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   Evidence-based practice (EBP) improves patient outcomes, healthcare quality, safety, and increases clinician’s engagement in their practices (Melynk, Fineout-Overholt, Giggleman, & Choy, 2011). It is important to not only research EBP, but to disseminate the information to implement best practices based of the research as well.

   One dissemination strategy I would be most inclined to use is engaging the stakeholders. I would utilize this strategy because getting buy-in from the stakeholders will make disseminating the information easier; as stakeholders often have interest in sharing the information as well. The article by Gallagher-Ford et al. discusses strategies to engage stakeholders, and how meeting with stakeholders of a project can allow you to get feedback and answer any questions the stakeholders may have (2011). Often if stakeholders are impressed with the information provided they will help further disseminate it. Another dissemination strategy I would utilize for EBP within my organization is unit and organizational-level presentations. I think that this forum provides a platform to be able to speak to the EBP and answer any questions that the group may have. This may be enhanced by the compliment of a poster, however, I would be least likely to utilize posters to disseminate EBP by themselves. I think that few people take the time to stop and read a poster, and while the visual compliment is nice to a unit level or podium presentation, I do no thin they are more efficient at disseminating EBP than the lectures themselves.

   One possible barrier that may be encountered when using these dissemination strategies is the organization’s culture/environment to support evidence-based practice. Examples of an EBP supportive environment include evidence-based decision making integrated into performance expectations, up-to-date resources and tools, EBP knowledge and skills-building workshops, and EBP mentors at the point of care (Melnyk, et al., 2011).  If this environment is not established, then it is difficult to have a platform to disseminate and reception of the information being presented. It also makes it difficult to implement and sustain the changes from the EBP. Another barrier that might be encountered when using these dissemination strategies is inadequate EBP knowledge and skills of clinicians (Melnyk, et al., 2017). Without the clinicians being competent and consistently implementing evidence-based care, it can difficult to disseminate information so that it is received and implemented by them appropriately. To mitigate this, it is important that organizations provide training, resources, and EBP mentors to staff to foster these skills for best practices.

References

Gallagher-Ford, L., Fineout-Overhold, E., Melynk, B. M., & Stillwell, S. B. (2011). Evidence-based practice step-by-step: Implementing an evidence-based practice change. American Journal of Nursing, 111(3), 54-60.

Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Sustaining evidence-based practice through organizational policies and an innovative model. American Journal of Nursing, 111(9), 57-60. doi:10.1097/01.NAJ.0000405063.97774.0e

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. Worldviews on Evidence-Based Nursing, 14(1), 5-9. doi:10.1111/wvn.12188