Disseminating Evidence-Based Change

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Disseminating Evidence-Based Change

Please note the approved project is Covid 19 which has affected Kingstong Healthcare in California so far we are educating on stopping the spread, Vaccines, dealing with side effects of vaccines so I hope that gives you an idea what we are doing and off course dealing with death and dying because we are loosing some lives

An Internal and External Method of Disseminating the Evidence-Based Change Proposal for Fighting Rising Covid-19 Infections at Kingston Healthcare in California

Evidence-based practice (EBP) is built through continuous clinical inquiry into common practice. Once the evidence is found from peer-reviewed scholarly literature in support of specific proposals for change in practice, this evidence and its change proposals must be passed on to the correct implementing audiences of providers if a change in clinical practice (EBP) is to be achieved. This is what dissemination of recommendations or change proposals is all about (Melnyk & Fineout-Overholt, 2019). At the Kingston Healthcare facility, dissemination of the evidence-based change proposals for reducing Covid-19 infections is to take place too. Both an internal and external method will be employed for maximum reach. Disseminating Evidence-Based Change In a nutshell, dissemination of EBP findings and change proposals is getting the word out to the professionals who will then implement it in practice thereby building up EBP. For the Covid-19 change proposal at Kingston Healthcare, the target audience are the registered nurses giving health education on Covid-19, vaccinating against the novel coronavirus; and monitoring, reporting, and managing adverse events following immunization or AEFIs. The internal dissemination strategy that will be preferred in this case is policy briefs to the hospital board of directors (Arcury et al., 2017). The external method of dissemination on the other hand will be the use of the American Nurses Association (ANA) platform to reach thousands of registered nurses across the country (Brownson et al., 2018). The purpose of this paper is to describe these two dissemination strategies and discuss why it is important to report the change proposal to both of these groups frontline of nurses.

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Policy Briefs to the Kingston Healthcare Hospital Board of Directors

This will take the form of a meeting in the board room between the change proponent and the facility board of directors. A summary of the change proposal to tackle the identified clinical problem of rising Covid-19 numbers at the facility will be presented to the board in executive summary form (Arcury et al., 2017). The board will then deliberate on the feasibility and practicality of implementing the change proposal at Kingstone Healthcare. The hope is that they buy the idea and fund the process. Once their buy-in is achieved, they will also have to direct that the recommendations become part of organizational policy. These will then be entrenched into daily processes and procedures at the facility. It is important to report the change proposal to this group because they are the facilitators who can provide resources for successful implementation of the project. The communication strategy for this group changes in that it must be brief and to the point because the hospital board has very little time to listen to the policy brief.Disseminating Evidence-Based Change

Use of the American Nurses Association (ANA) Platform for Dissemination

The ANA brings together thousands of practicing and student American nurses from all fields of nursing. Knowledge is shared using its platforms to improve practice by adopting EBP, and to build the nursing profession. Some of the platforms of this professional organization that can be used to disseminate the change proposal for reducing Covid-19 infections include all its digital platforms, annual conferences, and its publications. It is assured that using these ANA platforms will enable the change proposals to reach thousands of practicing and student nurses across the United States quickly and in a very short time. It is important to report these change proposals for tackling Covid-19 to all RNs this way because the pandemic is still raging and other nurses in other parts of the country may also benefit from applying these change proposals as evidence-based practice. The communication strategy for this group will change in that this group will require detailed information about the change proposal, unlike the case with policy briefs to the hospital board.

References

Arcury, T.A., Wiggins, M.F., Brooke, C., Jensen, A., Summers, P., Mora, D.C., & Quandt, S.A. (2017). Using “policy briefs” to present scientific results of CBPR: Farmworkers in North Carolina. Progress in Community Health Partnerships, 11(2), 137147. http://dx.doi.org/10.1353/cpr.2017.0018

Brownson, R.C., Eyler, A.A., Harris, J.K., Moore, J.B., & Tabak, R.G. (2018). Getting the word out: New approaches for disseminating public health science. Journal of Public Health Management and Practice, 24(2), 102–111. https://doi.org/10.1097/PHH.0000000000000673

Melnyk, B.M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare: A guide to best practice, 4th ed. Wolters Kluwer.

Topic 7 DQ 1
Describe one internal and one external method for the dissemination of your evidence-based change proposal. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your change proposal to both of these groups. How will your communication strategies change for each group?Disseminating Evidence-Based Change

Topic 7 DQ 2
In order to evaluate an evidence-based practice project, it is important to be able to determine the effectiveness of your change. Discuss one way you will be able to evaluate whether your project made a difference in practice.

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There is general agreement that to evaluate an evidence-based project after implementation, there must be a determination of the effectiveness of the change implemented. This requires objectivity and the use of methods that are themselves evidence-based and tried and tested. Effectiveness of interventions is normally assessed by looking at measurable outcomes. These are the outcomes that are related to the initial goals and objectives of the practice change project at the beginning. In nursing research, findings may be statistically significant but fail to be clinically significant (Ranganathan et al., 2015; Mariani & Pêgo-Fernandes, 2014). This is a reality that will be kept in mind even as the change proposal is implemented at Kingston Healthcare. That the change recommendations for this project are statistically significant is not in question. What this means is that the results obtained in the evidence collected from peer-reviewed research supporting the Covid-19 interventions are true and cannot be due to chance. What then the project seeks to do is to test their applicability in practice. In other words, the project serves as proof of clinical significance of the evidence obtained from clinical inquiry. The purpose of this paper is to discuss one of the ways that will be used to evaluate if the change project for reducing Covid-19 infections at the Kingston Healthcare facility in California made any difference in practice.

Evaluating the Impact of the Covid-19 Interventions at Kingston Healthcare on Clinical Practice

The interventions that are part of the change proposal recommendations for reducing the rising cases of Covid-19 infections at Kingston Healthcare were as follows:

Robust health education and promotion efforts for practicing of social distancing, wearing of face masks, and regular handwashing with soap and water.
Vaccination of all with the approved Covid-19 vaccines without creating any missed immunization opportunities.
Monitoring, documenting, managing, and reporting any adverse events following immunization or AEFIs.
The common measurable outcome or denominator for all these evidence-based interventions is the rate of Covid-19 infections. This is a measurable outcome and it is what will be used to evaluate whether the project has made a difference in clinical practice. As the interventions are implemented, data on Covid-19 infections will be continually collected and analyzed to determine the trend and the effectiveness of the interventions. But before this, the pre-intervention rate of infection will be noted. This will serve as the baseline against which the post-implementation rate will be compared.Disseminating Evidence-Based Change

The project will have had a significant impact on clinical practice if the rate f Covid-19 infection will have gone down significantly after the project is finished. This is the only scientific way of establishing that the project has made a notable difference in clinical practice. In conclusion, therefore, the one way that will be used to evaluate whether the Covid-19 infection reduction project at Kingston Healthcare has made a difference in clinical practice will be to compare the infection rate before and after implementation.

References

Mariani, A.W. & Pêgo-Fernandes, P.M. (2014). Statistical significance and clinical significance. Sao Paulo Medical Journal, 132(2). http://dx.doi.org/10.1590/1516-3180.2014.1322817

Ranganathan, P., & Pramesh, C.S., & Buyse, M. (2015). Common pitfalls in statistical analysis: Clinical versus statistical significance. Perspectives in Clinical Research, 6(3), 169-170. https://doi.org/10.4103/2229-3485.159943

Disseminating Evidence-Based Change