NUR 590 Evidence Based Practice Project Week 7 Discussion
NUR 590 Evidence Based Practice Project Week 7 Discussion
Week 7 Discussion
DQ1 Identify the audience for your EBP proposal and discuss strategies for disseminating the proposal.
Disseminating evidence to stakeholders and decision makers within the organization is crucial to getting the proposed solution implemented throughout the organization. The evidence must have evidence based research that supports the proposed solution and must show how the solution will improve the performance of the organization. After the completion of a research or evidence based project, the information must be disseminated amongst the staff. The purpose behind performing a research project or evidence based project is to create change and to advance patient care. The information that is distributed amongst the staff is quite important. Having a dissemination plan is so vital because there are barriers. The barriers can involve not having the education or information readily available, costs of disseminating the information to staff, and staff being resistant to the new change or information.
There are two ways to disseminate an evidence-based practice project proposal which are either internal or external. Evidence-based practice (EBP) findings are disseminated by transmitting data and actions to significant public healthcare or clinical research population. The fundamental aim of dissemination is to enhance and promote evidence-based strategies, to increase their implementation and patient experience. One internal strategy to disseminate evidence-based practice is the hospital board. Employees of the health organization, such as nurses, physicians, and other professionals involved in patient care, make up the hospital board. The most proper technique to employ when disseminating the EBP to the hospital board would be face to face. The method encourages engagement and immediate response, particularly during questioning sessions(M, 2019). The presenting procedure at professional organization conferences, notably the American Nurses Association, would be an external technique. The professional association would be an excellent venue for disseminating the initiative to a considerable number of nurses. Face-to-face consultation and conversation with other nursing experts would be the approach utilized in the conference. Internal and external communication techniques would differ.
Using a dissemination plan tool will assist the researcher in locating all of the components required to create a formal dissemination plan that specifically reflects the user’s needs and interests (Carpenter, Nieva, Albaghal, & Sorra, 2014). The tool includes six useful components for effectively disseminating research findings. Define the research, identify target users, collaborate with dissemination partners, communicate the research, communicate the research, evaluate the success of the dissemination process, and develop an action plan are the components (Carpenter, Nieva, Albaghal, & Sorra, 2014). Using the tool will benefit not only the researcher but also the staff members who will be receiving the new information. Investors and donors are examples of external stakeholders. Internal stakeholders to contact include executives and managers.
Carpenter,D., Nieva, V., Albaghal, T. & Sorra, J. (2014). Development of a Planning Tool to Guide Research Dissemination. Retrieved from: http://www.ncbi.nlm.nih.gov/books/NBK20603/
Dissemination is spreading evidence-based practice information to a variety of clinical settings to increase understanding and adoption of new or changed evidence-based practice. Proposing evidence-based practice projects in a diverse but related setting allows for the uptake of stakeholder support that would increase resources to conduct more complex studies and implement enhanced interventions. Stakeholders are very important as not only can studies require financial backing for equipment, clinical resources and personnel, but also require stakeholders that can understand the gravity a project or proposal has on improving patient related health outcomes (Cunningham-Erves, Mayo-Gamble, Vaughn, Hawk, Helms, Barajas & Joosten, 2020).
Health care facilities, specifically the outpatient/public nutrition department, would be the primary internal stakeholders for my evidence-based project. To obtain consents and access to the target population, a health care facility’s approval would be required, and because consent and privacy must be followed ethically, approval from a health care facility may already have detailed policies regarding such proposals. Because the project is focused on nutrition, direct communication with administration and the nutrition department will be essential for maintaining stakeholder trust (Warren, Constantinides, Blake & Frongillo, 2021).
External stakeholders include those who provide assistance outside of the health care facility, such as local or public dieticians/nutritionists, patients, and public education programs. You can also include digital or virtual stakeholders who are willing to support structured and guided approaches to diet modification and nutritional information using technology. While direct communication can be facilitated for public services and patients, technical stakeholder support for improvements and utilization may necessitate technical communication (Warren, Constantinides, Blake & Frongillo, 2021).
Dissemination of an evidence-based practice (EBP) project proposal and collected results is a crux in the process of disseminating the information with aim to improve care at the bedside. According to AHRQ (2012), a collaborative process must occur that includes care providers, patients, and other stakeholders in order to effectively and meaningfully disseminate gathered data from the research study. This is with intention to include all invested parties, and explore the most effective means to make meaningful change in a positive way. This process reviews the benefits, diagnoses, alternatives, treatments and outcomes of the proposed intervention.
According to the Agency for Healthcare Research and Quality (AHRQ, 2012), a primary goal of EBP dissemination includes accessibility to stakeholders, and providing specific translation techniques to allow for better focus and accurate information shared. Internally, these stakeholders for my EBP practice project of reducing CLABSIs by implementation of a care bundle may include the chief nursing leadership, executive hospital leadership, hospital management, supply chain, quality and data scientists as well as the frontline caregivers. Externally, stakeholders may include hospital board members, community partners (i.e. long-term care facilities and others who care for patients with a long-term central line, such as a dialysis port) and others.
There are various methods available for communicating the valuable findings of an EBP project. However, it is critical to spend time assessing the audience, intention, approach and presentation of the information, if it is to be received well and accurately (AHRQ, 2012). For example, focusing on the promotion of health and reducing patient harms as designated by the National Patient Safety Network is a key driver I should highlight in my communication. Additionally, a systematic review of my research would be valuable to both internal and external stakeholders. This includes comparing the research, evaluating my processes, reviewing the validity and reliability of the study, how it was performed and how I arrived at my results and discussion. Acknowledging shortcomings up front is also important, as to avoid any false sense of believing the intervention will fix all. The research translation process will cover these topics in various formats, such as presentations, round-table discussions, online sharing and more. Overall, it is essential that an EBP researcher provide many options for stakeholders to review the learned information, and assist in the decisions as to “what’s next?”
Agency for Healthcare Research and Quality (2012). Communication and dissemination strategies to facilitate the use of health-related evidence. Research Protocol, 1(1), 1-25. medical-evidence-communication_research-protocol.pdf (ahrq.gov)