Solution 

Dissemination Strategies

Nurses are frequently pressed for time at their patients’ bedsides. Some nurses believe they don’t have enough time to analyze new research and data in their fields, much alone share it. 

Nurses must first obtain the evidence before disseminating it. This can be accomplished through the reading of books, scholarly articles, and journals. They can even perform their own research investigations, which necessitates a specialized skill set and understanding of experimental research.

To ensure that the evidence they uncover is effective to employ, nurses might ask themselves three questions. Critical appraisal is the capacity to judge if evidence is reliable, useful, and of high quality.

The three questions are as follows:

Is the proof of high quality?

Would the results be applicable in the provided scenario? Are the study’s participants equivalent to, say, patients under the care of a nurse?

What impact does the evidence have on patients or clients? In other words, what would it imply for patients or customers if evidence-based practice practices were implemented? What are the advantages and disadvantages?

Once a nurse has determined that the evidence is of high quality, appropriate, and meaningful to use, the process of disseminating the information may begin.

Nurses can communicate evidence using a variety of channels, including:

Use of social media
Brochures
Journals
Websites
Presentations\conferences
Publications
Meetings of the nurse team

Nurses in a hospital cardiac department, for example, who gather once a week for a team meeting, may organize a half-hour discussion about the newest findings in the nursing sector every other team meeting. Nurse managers may encourage their nurses to disseminate evidence by introducing an award for the nurse who disseminates the most evidence to her colleagues, patients, and the field of nursing.

Although best practices are still limited and processes are not always followed, the distribution of advice to patients should essentially follow the same principles as dissemination to experts. However, more emphasis should be paid to creating a lay version that takes into consideration the variety of the target audience, patients. Patients must be included not only in the dissemination of suggestions, but also in the production of those recommendations. The use of PAR and patient and professional training may be beneficial in improving the quality of patient engagement.

Patients should be included for ethical reasons: engagement allows patients to have a say in the suggestions by adding their personal experiences and viewpoints. When patients are involved, the suggestions become more complete because people use different terms and less jargon than experts, and their engagement makes it simpler to adjust the recommendations to the target group because of their “patient knowledge.”

According to the GIN toolkit, patients who were involved in the drafting of the recommendations can also help with the dissemination process. Another option is to create permanent patient organizations, networks, or ‘virtual panels.’ When new suggestions or patient versions are published, network members are notified. Distributing lay versions to health professionals, patients, patient organizations, and members of the public can help promote awareness. In this situation, the network should contain people from various backgrounds.

 

References 

Tuzzio, L., Larson, E. B., Chambers, D. A., Coronado, G. D., Curtis, L. H., Weber, W. J., … & Meyers, C. M. (2019, March). Pragmatic clinical trials offer unique opportunities for disseminating, implementing, and sustaining evidence-based practices into clinical care: Proceedings of a workshop. In Healthcare (Vol. 7, No. 1, pp. 51-57). Elsevier.

Harris, C., Garrubba, M., Melder, A., Voutier, C., Waller, C., King, R., & Ramsey, W. (2018). Sustainability in Health care by Allocating Resources Effectively (SHARE) 8: Developing, implementing and evaluating an Evidence Dissemination Service in a local healthcare setting. BMC health services research, 18(1), 1-26.

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