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

Peer 1

Marie Myrtha Cajuste

Disseminating Evidence-Based Practice: Strategies and Overcoming Barriers

Ensuring the dissemination of evidence-based practice (EBP) is a requirement for moving healthcare systems to be more effective, safer, and efficient. Evidence-based practice can be propagated further by transmitting the findings and strategy of EBP to all healthcare professionals within Adventhealth Hospital, where I work in the Orthopedic department. They will then contribute to the collective knowledge base and promote best practices, thus ultimately advocating for the implementation of EBP interventions. Nevertheless, the successful dissemination of information will only happen when its scope has been well thought out, various strategies have been considered, and the barriers have been countered.

Preferred Dissemination Strategies

Unit-level or Organizational-level Presentations

Presentation-level techniques at the unit or unit level transmit the evaluation results and create acceptance and implementation in the healthcare organization. In this way, EBP presentations, being a form of active engagement, promote within the learning community and pave the way for a dialog with colleagues about broader applicability. By creating content that is precisely right for the organization's needs and situation, these presentations will enhance the level of acceptability and the adoption of scientifically proven approaches.

Poster Presentations at Professional Conferences

The chance of disseminating the EBP findings among a wider audience through poster presentations at local, regional, and national professional forums is an excellent opportunity. Thus, as visual displays, they are the best medium for short and concise communication of research findings, methodology, and the subsequent implications for practice (Gallagher-Ford et al., 2011). Similarly, poster presentations have the advantage of providing networking opportunities between other professionals, which could result in possible collaborations and the creation of shared knowledge

Least Preferred Dissemination Strategies

Podium Presentations at National Conferences

While podium presentations are a form of national conferences that may have more expansive dissemination power, they are least attractive because of complex preparation and may cause stress or fear (Melnyk, 2012). Also, the level of competitiveness among these conferences may sometimes make it challenging to secure a podium presentation slot.

Publication in Peer-reviewed Journals

Publishing in peer-reviewed journals is one good strategy to inform widely, as it makes way for publications with a permanent record of EBP findings. Although the publication process is lengthy and the most detailed, it involves many re-reads and submissions, which are sometimes rejected (LoBiondo-Wood & Haber, 2021). This approach may seem initially intimidating to newbies who physically disperse the EBP information and those with little research experience (Melnyk et al., 2017).

Potential Barriers and Strategies to Overcome Them

Limited Resources and Time Constraints

The most significant obstacle that hampers the dissemination of evidence-based practices is the absence of proper resources, working in conjunction with a lack of time. In healthcare, professionals perform multi-tasking activities, and sometimes, they have less time to spare for other essential tasks such as giving presentations and writing publications (VanLeeuwen et al., 2021). Organizations may set aside the designated time and money to envision the difficulty of implementing EBP dissemination. Moreover, when working with co-workers or establishing a multidisciplinary team, one can use joint effort to relieve the load and see the variety of perspectives.

Organizational Culture and Resistance to Change

Change in established ways of doing things and incorporation of new knowledge-based techniques can be confronted within organizational settings. In this regard, creating an atmosphere where everyone embraces ongoing learning, being innovative, and evidence-based practices becomes an absolute key to overcoming the challenge (Melnyk, 2012). It will come about by influencing decision-makers, endless learning opportunities, and the input of prominent stakeholders in the process

Limited Dissemination Skills and Confidence

Some healthcare workers are newcomers or lack social competence beyond what is needed to successfully translate the evidence to their endeavor. To address this barrier, technology is used to conduct workshops and identify mentors in skills like public speaking, poster design, or scientific writing (Ayoubian et al., 2020). Similarly, working with proven researchers and seeking guidance from educational facilities can be essential tools to strengthen dissemination efforts.

In conclusion, spreading evidence-based practice will tremendously contribute to a rise in healthcare quality and the implementation good practices. Appropriately choosing the aiding communication strategy that suits the interest of Adventhealth Hospital's organizational structure will help encounter the possible barriers in advance, which will further help the healthcare providers employ their expertise about the BPE effectively and be part of the accumulated knowledge (VanLeeuwen et al ., 2021). Developing a culture that embeds life-long learning in research, collaboration, and evidence-based approaches is vital to efficient communication tactics.

References

Ayoubian, A., Nasiripour, A. A., Tabibi, S. J., & Bahadori, M. (2020). Evaluating facilitators and barriers to implementing evidence-based practice in the health services: A systematic review. Galen Medical Journal, 9, e1645.

Gallagher-Ford, L., Fineout-Overhold, E., Melnyk, B.M. &  Stillwell, S.B. (2011). Evidence-based practice step-by-step:  Implementing an evidence-based practice. American Journal of Nursing, 111(3), 54-60. https://oce.ovid.com/article/00000446-201103000- 00031/HTML Links to an external site. 

LoBiondo-Wood, G., & Haber, J. (2021). Nursing research E-book: methods and critical appraisal for evidence-based practice. Elsevier Health Sciences.

Melnyk, B. M. (2012). Achieving a high-reliability organization through implementing the ARCC model for systemwide sustainability of evidence-based practice. Nursing Administration Quarterly, 36(2), 127–135. doi:10.1097/NAQ.0b013e318249fb6a https://oce.ovid.com/article/00006216-201204000-00006/HTMLLinks to an external site.

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 https://oce.ovid.com/article/00005110-200712000-00009/HTMLLinks to an external site.

VanLeeuwen, C. A., Veletsianos, G., Johnson, N., & Belikov, O. (2021). Never‐ending repetitiveness, sadness, loss, and "juggling with a blindfold on:" Lived experiences of Canadian college and university faculty members during the COVID‐19 pandemic. British Journal of Educational Technology, 52(4), 1306-1322.

Peer 2 

Scott Owens

Disseminating strategies for evidence-based practice in the nursing profession continues to be the guiding factor for patient care. Nursing culture has begun using evidence-based practice as the foundation for treatment of patients using a wholistic approach that is rooted in evidence-based practice. The promotion of science and practice of implementation evaluation in public health requires a collaborative, multifaceted, multicomponent, and multisite approach with diverse participants, stakeholders, and partnerships (Jack, L. Jr., 2018).

This requires a complex mix of individual, familial, organizational, economic, environmental, and other contextual factors that contribute to the success of interventions put in place (Jack, L. Jr., 2018). In doing so you must connect with those around you in different aspects of your workplace or community and provide information that is concise and relative to your objective in a manner that is easily understood and practiced by your audience.

The two dissemination techniques I chose for the discussion are creating toolkits of training materials and curricula for community members and hosting health promotion events at health fairs and school functions (Schroeder, S. & Bauman, S., 2019). I chose hosting health promotion events at health fairs and school functions due to the ability to distribute information to many people in one area without traveling to multiple locations with just a few participants at each location. Also, people who attend health fairs already have an interest in improving their lifestyle and therefore are more willing to follow current recommendations.

To relay my health promotion objectives based on evidence-based practice to participants I would provide both written and verbal information to connect with stakeholders with multiple learning styles. This would include posterboard presentations, Verbal explanation of information provided to them orally using a power point presentation as well as pamphlets of information (Schroeder, S. & Bauman, S., 2019) that participants can take with them to review at a later time.

Two disseminating strategies I would not use as part of my community health project would be Publishing program or policy briefs and Publishing project findings in national journals and statewide publications. I would likely not use these options as I am presenting to community members, and they would not likely retain the information provided using these strategies.

One problem area I could see as a hurdle with my presentation would be related to presenting health information to students at a school function related to students following health promotion objectives. To overcome this hurdle, I would present the information with information and details that would help the students relate to the information and I would involve the students by asking questions related to the information presented and reward feedback for right answers.

References:

Jack L., Jr (2018). Promoting the Science and Practice of Implementation Evaluation in Public Health. Preventing chronic disease, 15, E163. https://doi.org/10.5888/pcd15.180645

Schroeder, S. & Bauman, S. (2019, August). Methods of Dissemination for Community Health Programs. Retrieved from https://www.ruralhealthinfo.org/toolkits/rural-toolkit/6/dissemination-methods.