Nimmy James     Re: Topic 7 DQ 1  response 

The main objective of dissemination is to rise and encourage to spread the knowledge regarding evidence- based interventions. The main goal of enhancing better applications and patient outcome. There are various internal and external methods of disseminating evidence- based project. However, the method applied should be effective. The effectiveness characterized by positive engagement of the targeted audience, which enhances awareness, understanding and motivation to implement in the workplace. One of the hardest aspects of evidence-based practice (EBP) is making sure that the change we wanted to occur actually happens. So, evaluation of the results is a major component of evidence-based practice. It shows the progress that you have made throughout the process, it shows the failures and it also shows the success. As Ginex p states “Share the outcomes but also the process of your project: what worked, what didn’t, what you learned, and what you would do (or not do!) again” (Ginex, 2018).  “Dissemination can occur in many forms within your organization and beyond, and it should be part of the planning process for the full project” (Ginex, 2018). One internal method of dissemination of the project can be the hospital board, nurses and physicians and other professionals involved in patient care. These people have the most power to make the most change necessary to make the EBP successful. An internal method of disseminating of my EBP is through my unit counsel group and policy committee. These groups to ensure my EBP project will be implemented according to unit needs. One external method of dissemination can be the patients and families. External dissemination doesn’t even have to be through people it can be used through posters or even through on-line media. The internal and external groups are very important to facilitate sharing knowledge and data in the nursing field. Moreover, when reporting the finding to the groups would facilitate constructive criticism of the result, it will provide the opportunity to improve before implementation.     References:   Ginex, P. K. (2018). Use these methods to evaluate EBP outcomes and disseminate results. Oncology Nursing Society Voice.           

   Retrieved from https://voice.ons.org/news-and-views/use-these-methods-to-evaluate-ebp-outcomes-and-disseminate-results

Reference must include doi or retrieval URL 

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    Respond one of your colleagues’ posts by offering a possible resolution to their  questions/concerns with supporting documentation, if possible, or  expanding on their thinking and providing an example as support.  

 at least 2 references in each peer responses!  You must do this to receive  maximum points! 

The most difficult question for me to answer when starting a master’s program was – did I make the right choice? After being accepted and following through with the admission process, it became clear that advancing my career was necessary in order to become a Psychiatric Nurse Practitioner to fulfill my aspirations in life. Although after being accepted to Walden, a whole new bundle of questions arose. How do I manage my personal life, time for self-care, work, and now reserving time for academics? Aside from the time management aspect, I question my strength at writing papers, especially when it comes to writing in APA format.

After posing these questions, I began searching for ways in which to be successful at both time management and successful writing tips. I gained insight by asking colleagues that I had listed in my academic success plan about time management and tips for APA writing. I also researched ways in which to be successful in an online Master’s program. According to Kelsey Sheehy, a contributor to US News, success in online programs “requires discipline, commitment, and organization” (2012). Sheehy went on to suggest that planning and setting aside time for course work helps to maintain a balance between work, family, and course work (2012). Having persistence and self- efficacy will also be imperative in maintaining success as an online learner alongside my ability to plan each week (“10 Traits of a Successful Online Learner” 2019). It is evident that to maintain a healthy balance of all areas of my life, I must prioritize planning as part of my success.

When it came to my concern about whether I could be successful at writing, I was relieved to find that Walden University offers a writing center. The writing center provides support when it comes to writing APA papers. Being able to utilize this resource before becoming overwhelmed will give me better control over my learning (Kauffman, 2015). The school writing center offers live webinars, as well as the ability to schedule appointments to address questions I have regarding APA allows me to feel more confident about my writing abilities. Having resources and support with my writing questions ultimately helps me feel more confident that I can be successful within my Master’s program.

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QUESTION

Why is understanding the health care system at the local level   important to consider when planning an EBP implementation? Conduct   research and solicit anecdotal evidence from your course mentor that   you will take into consideration for your own change project

ANSWER

When making an evidence-based practice change, it is important to consider what is offered locally before implementing changes. Understanding your resources and what is available within the local community will allow the researcher to know where the change needs to be made and in what way a change could make things better. Knowing your community and what its needs are, should be the first step to making a change. While some communities may want to focus on diabetes because that has the highest prevalence in their area, others may want to focus on heart disease. What area of change would make the most impact and what services are already being offered within the community (Ockene et al., 2019)? These are important questions to ask prior to planning an EBP implementation.

After talking with my mentor, she brought up a few good points regarding my research on lead education. She mentioned that timing was important and that now is the time for promoting lead education and prevention within our county. She had mentioned many stakeholders are recognizing the importance focusing on lead right now and that there is a big push within our local community to begin with lead awareness. She also said there are many community leaders who are looking at lead and willing to fund projects involving this topic (V. Mouser, personal communication, August 20, 2019).

Reference:

Ockene, J., Edgerton, E., Teutsch, S., Marion, L., Miller, T., Genevro, J.,…Briss, P. (2019, April). Integrating           evidence-based clinical and community strategies to improve health. American Journal of Preventive           Medicine. Retrieved from https://www.uspreventiveservicestaskforce.org/Page/Name/integrating-          evidence-based-clinical-and-community-strategies-to-improve-health#copyright-and-source-          information

CAN YOU CONTRIBUTE TO THIS ANSWER

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                   Discussion: Nursing Research and Evidence-Based Practice

In your practice as a nurse, you may use procedures and methods that did not necessarily originate in evidence, but instead were derived from informal and unwritten conventions, traditions, and observations. While these techniques may have merit, practices are constantly being updated and contradicted by information from scholarly research studies and professional guidelines. This new information serves as “evidence” for revising practices to improve outcomes across health care. 

Based on this evidence, you can formulate a question. In this Discussion, you consider the use of evidence-based practice in your own organization and formulate a question that you will need to answer for your portfolio project. This is called a PICOT question. You will also investigate strategies for overcoming barriers to implementing evidence-based practice (EBP).

                                                          To prepare:

Consider a recent clinical experience in which you were providing care for a patient.

Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organization’s standard procedures. How do you know if the tasks were based on research?

What questions have you thought about in a particular area of care such as a procedure or policy?

Review Chapter 2, pages 31–34 on “Asking Well worded Clinical Questions” in Polit & Beck and consult the resource from the Walden Student Center for Success: Clinical Question Anatomy & examples of PICOT questions (found in this week’s Learning Resources). Formulate your background questions and PICOT question.

Reflect on the barriers that might inhibit the implementation of evidence-based practice in your clinical environment.

Review the article “Adopting Evidence-Based Practice in Clinical Decision Making” in this week’s Learning Resources. Select one of the barriers described that is evident in your organization and formulate a plan for overcoming this barrier. 

Post an evaluation of the use, or lack thereof, of EBP in a recent clinical experience. Identify which aspects of the care delivered, if any, were based on evidence and provide your rationale. List your background questions and PICOT question about this nursing topic. Critique how the policies, procedures, and culture in your organization may hinder or support the adoption of evidence-based practices. Identify the barrier you selected from the article and explain how this barrier could be overcome within your organization.

                                                           Required Readings

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 1, “Introduction to Nursing Research in an Evidence-Based Practice Environment” 

This chapter provides an introduction to nursing research, its history, and the evolution of evidence-based practice. It includes an overview of credible sources of evidences and a description of the different paradigms used in nursing research.

Chapter 2, “Evidence-Based Nursing: Translating Research Evidence into Practice”

The focus of this chapter includes an overview of the key aspects of evidence-based practice, a review of how to identify credible research and appraise its value, and, finally, a discussion on how to take the identified evidence and convert it into a practice.

Chapter 3, “Key Concepts and Steps in Qualitative and Quantitative Research” 

In this chapter, quantitative and qualitative research models are compared and the major steps in each approach are described. Information is also presented on the different sections of a research journal article and how you can identify the research model that was utilized.

Adams, J. S. (2010). Utilizing evidence-based research and practice to support the infusion alliance. Journal of Infusion Nursing, 33(5), 273–277.

Retrieved from the Walden Library databases.

This article examines how evidence-based research and practice supports infusion alliances. The text also specifies the increasing challenges that infusion nurses face.

Mallory, G. A. (2010). Professional nursing societies and evidence-based practice: Strategies to cross the quality chasm. Nursing Outlook, 58(6), 279–286.

Retrieved from the Walden Library databases.

This article describes strategies for reducing the gap between research knowledge and practice. The article also details how nursing societies could use these strategies to improve the quality of care.

Newhouse, R. P., & Spring, B. (2010). Interdisciplinary evidence-based practice: Moving from silos to synergy. Nursing Outlook, 58(6), 309–317.

Retrieved from the Walden Library databases.

In this article, the authors examine the state of interdisciplinary evidence-based practice (EBP). The authors detail efforts to promote interdisciplinary EBP, academic and clinical training regarding interdisciplinary EBP, and strategies that may facilitate EBP translation across disciplines.

Majid, S., Foo, S., Luyt, B., Zhang, X., Theng, Y-L., Chang, Y-K., & Mokhtar, I. A. (2011). Adopting evidence-based practice in clinical decision making: Nurses’ perceptions, knowledge, and barriers. Journal of the Medical Library Association, 99(3), 229–236.

Retrieved from the Walden Library databases.

This article reviews a study that sought to determine nurses’ awareness of, knowledge of, and attitude toward EBP. The article also describes factors likely to promote barriers to EBP adoption.

Shivnan, J. C. (2011). How do you support your staff? Promote EBP. Nursing Management, 42(2), 12–14.

Retrieved from the Walden Library databases.

This article explores the role of the nurse manager in supporting evidence-based practice. The article also explains barriers and strategies to promote EBP for a nurse manager.

Walden Student Center for Success. (2012). Clinical Question Anatomy. Retrieved July 9, 2014, from http://academicguides.waldenu.edu/content.php?pid=183871&sid=2950360 

Media

Laureate Education (Producer). (2012). Timeline of nursing research. Baltimore, MD: Author.

This multimedia piece features a timeline of major events in nursing research. The timeline highlights how historical events and seminal research have contributed to nursing practice.

Please cite at least 3 ref

Let me know if you need anything else, thanks

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