NURS 6052 – Essentials Of Evidence-Based Practice EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM

NURS 6052 – Essentials Of Evidence-Based Practice EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM

“It is well known that evidence-based practice (EBP) improves healthcare quality, safety, and patient outcomes as well as fosters clinicians’ active engagement in their practices” (Melnyk et al., 2017). Furthermore, it is essential to educate and inform all health care team members about EBP studies and interventions that are on the rise to improve patient outcomes. “Using guidelines to inform practice improves the effectiveness and efficiency of healthcare while reducing inappropriate variations in practice” (Medves et al., 2010). Some dissemination strategies include unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, and publication in peer-reviewed journals.  

Of the dissemination strategies listed, two that I would be most inclined to use would be poster presentations and unit level presentations within my hospital. These two seem to be strategies that can be used to easily present information quickly and effectively to surrounding staff. With poster presentations, I would hand out informational fliers that engage readers and link resources for further exploration on the topic. I would ensure to only include vital information. With unit-level meetings, keeping the group small, you can ensure that every member is captivated and engaged in the material. This type of strategy also allows for questions during and at the end of the presentation.  

Some barriers that may exist with these two strategies would be that with poster presentations and unit level meetings, you may not be able to convey all the information you want to present. There may be a time limit for these meetings as well which could make it difficult to keep everyone engaged in the allotted time. Ways to overcome some of these barriers are to divide unit meetings into different sessions to not over-exhaust staff and keep their full attention. “Nurse schedules needed to accommodate time away from clinical responsibilities for initial training and then later to complete the EBP process” (Newhouse et al., 2017). Also scheduling meetings before work so that they are ready to learn, rather than after a 12-hour shift. 

Two of the dissemination strategies I would be least likely to use would be a podium presentation at a national level and a publication in a peer-reviewed journal. Reasons being that attendees of a podium presentation at a national level would be higher-level education individuals such as those with PhDs, and I would fear not being able to answer questions they may have.  

References

Medves, J., Godfrey, C., Turner, C., Paterson, M., Harrison, M., MacKenzie, L., & Durando, P. (2010). Systematic review of practice guideline dissemination and implementation strategies for healthcare teams and team-based practice. International journal of evidence-based healthcare, 8(2), 79–89. https://doi.org/10.1111/j.1744-1609.2010.00166.xLinks to an external site. 

Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Choy, K. (2017). A test of the ARCC© model improves implementation of evidence-based practice, healthcare culture, and patient outcomes Links to an external site.Links to an external site.. Worldviews on Evidence-Based Nursing, 14(1), 5–9. doi:10.1111/wvn.12188 

Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). Organizational change strategies for evidence-based practice Links to an external site.Links to an external site.Journal of Nursing Administration, 37(12), 552–557. doi:0.1097/01.NNA.0000302384.91366.8f