NRS 493 Topic 7 DQ 1
DQ Describe one internal and one external method for the dissemination of your evidence-based change proposal
Dissemination refers to the action or fact of spreading something, especially information, widely. More specifically, dissemination research is the scientific study of targeted distribution of information and intervention materials to a specific public health audience (Guerin, Glasgow, Tyler, et.al, 2022). Dissemination is the communication of clinical, research, and theoretical findings for the purpose of transitioning new knowledge to the point of care. There are both internal and external methods to disseminate information. Internal dissemination is sharing project information results within an organization. For example, an internal dissemination would be to increase the nurse’s abilities to use and apply the evidence. External dissemination focuses on increasing the reach of evidence and includes sharing information with individuals or groups outside of an organization (Sarver, McNett, 2019).
Thanks for your educational post. This writer is of the notion that a face-to-face method is ideal for the internal dissemination of evidence-based projects. However, for an evidence-based project on diabetic education writer is of the notion that one vital external method of dissemination can also incorporate the use of technology such as the media since diabetes is a global problem in urgent need of evidence-based interventions to improve these individuals’ quality of life. The traditional news media such as newspapers, television, and radio can be an important channel for reaching practitioners coupled with the technological use of social media. The media also ensures highlights newsworthy public health issues at a particular time. Researchers are also of the notion that the media is one of the most vital means to disseminate research findings to gain policymakers’ attention. However, when using the media for external dissemination several key factors must be taken into consideration such as the seriousness of the problem, human interest, timeline of the story, a local angel for a national or state headline, and conflict or controversy surrounding information (Ross et al., 2018).
Internal audiences are those who share values or common points of interest and are the focus group for internal evidence dissemination and example are hospital boards. While external dissemination includes sharing information to individuals or groups outside of the organization. External audiences are stakeholders like professional nursing organizations. Dissemination of my change proposal to both internal and external stakeholders is key to the project’s implementation and success of outcomes. Communication strategies may vary with these groups, however, using targeted communication is key and involves tailoring your basic message both to your project goals and your target audience.
Dissemination of project outcomes is helpful because it allows for the sharing of appropriate information to the respective audience, allowing stakeholders to make informed decisions based on the positive and negative outcomes of the project (Estabrooks, Brownson & Pronk, 2018). Dissemination is a key component in the translation of evidence because if the translation is not disseminated, then no change in care will occur and innovations will not be adopted.
References
Estabrooks, P. A., Brownson, R. C., & Pronk, N. P. (2018). Dissemination and Implementation Science for Public Health Professionals: An Overview and Call to Action. Preventing chronic disease, 15, E162. https://doi.org/10.5888/pcd15.180525
Guerin, R. J., Glasgow, R. E., Tyler, A., Rabin, B. A., & Huebschmann, A. G. (2022). Methods to improve the translation of evidence-based interventions: A primer on dissemination and implementation of science for occupational safety and health researchers and practitioners. Safety Science, 152. https://doi-org.lopes.idm.oclc.org/10.1016/j.ssci.2022.105763
Sarver, Wendy & McNett, Molly. (2020). Determining the dissemination plan: Internal and external considerations. DOI10.1016/B978-0-12-816543-0.00007-8
This was an agreeable summary of the discussion. I enjoyed reading it and fetching the concepts discussed. Certainly, increasing a
nurse’s ability to use and apply knowledge within an organization is a great example of internal dissemination. This would qualify as it involves the sharing of the project results within that particular organization. To add, there are various specific techniques for both internal dissemination and external dissemination, and knowing your target is vital before choosing what technique one would go with (Sarver & McNett, 2020). This would be important in ensuring the success of the knowledge delivery. Internal targets have been characterized as those sharing similar points in a specific group or organization. For instance. this can be linked to nurses in a hospital as the group target for the transfer of information.
Additionally, the dissemination of information through communication strategies may be traditional or social media forms (Faerch & Kasper, 1984). Traditional media includes television, oral communication, publications, and phones. On the other hand, social media includes microblogs, web-based news outlets, and text messages. As mentioned, the choice of strategy would vary with each group.
Other than allowing stakeholders to make knowledgeable decisions on a particular project, dissemination is also vital in leveraging funding for statistics as well as increasing return on investment within the organizations involved. Moreover, the cost of data dissemination would reduce as the number of pre-set tables that they produce. For instance, when information is highlighted through media, this would definitely appeal to a greater audience and urge people to support data collectors’ efforts.
References
Faerch, C., & Kasper, G. (1984). TWO WAYS OF DEFINING COMMUNICATION STRATEGIES. Language Learning, 34(1), 45–63. https://doi.org/10.1111/j.1467-1770.1984.tb00995.x
Sarver, W., & McNett, M. (2020). Determining the dissemination plan: Internal and external considerations. Data for Nurses, 101–110. https://doi.org/10.1016/b978-0-12-816543-0.00007-8
Describe one internal and one external method for the dissemination of your evidence-based change proposal. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your change proposal to both of these groups. How will your communication strategies change for each group?
To describe methods of dissemination, a definition of dissemination is necessary. Dissemination is the transfer of knowledge to adopt, integrate and sustain some evidence-based research (Guerin, et al., 2022). This dissemination is the movement or the introduction of information to a targeted group. As the question asks, there can be two different types of groups, internal and external. There are different approaches based on the group that you are trying to target.
An internal method of dissemination related to the project proposal relates to the staff at Wellness connection L.L.C. The providers and staff will be the target of the internal dissemination. For this practice, the most applicable and appropriate method would be a direct face to face transfer of knowledge. The practice is controlled by the providers and small enough that face to face would be appropriate. This is not a large corporation or hospital with hundreds of employees. The ability to transfer the knowledge must be obtainable. Differing approaches are necessary based on the environment of the change proposal. The method of face-to-face discussion and dissemination is obtainable in this environment. Every employee that is necessary in the involvement of the change proposal can be contacted. A presentation using a PowerPoint would be appropriate for this setting.
An external method of dissemination related to the project proposal relates to areas outside of the main body involved with a change proposal. This can be an organization, group of people or a locality. This project is different then the typical evidence-based proposal change. There is not a traditional external dissemination group in the typical format. This project takes a slightly different approach when answering the question about method of delivery for the external. The method is not the anomalous point, the intended group to disseminate to is. This project will look to use a typical method to disseminate to a non-typical group. The method of dissemination will encompass the same method but in two different situations. A face-to-face interaction will be done to introduce diabetes education to the patient. This is the core of the practicum. However, in order to create an adequate proposal a face to face will be done with particular patients the providers feel could better the change proposal. As the providers and employees are the internal, the patients will be the external. However, a small and group of patients will help with the change proposal as the external. Jennifer, et al., (2020) suggest that in order for dissemination to be best received, knowing the audience is an important aspect for a successful reception.
Guerin, R. J., Glasgow, R. E., Tyler, A., Rabin, B. A., & Huebschmann, A. G. (2022). Methods to improve the translation of evidence-based interventions: A primer on dissemination and implementation science for occupational safety and health researchers and practitioners. Safety Science, 152. https://doi-org.lopes.idm.oclc.org/10.1016/j.ssci.2022.105763
Jennifer R. Tomasone, Kaitlyn D. Kauffeldt, Rushil Chaudhary, & Melissa C. Brouwers. (2020). Effectiveness of guideline dissemination and implementation strategies on health care professionals’ behaviour and patient outcomes in the cancer care context: a systematic review. Implementation Science, 15(1), 1–18. https://doi-org.lopes.idm.oclc.org/10.1186/s13012-020-0971-6\
Collaborating with my preceptor, she gave me homework to understand what strategies to use for the ultimate sales job to the Board of Quality if this was a systemwide Quality Improvement. I thought I would share some of the information from the readings.
When disseminating to upper management, it is important to share how the study identifies practice gaps and what that means to multiple levels of clinicians. For example, my project would include the nursing assistants to increase toileting time. So, I found a study that showed that cleaning an incontinence episode and bed change takes more time than helping the patient to the bathroom or bedside commode. The proposal needs to declare current and foreseen barriers and how those were overcome or planned to be overcome (Proctor & Powell, 2013).
Data that explains how the study can be implemented that addresses broader system improvement still is elusive. I am currently going over HAPI numbers for the last year, auditing the chart for incontinence episodes and other factors contributing to moisture. The data for one year of CAUTIs that will require a chart audit is lying on my desk. My presentation must reflect the organizational community, cultural contexts, and the results of my collaborations.
Lawson (2019) explains that hesitancy in completing research is confidence in the process: I agree. To have a systemwide improvement seems overwhelming.
Proctor, E. K., Powell, B. J., & McMillen, J. C. (2013). Implementation strategies: Recommendations for specifying and reporting. Implementation Science, 8, 139. https://doi-org.lopes.idm.oclc.org/10.1186/1748-5908-8-139
Lawson, S. (2019). Employing the internal marketing theory to explain how knowledge dissemination can be enhanced in organizations. Journal of Organizational Psychology, 19(4), 10-18. https://lopes.idm.oclc.org/login?url=https://www.proquest.com/scholarly-journals/employing-internal-marketing-theory-explain-how/docview/2305775863/se-2?accountid=7374
My Internal dissemination proposal is conducted for Bo Sun (NP), Dr. Sid Danesh, and Dr. Gina Danesh regarding educating patients with psoriasis and creating a database for care management on an individual basis and severity of the disease complexity based on racial/ cultural diversity. On June 22nd, during the morning conference, I will present my capstone in a PowerPoint presentation.
Observational studies, if conducted appropriately, play an essential role in the decision-making process providing invaluable information on effectiveness, patient-reported outcomes, and costs in a real-world environment. Systematically reviewed large-scale, prospective cohort studies summarize design characteristics, interventions or aspects of the disease studied, and the outcomes measured and investigate methodological quality.
Despite the many technological advances in communication, guidelines on best practices for disseminating evidence and evidence-based information remain the same. Traditional ways to share best practices include speaking before an audience (e.g., podium/oral, panel, or roundtable formats), making poster presentations, or publishing papers. They are often referred to as the other 3 Ps for poster, presentation, and paper. Other ways of sharing best practices that have been used less often by nursing include small groups, such as grand rounds, clinical rounds, and brief consultations. Digitalized communications—for example, the Infusion Nurses Society’s Web site, Webinars, and podcasts—are a relatively new method for disseminating new knowledge. The advance of EBP in nursing has sparked the formation of on-site or online journal clubs as a means for sharing evidence. Even social media, such as Twitter, have created microblogging journal clubs to share postpublication reviews of best practices. Health policy briefs and the media are a timely way to communicate best practices or changes to a broad audience. The World Health Organization often uses health policy briefs to share best practices around the world. The briefs provide a clear, accessible overview of timely and essential health policy topics. Finally, we can use media to share best practices. This includes Reuters Health News, local and world newspapers, and major television news networks and their affiliates, such as Cable News Network, the American Broadcasting Company, and social media (Milner, k.,2016).
Reference
Milner, K., (2016) Sharing Your Knowledge: Getting Your Idea Publishedhttps://nursing.ceconnection.com/ovidfiles/00129804-201609000-00006.pdf