Evidence-based practice in nursing & healthcare Discussion 3

The two dissemination strategies that I would most likely use would be the Podium/Oral presentations and the round table strategies. I work in a small facility with approximately 70 nursing staff, so these strategies are best suited for this smaller population. These types of presentations offer opportunities to share and learn knowledge and enhance clinical expertise pertaining to EBP, evidence-based quality improvement, and research (Melnyk & Fineout-Overholt, 2018). This is the type of presentation we use when we are teaching prevention and management of aggressive behaviors to reduce S/R because it fits the audience well. We discuss current evidence-based practices when it comes to ways to prevent seclusion and restraint practices through the use of PowerPoint presentations and handouts that staff can takes notes on. When delivered in a context of caring and in a supportive organizational culture, the highest quality of care and best patient outcomes can be achieved (Gallagher-Ford, Fineout-Overholt, Melnyk, & Stilwell, 2011). The round table strategy is a way to have different disciplines the opportunity to share specific information with a group but also allow the group to discuss the content from their perspective (Melnyk & Fineout-Overholt, 2018). Different disciplines view the use of S/R differently so having the group mixed with different disciplines increases discussion.

The strategy that I would be least inclined to use would be through published journals. The reason I don’t feel that this strategy would work is because the information we discuss about S/R requires discussion and examples of past experiences that show why current evidence-based practice works and why it is put into place, and staff are busy and don’t have the time available to read articles.

Barriers

Barriers to using the podium and round table strategies are that some staff do not like change and may disagree with the reasoning for wanting to change the organizational culture. To help with this barrier, we make sure that we put staff that we know will be a challenge with staff that are flexible and willing to change so that they can hear their perspectives.

Leadership

Fostering EBP within organizations requires strong infrastructure, including nursing leadership (Newhouse, Dearholt, Poe, Pugh, & White, 2007). It is important to get the support of the nursing leadership team when it comes to changing policies and procedures, and the culture as they are a crucial part of the team that helps to pass the information onto the employees throughout the organization. Interventions need to be relevant for staff to want to implement them into their daily practices (Sidani et al., 2016). Ongoing education provided to employees keeps them current on EBP and will help them provide the best quality care to their patients.

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), 54-60. doi: 10.1097/10.1097/01.NAJ.0000395243.14347.7e

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer. Evidence-based practice in nursing & healthcare Discussion 3

Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). Organizational change strategies for evidence-based practice. Journal of Nursing Administration, 37(12), 552–557. doi:0.1097/01.NNA.0000302384.91366.8f. Retrieved from http://downloads.lww.com/wolterskluwer_vitalstream_com/journal_library/nna_00020443_2007_37_12_552.pdf

Sidani, S., Manojlovich, M., Doran, D., Fox, M., Covell, C. L., Kelly, H., … McAllister, M. (2016). Nurses’ Perceptions of Interventions for the Management of Patient-Oriented Outcomes: A Key Factor for Evidence-Based Practice. Worldviews on Evidence-Based Nursing, 13(1), 66–74. https://doi-org.ezp.waldenulibrary.org/10.1111/wvn.12129

Evidence-based practice in nursing & healthcare Discussion 3

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