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Peer one : The gap between the discovery of public health knowledge and application in practice settings and policy development is due in part to ineffective dissemination (Brownson, 2018). Sharing the project findings with internal and external stakeholders is essential for uptake. While there are a wide variety of dissemination methods, it is important to select the right one to get the message to the target audience. The first step to disseminate the project results is to create a dissemination plan. The plan must contain communication strategies to share the project outcomes and relevant information needs by stakeholders, relevant institutions, organizations, and individuals (Brownson, 2018).
The characteristics of the audience are important in shaping a dissemination strategy. For my evidence-based practice change project on medication nonadherence, for example, an appropriate internal method of dissemination would consist of keeping members of the Wellmed family clinic well informed about the progress of the project during their routine morning meetings. At the conclusion of the project, a final presentation will summarize the ultimate impact of the proposed practice change in patients’ health, and the actual benefits to patient care and outcomes. An external method of dissemination would be through a policy brief directed to government officials. Policy briefs are an effective way to share the benefits and advantages of the project findings. The benefit of utilizing this method is that policy briefs have the potential to reach large audiences through different networks because of their condensed format. Although the policy is unlikely to change immediately, policy briefs are a useful means to raise awareness, resulting in increased efforts to resolve the issue in question. To write an effective policy brief, the message must clear, concise, use active language, and highlight the benefits of the recommendation to all the involved parties (Neumann & Reed, 2019).
Brownson, R. C., Eyler, A. A., Harris, J. K., Moore, J. B., & Tabak, R. G. (2018). Getting the Word Out. Journal of Public Health Management and Practice, 24(2), 102–111. doi: 10.1097/phh.0000000000000673
Neumann, R. K., & Reed, M. (2019). How to make a policy brief that has real impact. Retrieved from https://www.fasttrackimpact.com/single-post/2015/1…
Peer two: Dissemination of evidence based practice results involves targeted circulation of information and interventions to a particular public health or clinical practice audience (Choi, 2005). The main objective of dissemination is to increase and promote the spread of knowledge regarding evidence based interventions, with an intention of enhancing its greater application and patient outcomes (Cain & Mittman, 2012). There are various internal and external methods of disseminating evidence based project. However, the method applied should be effective.
Effective dissemination is characterized by positive engagement of the targeted audience, which enhances awareness, understanding and motivation to implement in the workplace. The choice of dissemination methods depends on the targeted audience. Healthcare audience is mostly interested on how specific evidence fit into a specific context and the implications of adopting the changes on various aspects, such as policy, quality of care, staffing and funding among other aspects (Cain & Mittman, 2012).
The internal method that I would use to disseminate the evidence based practice is the hospital board. Hospital board essentially comprises of the employees of the health organization, such as nurses, physicians and other professionals involved in patient care. While disseminating the EBP to the hospital board the most appropriate method to apply would be face to face. The approach facilitates interaction and instant feedback especially during questioning sessions.
The external method that I would apply is presentation in conferences of professional organizations, particularly American Nurses Association. The professional organization would provide an ideal platform to facilitate dissemination of the project to large audience of nurses. The method that I would use in the conference is face to face to facilitate consultation and discussion with other nursing professionals. The communication strategies applied would vary in the internal and external forums. For instance, the hospital board comprises of colleagues, which implies that the communication would be less formal and more interactive compared to presentation in American Nurses Association conference.
Presentation of my evidence based results to the two groups is important to facilitate sharing of the knowledge and information in the nursing fraternity. This would enhance decision making capability among the group members involved in nursing practice and promote patient outcomes. Moreover, reporting the findings to the groups would facilitate constructive criticism of the results, thereby providing an opportunity to improve them before implementation.
Choi, B.C(2005). Understanding the basic principles of knowledge translation. Journal of Epidemiology and Community Health, 59(2):93.
Peer three: With using internal and external dissemination for evidence-based practice, the key focuses are to reach out to who we want to share our ideas with, who is our audience for who we are going to reach out to, the timing and the evaluation process (AHRQ, 2014). A major key is finding the stakeholders who will be interested in our project and will want to invest in the terms of the project. There should be a purpose for developing the project along with awareness, educate, being engaged and promotion of the project (AHRQ, 2014).
The internal dissemination would be the institution, and the clinical educator of the area we are working, making sure they are well informed about our project. With the project I’m working on non-pharmacological pain management being effective to that of pharmacological pain management for women in labor. The internal methods for dissemination are to have the nursing staff on board or form a committee that includes nurses, doctors, and midwives. The clinical educator will be involved and informed of how and what progress is being made, what is working or what is not working and what changes need to take place.
External dissemination is when we are reaching out to people who might benefit from the project that are outside of the institution. Utilizing these people who can help get the information out to others to share the information. In my project external dissemination would be women who are pregnant reaching out to them offering them information on non-pharmacological pain management and the benefits it can have in laboring women. We can reach out by educational classes. Reaching out through writing an article for a journal providing the information on non-pharmacological pain management. Communication can also be utilized through newsletter and flyers to help get the word out and provide people with information.
It is important to communicate with both groups so that everyone is on the same page and all are in agreement on the goals and outcomes as well as knowing and understanding what is taking place. The communication strategies will change, with the groups by providing information and feedback from surveys that were taken by the patient responding to questions that were asked as well as nursing staff. Offering change if the plan needed to be more effective. Communicating changes on a white board so staff can see what changes are being made as well as what is working and what isn’t. Sending emails to the all the people involved discussing what is working and what needs to be tweaked. Providing the information helps everyone will feel they are involves and working as a team.
AHRQ, (2014). Quick-Start guide to Dissemination for Practice-Based Research Networks. Agency for Healthcare Research and Quality, Retrieved from https://pbrn.ahrq.gov/sites/default/files/AHRQ%20PBRN%20Dissemination%20QuickStart%20Guide_0.pd