener with too much data (Gallagher-Ford, Fineout-Overholt, Melnyk, & Stillwell, 2011). It is visually appealing. The presenter enforces the information by talking about it, showing the colorful slides and perhaps added pictures for additional enforcement (Gallagher-Ford, Fineout-Overholt, Melnyk, & Stillwell, 2011).
Strategies that I do not wish to use include email or texting and the use of pamphlets. Email and text messages do not always convey what the writer wishes to reader to understand. This form of communication is very informal and may get lost before it is even seen. There can be confusion about what is needed to make a change. Pamphlets are a waste of paper. There are so many words on the pages, and the reader often loses interest due to the fine print. Pamphlets often end up in the garbage, so I do not feel this promotes a best practice for patient care (Mick, 2017).
Barriers to the choices I made include a delay in presenting information that needs a change, due to individual schedules. If any part of the team of nurses are on vacation, out sick or have a different schedule, there is a delay in presenting the information and a further delay in implementing evidence based practice change. Other barriers to the nurse team meetings are the behavior of nurses who do not think there needs to be a change (Gallagher-Ford, Fineout-Overholt, Melnyk, & Stillwell, 2011). For example, nurses who believe that the way things are done work just fine and do not want change. Another barrier is not enough education on EBP. Staff may not understand EBP or how to implement it (Gallagher-Ford, Fineout-Overholt, Melnyk, & Stillwell, 2011).
While I do enjoy using Power Point Presentations, the microphone and computer equipment needs to work appropriately. To overcome issues with PowerPoint Presentations, the individual or team presenting the information should be available early to test the equipment, ensure the presentation is accurate and complete, then correct any problems prior to the presentation (Mick, 2017). Have an agenda for each member and work to stay within the confines of that agenda. Other barriers to overcome include the facility culture, whether it is one of civility or uncivil. Nurses who are encouraged to utilize EBP can overcome barriers through personal research, as well as daily practice and on the job learning (Mick, 2017). This on the job learning provides an avenue for nurses to incorporate change into their daily practice, so that it becomes natural (Mick, 2017). When nurses see the patient benefit from these practices, they are more inclined to continue the practice and encourage others to do the same.
References
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), 5460. doi:10.1097/10.1097/01.NAJ.0000395243.14347.7e. Retrieved from https://journals.lww.com/ajnonline/Fulltext/2011/03000/Evidence_Based_Practice,_Step _by_Step_.31.aspx
Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Mick, J. (2017). Funneling evidence into practice. Nursing Management, 48(7), 2734. https://doi-org.ezp.waldenulibrary.org/10.1097/01.NUMA.0000520719.70926.79
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