Propose strategies for disseminating a nursing evidence-based practice project proposal. Consider the necessary stakeholders who need to review or approve the proposal (both internal and external) and what methods you will use to communicate. Give thorough explanations.

 

Answer:

Evidence-based practice findings are disseminated by targeting information and treatments to a specific public health or clinical practice audience. The primary goal of dissemination is to expand and promote information of evidence-based interventions, with the goal of improving their use and patient outcomes. Disseminating evidence-based projects can be done in a variety of ways, both inside and outside. The strategy used, however, must be effective. Positive engagement of the targeted audience is a sign of effective distribution, as it increases awareness, comprehension, and motivation to apply in the workplace. The manner of distribution used is determined by the target audience. The healthcare audience is primarily interested in how specific research fits into a certain context, as well as the ramifications of implementing changes on many areas such as policy, quality of care, personnel, and funding, among other things.

The focused provision of information and intervention materials to a specified public health or clinical practice audience is referred to as dissemination. The goal is to promote knowledge and the evidence-based solutions that go with it. Dissemination takes place in a variety of ways, including through various channels, social situations, and places. Raise the reach of evidence, increase people's motivation to use and apply evidence, and increase people's capacity to use and apply evidence are all goals of evidence dissemination. Knowledge and the related evidence-based interventions are disseminated on a large scale inside or beyond geographic areas, practice settings, social or other networks of end-users such as patients and health care providers. Greenhalgh et al.15 produced an inventory of tactics aimed at influencing individual, societal, and other networks of adopters in their study of effects that assist spread innovations along the continuum between passive diffusion of knowledge and active dissemination.

I will be choosing active dissemination strategies. Passive dissemination tactics are not as effective as active dissemination strategies, according to systematic reviews and dissemination research. For example, active, comprehensive approaches were shown to be the most beneficial in a synthesis of 41 systematic reviews. The most consistently beneficial strategies reported are educational outreach and academic detailing. Single therapies are typically less likely to succeed than interventions that include two or more diverse tactics (i.e., are multidimensional).

Active dissemination techniques entail making concerted efforts to disseminate evidence-based information through a variety of methods and venues. Sample active dissemination approaches are postal and electronic mail, electronic and digital, social, mass media, use of testimonials by champions and use of social networks. Multicomponent techniques aim to boost evidence's overall impact across geographic and practice settings, as well as across target audiences. Other includes dissemination strategies include: 

Expanding the reach of evidence - Evidence that is broadly distributed to a variety of audiences and in a variety of situations has a greater reach. Includes:

• Any data sent to a new location by a human carrier employed by a government-run postal service or a for-profit mail delivery firm such as Fed Ex or United Parcel Service.
• Any information sent via phone or Web-based e-mail, text messages, or electronic programs like PDA (personal digital assistant) resources or phone apps.
• Any information distributed through Internet-based social networking sites such as Facebook, Twitter, YouTube, MySpace, FoursquareTM, LinkedIn, and so on. Professional organizations and patient subgroups may develop problem or group-specific social networks; they would fit under social media as long as they have a "social" network component as indicated above.
• Any information that is broadcast on television, radio, newspapers, magazines, or billboards.
• Pharmacists, nurses, doctors, and counselors can offer information via phone, Webinar, or in-person visits, including purposeful delivery of brochures/pamphlets; does not involve a motivational component.

Encourage recipients to use and use evidence in the following ways - speech from someone who takes ownership of the proof and promotes it clearly within his or her own organization or across different contexts is referred to as a champion (also known as a cheerleader). Champions assist organizations in overcoming societal and political obstacles, modeling personal devotion to the program, and including others in its implementation. Another way is by utilizing social network, a group of people who are friends, coworkers, or acquaintances. Relationships can be casual (friends, peers, or family) or formal (patient/provider/nurses) with well defined roles. 

Improve your ability to apply and use evidence (regardless of delivery mode) - A standard dissemination method is enhanced by providing additional resources concerning the evidence, such as how it might be incorporated into current practice or specific ideas for change. Provision of supporting "how-to" materials, such as physical things that could be utilized by a practice to implement evidence. This could contain patient tracking sheets as well as risk calculators for professionals to use. It could also offer customized toolkits that explain how to apply evidence in specific situations. Brochures, counseling tools, and resources created by the clinic are not included in the supporting materials. They must come from the evidence developer and be distributed to the end user. Skill training, capacity building, and problem solving include training in any skill that would allow appropriate use of evidence (to overcome barriers); training in recognizing the quality of evidence or the circumstances in which it can be reasonably used; and training in various counseling techniques that would facilitate evidence implementation and interactive conferencing.

One or more of the following objectives/strategies - Multiple dissemination tactics, such as ways to expand reach, motivation, or ability, may be more effective than single strategies. A multicomponent strategy combines or sequences many dissemination tactics to broaden the reach of information and raise end-user motivation to utilize and apply evidence or adopt it.

The communication techniques that are recommended to be used are the following:

Tailoring the message - Individualizing messages (using conceptually or empirically based algorithms that are usually computer driven) and then delivering these messages using a variety of appropriate strategies and channels is a multistep and multidimensional process that involves assessing individual characteristics, creating individualized messages (using conceptually or empirically based algorithms that are usually computer driven), and then delivering these messages using a variety of appropriate strategies and channels. Content matching, personalization, and feedback are the three basic tailoring tactics that are frequently employed in tandem and can occur inside a single communication. Possible approaches for this technique are the following:

• A computerized library of messages that can be mixed in response to an individual's responses to preprogrammed queries.
• A computer algorithm is used to create messages based on individual responses to a limited set of questions.
• Attempts to direct messages to individuals' position on important theoretical drivers of the behavior of interest (knowledge, result expectancies, normative attitudes, efficacy, and/or skills).
• Using identifiable characteristics of participants to indicate (implicitly or explicitly) that the communications are tailored to them. 
• Participants are given signals on their psychological or behavioral states. Individualized feedback might then be given synchronously (e.g., via chat, phone, or face-to-face) or asynchronously (e.g., via email) (e.g., via e-mail or a discussion board or by postal mail)

Targeting the message - Targeting (also known as audience segmentation) is the process of creating an intervention strategy for a certain demographic subset that takes into consideration shared features (e.g., age, sex, race, ethnicity, spoken language). Once a target group has been segmented, messaging should be developed to be as successful as possible for that group. Language, graphics, music, and the choice of behavior topic can all be used to make the message more interesting, relevant, and appealing to specific subgroups.

Using narratives - "Story-like prose pieces that focus on expanding one example of an event, with attractive detail, characters, and some narrative, offered in either the first or third person" (Winterbottom et al., 2008, p. 2080). In stories, the people and situations serve as role models for emulation and learning. Personal stories, case studies, anecdotes, testimonials, and experienced sharing as well as photo novellas and entertainment education are possible approaches under this.

Framing the message - Using diverse methods to present the same proof or information. A positive (gain) frame refers to messages that emphasize the positive effects of compliance, whereas a negative (loss) frame refers to messages that emphasize the negative repercussions of noncompliance. Studies should state specifically whether the stimuli were in a gain or loss frame.

Combination of one or more of the above strategies - It's possible that combining numerous communication techniques is more effective than using just one. To improve evidence perception and understanding, a multicomponent method employs many communication techniques in tandem or in sequence.

It is critical to employ focused communication when delivering project information with any group. Targeted communication is a strategy for making information more relevant to audience segments based on the characteristics of the group's membership. The role, demographics, and psychological elements can all influence a person's personality. The goal of internal dissemination is to improve the nurse's ability to use and use evidence. Increase the reach of evidence by disseminating it externally.

references:

https://effectivehealthcare.ahrq.gov/products/medical-evidence-communication/research-protocol

https://thenursingace.com/dissemination-of-evidence-based-practice-project-results-in-nursing/

https://www.yourhomeworksolutions.com/downloads/internal-dissemination/