Discussion: Developing A Culture Of Evidence-Based Pr 039784
Discussion Developing A Culture Of Evidence Based Practice Review Th
Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP. This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals. Reflect on which type of dissemination strategy you might use to communicate EBP. Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.
Paper For Above instruction
Developing a culture of evidence-based practice (EBP) is essential for enhancing patient outcomes, improving healthcare quality, and fostering continuous professional development within healthcare organizations. Disseminating EBP effectively requires strategic selection of dissemination strategies tailored to the target audience, organizational context, and the nature of the evidence being promoted. This essay explores preferred dissemination strategies, potential barriers, and strategies to overcome these challenges.
Among various dissemination strategies, unit-level presentations and publication in peer-reviewed journals are particularly compelling. Unit-level presentations involve direct communication with clinical staff, fostering immediate engagement and feedback. This approach is highly effective because it allows for real-time dialogue, clarifies uncertainties, and encourages immediate adoption of EBP practices. For example, a nurse educator delivering a case-based presentation on wound care protocols can influence bedside practice immediately, integrating evidence into daily routines. According to Hempel et al. (2019), face-to-face communication facilitates better understanding and quicker implementation of evidence-based interventions compared to passive dissemination methods.
Similarly, publishing in peer-reviewed journals provides a formal, scholarly platform to disseminate EBP findings broadly across the healthcare community. Such publications establish credibility and transparency, encouraging wider adoption. Peer-reviewed articles serve as authoritative sources that inform clinical guidelines, policy development, and further research (Brownson, Colditz, & Proctor, 2018). Moreover, digital dissemination via open-access journals increases reach, especially to practitioners who are unable to attend conferences or organizational meetings.
Conversely, I am less inclined to utilize poster presentations at local or regional conferences as a primary dissemination method. While posters are valuable for sharing preliminary findings, their passive nature often limits interaction and immediate impact. Posters tend to generate limited engagement, primarily among conference attendees already interested in the topic, thus restricting their influence compared to active presentations or publications. Additionally, creating a compelling poster requires significant effort with uncertain return on dissemination impact (Nilsen et al., 2018).
However, the most inclined dissemination strategies make progress more challenging due to potential barriers. Two notable barriers are organizational resistance to change and resource constraints. Resistance from staff or leadership can hinder the adoption of new practices, especially if existing routines are deeply ingrained or if there is skepticism regarding the evidence’s applicability. For example, if unit staff view evidence-based protocols as disruptive, they may resist change despite effective dissemination efforts. Overcoming this barrier involves engaging key stakeholders early, demonstrating the evidence’s relevance, and providing ongoing education and support (Davis et al., 2019).
Resource constraints, including limited time, staffing, and financial support, can also impede dissemination efforts. For example, organizing multiple presentations or producing journal articles demands significant personnel time and funding. To surmount this, leaders can integrate dissemination activities into existing workflows, seek organizational buy-in for dedicated time, and leverage digital technology—for instance, webinars or online modules—to extend reach efficiently. Involving champions within the organization can also facilitate peer influence and sustain momentum for EBP adoption.
In conclusion, effective dissemination of evidence-based practices is crucial for cultivating a culture of continuous improvement in healthcare. Strategies such as unit-level presentations and peer-reviewed publications offer credible, targeted avenues for dissemination but must be carefully implemented considering potential barriers. Overcoming resistance and resource limitations requires strategic planning, stakeholder engagement, and innovative use of technology. Ultimately, a tailored, multi-faceted approach can foster widespread understanding and integration of EBP into routine clinical practice.
References
Brownson, R. C., Colditz, G. A., & Proctor, E. K. (2018). Dissemination and implementation research in health: Translating science to practice. Oxford University Press.
Davis, M., Young, D., & Stimpson, K. (2019). Strategies to overcome resistance to evidence-based practice change in healthcare. Journal of Nursing Management, 27(4), 636–644.
Hempel, S., Newberry, S., Powella, L. L., et al. (2019). Editorial: Facilitating the dissemination of evidence-based practices in clinical settings. Implementation Science, 14(1), 1–8.
Nilsen, P., Bernhardsson, S., & Wendt, C. (2018). Developing the implementation of evidence-based practice in healthcare organizations: The role of organizational readiness and change management. Implementation Science, 13(1), 161.
Proctor, E., Powell, B. J., & McMillen, J. C. (2018). Implementation strategies to promote evidence-based practice adoption: A comprehensive review. Medical Care Research and Review, 75(3), 271–285.
Shelton, R. C., Carey, K. B., & Duma, S. (2020). Barriers and facilitators to evidence-based practice in healthcare: A systematic review. Journal of Implementation Science, 15(1), 71.
Tabak, R. G., et al. (2018). Dissemination and implementation research in health: Advancing evidence-based practice. Journal of Behavioral Medicine, 41(3), 371–383.
Wensing, M., & Grol, R. (2019). Knowledge translation in health care: Moving from evidence to practice. BMJ, 364, k5244.
Zaccagnini, M. E., & White, K. W. (2020). The doctor of nursing practice essentials: A new model for advanced practice nursing. Jones & Bartlett Learning.