Discussion Response

This is a discussion response. Please address this as if you are talking to a colleague. DO NOT critique their grammar!

**The response must offer additional ideas to overcome the barriers to strategies suggested by your colleagues and/or by offering additional ideas to facilitate dissemination.

**Must include references!

This is what needs to be responded to:

Nurses are very resistant to change; therefore, disseminating evidence-based practice in my organization or unit would be a challenge. New grad nurses are more inclined to accept change and adapt to new ideas, versus experienced nurses who may be set in their ways. Finding the positive aspects of the change would help ease the stress that comes with the unfamiliar. The primary ways of dissemination are posters, presentations, and papers. Dissemination helps get the message out about certain topics. Dissemination is used to overcome knowledge deficits and participant skepticism (Melnyk, & Fineout-Overholt, 2018).

Two dissemination strategies I would be most inclined to use are poster presentations and hands on simulation classes. An effectual EBP poster is developed based on analytical reasoning and considers its relevance before the development (Williams & Cullen, 2016). I would use a poster presentation because it gives the viewers a visual. You can make a poster presentation creative and colorful in order to keep the viewers engaged. I like posters because they are small and to the point. There is enough space to put a couple of pictures, keywords, and engage with the viewers verbally. I am a visual learner and being able to see pictures and words holds my attention more than someone speaking alone.

I would use a hands-on simulation classes because it gets everyone involved. It gives the viewers a chance to practice skills. Hands on classes are informative and engaging. If there was an EBP on infection prevention. The simulation class would have practice stations for handwashing, use of skin preps, sterile procedures, and how to properly wear PPE. Learning something new should include the teach back method. During these classes, you are able to practice skills, ask questions, voice concerns, and get feedback immediately.

I would be least inclined to use an oral presentation or podium presentation because they are boring and lengthy. It is very difficult to keep people engaged with oral presentations. I find people looking at their phone, talking to the person sitting next to them and sometimes even daydreaming.  Some people have a short attention span for speeches. It is also a challenge to retain all the information presented in a podium presentation due to lack of visuals and information overload.

Two barriers I might encounter when using posters and hands-on simulation classes are, resistance from staff and non-compliance. Learning new ways to practice healthcare can be a challenge especially if you have your own way of doing things already. If change does not directly affect people, they may be resistant to it. They might put it off or even ignore it. I have worked with many nurses who say, “we are supposed to do it like this, but I do it like this.” It makes it difficult to keep up with the newest policies and procedures based on EBP. People who decide to do it their way regardless of research and evidence are non-compliant. For example, our policy states to use chloraprep to scrub the hubs, however, some nurses are seen using alcohol because they like it better. They are being resistant and non-compliant. According to Derman and Jaeger, dissemination is an important element and responsibility of investigators as it can generate new knowledge, stimulate more research, and advance the search to solve vital health problems (Derman & Jaeger, 2018).

I would overcome these barriers by making learning fun. I would try to get everyone engaged as much as possible and educate them on why the change is important. Surveying employees to see what they like is another way to overcome those barriers. Our main goal as a healthcare team is to increase outcomes. Evidence-Based Practice (EBP) enhances healthcare standards and increases patient outcomes; it promotes clinicians’ active participation in practice (Melnyk et al., 2017).

References

Derman, R., & Jaeger, F. (2018). Overcoming challenges to dissemination and implementation of research finding in under-resourced countries. Reproductive Health, 15(1), 86. https://doi.org/10.1186/x12978-018-0538-z

Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Choy, K. (2017). A Test of the ARCC (c) Model Improves Implementation of Evidence-Based Practice, Healthcare Culture, and Patient Outcomes. Worldviews on Evidence-Based Nursing, 14(1), 5–9. https://doi-org.ezp.waldenulibrary.org/10.1111/wvn.12188

Williams, J. L., & Cullen, L. (2016). Evidence into Practice: Disseminating an Evidence-Based Practice Project as a Poster. Journal of Perianesthesia Nursing, 31(5), 440–444. https://doi-org.ezp.waldenulibrary.org/10.1016/j.jopan.2016.07.002