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.
Developing a Culture of Evidence-Based Practice
Evidence-Based Practice (EBP) has become a standardized measure of the quality and safety of care as well as optimal patient outcomes (Tucker & Gallgher-Ford, 2019). This is through dissemination strategies. According to Melnyk & Fineout-Overholt (2018), dissemination is the process of breakdown and distribution of information widely.
Dissemination Strategies I Would Be Most Inclined to Use
The first strategy is a unit-level presentation. This will entail the targeted distribution of information or intervention materials to a specific unit/level of the hospital using different channels (Brownson et al.,2018). Different units have different needs, preferences, and operational problems that are catered for. Unit-level presentation is effective as it engages the key stakeholders in-depth to increase the rate at which EBP is implemented (Brownson et al., 2018).
Second I would use localized dissemination; the distribution of information to a local level such as an entire organization. This involves more stakeholders. However, for this strategy, technological resources have to be available to attain effective outcomes. These strategies include computerized decision support, reminders, performance feedback, training, among others (Tucker & Gallagher-Ford, 2019).
Dissemination Strategies I Would Be Least Inclined to Use
The use of passive approaches of dissemination of evidence-based interventions such as publication of consensus statements in professional journals, mass mailings; which have proven to be ineffective owing to only small changes in the uptake of the new practices (Brwonson et al., 2018).
Barriers to Dissemination of Information and how to Overcome Them
A barrier to the unit-level presentation would be the resistance to change by the staff. An example would be whereby an EBP change requires the staff to give more input into care that doesn’t favor them. A good way to overcome this is by integrating them in the decision-making process towards this change. A barrier to localized dissemination strategy would be a short supply of technological resources. For instance, the installation and running of a clinical decision support system are quite expensive which might limit access to key information. A good way to overcome this is the use of other avenues such as educational training sessions to fill in the gaps. After all, training is a key aspect of empowering stakeholders on how to implement EBP (Brownson et al., 2018).
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Brownson, R. C., Colditz, G. A., & Proctor, E. K. (Eds.). (2017). Dissemination and implementation research in health: translating science to practice. Oxford University Press.
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
- Chapter 10, “The Role of Outcomes on Evidence-based Quality Improvement and enhancing and Evaluating Practice Changes” (pp. 293–312)
- Chapter 12, “Leadership Strategies for Creating and Sustaining Evidence-based Practice Organizations” (pp. 328–343)
- Chapter 14, “Models to Guide Implementation and Sustainability of Evidence-based Practice” (pp. 378–427)
Tucker, S. J., & Gallagher-Ford, L. (2019). EBP 2.0: From strategy to implementation. AJN The American Journal of Nursing, 119(4), 50-52.