Discussion Week 8 - NURS 6052

**DEADLINE:

FRIDAY

4/

30

/2021

BY

08:00

PM

EST**

INSTRUCTIONS:

Respond to

your colleague

by offering additional ideas to overcome the barriers

to strategies suggested by your colleagues and/or by offering additional ideas to facilitate

dissemination

.

*

*

At least 2

references p

er reply, and they need to support information in the reply**

Main

Post

-

Donique

McClinton

COLLAPSE

Main

Post

Dr.

Frazer

and

Classmates

Dissemination

Strategy

1

and

its

Possible

Barrier

Agreeing

with

Melnyk

&

Fineout

-

Overholt

(2018),

creating

awareness

and

interest

should

be

the

first

strategy

to

disseminate

evidence

-

based

practice

within

an

organization

.

To

prepare

an

organization

for

change,

leadership

is

essential

(Newhouse

et

al.,

2007).

Leadership

must

gather

their

staff

and

explain

that

modifications

are

necessary

and

required

to

be

utilized.

Spreading

awareness

and

interest

can

present

ch

allenges

as

many

employees

may

ignore

the

announcements,

advertisements,

and

newsletters

that

were

utilized.

As

employees

enter

the

organization,

many

focus

on

the

task

at

hand

and

not

the

bigger

picture.

Those

employees

may

only

view

the

attended

EBP

as

“

if

the

job

wants

us

to

work

a

certain

way,

they

will

tell

us

personally.”

This

way

of

the

employees’

thinking

is

a

barrier

to

diffusing

awareness

and

interest

of

EBP.

Dissemination

Strategy

2

and

its

Possible

Barrier

According

to

Melnyk

&

Fineou

t

-

Overholt

(2018),

an

additional

strategy

to

disseminating

EBP

can

build

knowledge

and

commitment.

Conducting

a

transdisciplinary

team

training

in

which

leadership

and

employees

learn

about

the

EB

and

how

to

accomplish

it

(Melnyk,

2012)

will

lead

to

all

st

aff

being

in

unity.

Along

with

building

knowledge

and

commitment

of

the

EBP,

barriers

can

emerge.

Some

colleagues

may

disagree

and

disapprove

of

the

need

for

the

new

EBP,

as

many

seasoned

colleagues

are

too

familiar

with

how

tasks

were

performed

in

the

“old

days.”

Those

colleagues

require

further

education

and

explanation,

by

leadership,

on

how

the

EBP

can

improve

topics.

Least

Inclined

Dissemination

Strategy

I

believe

that

the

least

persuasive

strategy

can

be

pursuing

integration

and

sustained

usage.

Melnyk

&

Fineout

-

Overholt

(2018)

described

this

strategy

includes

celebrations

of

the

local

unit’s

progression,

public

acknowledgment,

and

individualized

memos

to

staff.

This

comes

in

the

form

of

the

famous

repetitive

pizza

parties

given

by

management,

that

many

staff

are

appreciative

of

but

wishfully

think

they

deserve

more.

This

strategy

requires

improvement

to

fully

grasp

the

staff’s

attention

to

show

the

organization’s

appreciation

properly.

Pay

-

for

-

performance

incentives

have

placed

organizations

under

pressure

to

increase

their

level

of

care

and

avoid

sentinel

incidents

(Melnyk,

2012),

which

may

be

a

more

persuasive

strategy

than

a

nutriment

incentive.

References

Melnyk,

B.

M.

(2012).

Achieving

a

high

-

reliability

organiz

ation

through

implementation

of

the

ARCC

model

for

systemwide

sustainability

of

the

evidence

-

based

practice.

Nursing

Administration

Quarterly,

36(2),

127

-

135.

Doi:

10.1097/NAQ.0b013e318249fb6a

Melnyk,

B.

M.,

&

Fineout

-

Overholt,

E.

(2018).

Evidence

-

based

p

ractice

in

nursing

&

healthcare:

A

guide

to

best

practice(4

th

ed.).

Philadelphia,

PA:

Wolters

Kluwer.

Newhouse,

R.

P.,

Dearholt,

S.,

Poe,

S.,

Pugh,

L.

C.,

&

White,

K.

M.

(2007).

Organizational

change

strategies

for

evidence

-

based

practice.

Journal

of

Nursi

ng

Administration,

37(12),

552

-

557.

Doi:

0.1097/01.NNA.0000302384.8f

**DEADLINE: FRIDAY 4/30/2021 BY 08:00 PM EST**

INSTRUCTIONS: Respond to your colleague by offering additional ideas to overcome the barriers

to strategies suggested by your colleagues and/or by offering additional ideas to facilitate

dissemination.

**At least 2 references per reply, and they need to support information in the reply**

Main Post - Donique McClinton

COLLAPSE

Main Post

Dr. Frazer and Classmates

Dissemination Strategy 1 and its Possible Barrier

Agreeing with Melnyk & Fineout-Overholt (2018), creating awareness and interest should be the first

strategy to disseminate evidence-based practice within an organization. To prepare an organization for

change, leadership is essential (Newhouse et al., 2007). Leadership must gather their staff and explain that

modifications are necessary and required to be utilized.

Spreading awareness and interest can present challenges as many employees may ignore the

announcements, advertisements, and newsletters that were utilized. As employees enter the organization,

many focus on the task at hand and not the bigger picture. Those employees may only view the attended EBP

as “if the job wants us to work a certain way, they will tell us personally.” This way of the employees’ thinking

is a barrier to diffusing awareness and interest of EBP.

Dissemination Strategy 2 and its Possible Barrier

According to Melnyk & Fineout-Overholt (2018), an additional strategy to disseminating EBP can build

knowledge and commitment. Conducting a transdisciplinary team training in which leadership and

employees learn about the EB and how to accomplish it (Melnyk, 2012) will lead to all staff being in unity.

Along with building knowledge and commitment of the EBP, barriers can emerge. Some colleagues may

disagree and disapprove of the need for the new EBP, as many seasoned colleagues are too familiar with how

tasks were performed in the “old days.” Those colleagues require further education and explanation, by

leadership, on how the EBP can improve topics.

Least Inclined Dissemination Strategy

I believe that the least persuasive strategy can be pursuing integration and sustained usage. Melnyk &

Fineout-Overholt (2018) described this strategy includes celebrations of the local unit’s progression, public

acknowledgment, and individualized memos to staff. This comes in the form of the famous repetitive pizza

parties given by management, that many staff are appreciative of but wishfully think they deserve more.

This strategy requires improvement to fully grasp the staff’s attention to show the organization’s

appreciation properly. Pay-for-performance incentives have placed organizations under pressure to increase

their level of care and avoid sentinel incidents (Melnyk, 2012), which may be a more persuasive strategy than

a nutriment incentive.

References

Melnyk, B. M. (2012). Achieving a high-reliability organization through implementation of the ARCC model for

systemwide sustainability of the evidence-based practice. Nursing Administration Quarterly, 36(2), 127-135.

Doi: 10.1097/NAQ.0b013e318249fb6a

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best

practice(4

th

ed.). Philadelphia, PA: Wolters Kluwer.

Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). Organizational change strategies for

evidence-based practice. Journal of Nursing Administration, 37(12), 552-557. Doi:

0.1097/01.NNA.0000302384.8f