Developing a Culture of Evidence-Based Practice Assignment

Developing a Culture of Evidence-Based Practice Assignment

Respond to the two of post below by offering additional ideas to overcome the barriers to strategies suggested by your colleagues and/or by offering additional ideas to facilitate dissemination.

POST 1

Image what it would be like for dissemination across the board within the healthcare system. It seems like a difficult goal to reach.

Two strategies that I would be inclined to use are with the use of a treatment bundle; the IHI defines a bundle as “a structured way of improving the processes of care and patient outcomes: a small, straightforward set of practices generally three to five that when performed collectively and reliably, have been proven to improve patient outcomes” (Taenzer et al., 2017). For example, if I wanted to bring forth a change, I would do it as a process and have focus areas of what changes needed to be made. Often with the change, if there are too many things at once, your staff can only remember parts of it, and then the whole change will not occur. Another strategy I would use is to engage with stakeholders within my team by building trust, connecting, and establishing goals for the intending project. This way a draft can be created, and agenda plans for upcoming meetings can be established. I would ensure I was ready to present the project to my team by use of a PowerPoint presentation with clear topic ideas and plan for implementing the process change.

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Two barriers I might encounter when using the dissemination strategies are insufficient staff training. If enough training is not provided on the new project plan, then employees will likely not want or understand the importance of participating in the process change. To overcome this, I would address the supervisors’ importance to monitor staff closely with the process change and, if things are not working well address the employee and offer further training. Another barrier could be an employee just not accepting the process change. To address this, Gallagher-Ford et al. explained the importance of helping project participants realize they’ll be doing the same thing they’ve been doing, just more efficiently and effectively. With this mindset it will help to allow them to accept the new process. Overall, working with all stakeholders closely, addressing the issues along the way, and listening when needed will allow for a smooth transition into the new work flow.Developing a Culture of Evidence-Based Practice Assignment

References

Andreas Taenzer, Allison Kinslow, Christine Gorman, Shelley Schoepflin Sanders, Shilpa J.

Patel, Sally Kraft, & Lucy Savitz. (2017). Dissemination and Implementation of Evidence Based Best Practice Across the High Value Healthcare Collaborative (HVHC) Using Sepsis as

a Prototype – Rapidly Learning from Others. EGEMs, 5(3). https://doi-org.ezp.waldenulibrary.org/10.5334/egems.192

Gallagher-Ford, Lynn, MSN, RN, NE-BC; Fineout-Overholt, Ellen, PhD, RN, FNAP, FAAN;

POST 2

COLLAPSE

Top of Form

Main Post

Even though there has been a huge movement in the use of evidence-based research, the research does not extend to clinical practices quickly. Research that would benefit patient outcomes may take years to implement into clinical practice (Melnyk, 2012). When it does penetrate clinical practices, there are several ways to disseminate the information. One way is the poster presentation. The presenter would stand next to the poster to allow for the audience to read it and would be available for any questions in regards to the evidence-based practice. The presenter would have handouts for the audience to take with them since the poster may not include all the information needed (Melnyk, 2018 p559). This is also a way for the presenter to support the evidence and show their excitement for the new practice being put in place.

Another way to disseminate the evidence-based information is through nurse team meetings. This one is facilitated at the hospital I work at. It is a way to reach different groups of people at once. This information is usually done during shift change. Once the information is presented by the charge nurse or nurse manager, there is a sign off sheet that you acknowledge and understand the change that is taking place. After a few weeks, the team leaders will come around and ask how the new practice is working and may even ask you to show them how you implemented the change.Developing a Culture of Evidence-Based Practice Assignment

There are also dissemination strategies that I would be least inclined to use and that would be through email. Emails can become overwhelming at work. The dissemination of the evidence-based information could be looked over or even deleted before even being read. Even though you can reach many people at once, this is not an effective way to promote evidence-based changes. Another dissemination strategy that I would not use is brochures. Brochures are just handouts without the proper support to answer questions. Many brochures would end up in bags or the garbage and then the information in the brochure would not be used to promote best practices for the patients.

When using the dissemination strategies, there may be barriers encountered. One of those barriers is the behavior of nurses who do not think there needs to be a change. 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. There are ways to overcome these barriers. One of the ways to break these barriers is through research and on the job learning. This should be the culture of the facility. Supporting this type of culture allows for nurses to use EBP and incorporate it into their daily practices as nurses. This becomes natural for them and patients benefit because they are receiving the best evidence-based practices (Mick,2017).

Developing a Culture of Evidence-Based Practice Assignment

 

References

Melnyk, B. M. (2012). Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. Nursing Administration Quarterly, 36(2), 127–135. doi:10.1097/NAQ.0b013e318249fb6a

Melnyk, B. M., & Fineout-Overholt, E. (2018). 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 Management48(7), 27–34. https://doi-org.ezp.waldenulibrary.org/10.1097/01.NUMA.0000520719.70926.79

Bottom of Form

Respon

d

to the two

o

f pos

t below

by offering additional ideas to overcome the barriers to strategies

suggested by your colleagues and/or by offering additional ideas to facilitate dissemination

.

POST 1

I

mage

what

it

would

be

like

for

dissemination

across

the

board

within

the

healthcare

system.

It

seems

like

a

difficult

goal

to

reach.Developing a Culture of Evidence-Based Practice Assignment

Two

strategies

that

I

would

be

inclined

to

use

are

with

the

use

of

a

treatment

bundle;

the

IHI

defines

a

bundle

as

“a

str

uctured

way

of

improving

the

processes

of

care

and

patient

outcomes:

a

small,

straightforward

set

of

practices

generally

three

to

five

that

when

performed

collectively

and

reliably,

have

been

proven

to

improve

patient

outcomes”

(Taenzer

et

al.,

2017).

For

example,

if

I

wanted

to

bring

forth

a

change,

I

would

do

it

as

a

process

and

have

focus

areas

of

what

changes

needed

to

be

made.

Often

with

the

change,

if

there

are

too

many

things

at

once,

your

staff

can

only

remember

parts

of

it,

and

then

the

whole

chang

e

will

not

occur.

Another

strategy

I

would

use

is

to

engage

with

stakeholders

within

my

team

by

building

trust,

connecting,

and

establishing

goals

for

the

intending

project.

This

way

a

draft

can

be

created,

and

agenda

plans

for

upcoming

meetings

can

be

est

ablished.Developing a Culture of Evidence-Based Practice Assignment

I

would

ensure

I

was

ready

to

present

the

project

to

my

team

by

use

of

a

PowerPoint

presentation

with

clear

topic

ideas

and

plan

for

implementing

the

process

change.

Two

barriers

I

might

encounter

when

using

the

dissemination

strategies

are

ins

ufficient

staff

training.

If

enough

training

is

not

provided

on

the

new

project

plan,

then

employees

will

likely

not

want

or

understand

the

importance

of

participating

in

the

process

change.

To

overcome

this,

I

would

address

the

supervisors’

importance

to

monitor

staff

closely

with

the

process

change

and,

if

things

are

not

working

well

address

the

employee

and

offer

further

training.

Another

barrier

could

be

an

employee

just

not

accepting

the

process

change.

To

address

this,

Gallagher

Ford

et

al.

explained

the

importance

of

helping

project

participants

realize

they’ll

be

doing

the

same

thing

they’ve

been

doing,

just

more

efficiently

and

effectively.

With

this

mindset

it

will

help

to

allow

them

to

accept

the

new

process.

Overall,

working

with

all

stakeholders

closely,

addressing

the

issues

along

the

way,

and

listening

when

needed

will

allow

for

a

smooth

transition

into

the

new

work

flow.

Developing a Culture of Evidence-Based Practice Assignment