Disseminating Results

The dissemination of EBP results serves multiple important roles. Sharing results makes the case for your decisions. It also adds to the body of knowledge, which creates opportunities for future practitioners. By presenting results, you also become an advocate for EBP, creating a culture within your organization or beyond that informs, educates, and promotes the effective use of EBP. 

To Prepare:

• Review the final PowerPoint presentation you submitted in Module 5, and make any necessary changes based on the feedback you have received and on lessons you have learned throughout the course. 
• Consider the best method of disseminating the results of your presentation to an audience. 

To Complete:

Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project.

• Be sure to incorporate any feedback or changes from your presentation submission in Module 5.
• Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.

Dissemination strategy I would use

Dissemination is defined as the distribution of information as well as materials for intervention targeted to specific public health or any audience of clinical practice (AHRQ, 2012). Most of the time, the intent of the process of disseminating is to broaden the knowledge as well as the associated evidence-based interventions. There are a number of social contexts, settings, and channels through which dissemination can occur. Moreover, the dissemination of evidence has multiple very broad objectives. They include; enhancing the reach of evidence to the target audience, improving the people’s motivation to use as well as apply the evidence that was just found and lastly to improve the ability of the people to both uses and apply the new evidence. Other than that, the dissemination strategies are typically aimed to spread knowledge together with the associated evidence-based interventions on a wider scale (Laureate Education, 2018).

The two dissemination strategies that I would prefer to use as a health care practitioner would be the following; the first one is by presenting my research at a national conference and the meetings of professionals such

 

as the American psychiatric association for nurses conferences. The second will be sharing the information through social media or on the website privately owned or one owned by the organization where I work (RHIHub, 2019). The reason for choosing both of these strategies is the fact that they can rapidly spread the information to a wide array of people. For instance, the meeting of international professionals means that they will go and spread the information to their juniors who will also do the same until it is known all over. When it comes to social media, we are aware that it is the trending way of advertising, and would also be the best place to disseminate evidence to the whole world. 

Strategies I would avoid

On the other hand, there are these two dissemination strategies that I would not allow myself to use. They comprise; generating and also distributing program materials including DVDs, flyers, and pamphlets to the public and publishing information in the local newspaper. The main aim of disseminating has been mentioned above and includes reaching a wider market. As the owner, I would not choose the use of materials such as flyers because they are outdated and not used anymore. People go by trends and they would not take them serious. When it comes to the second one, I would not trust to use the newspaper because in the current world not everyone reads the newspaper. Therefore it would not be very effective for the dissemination of evidence. Not that these strategies cannot work, the competency and consistency are what we really need and they don’t deliver that (RHIHub, 2019).

Barriers to the ones I would use

 Everything comes with a payback more so the most preferred ones. For instance, in the dissemination strategies that I recommended, there are a lot of pushbacks that one might encounter while trying to implement them. When one wants to present to a particular meeting, they need to have very good connections with the people high in the table as well as the intelligence that would make them allow you present in front of them. Getting their time and attention is usually very hard. When it comes to social media, I believe not everyone is fun because not everybody uses the social media platform and therefore some people might not get the information as intended as much as the information would be of help to them.   

References

AHRQ. (2012, July 31). Communication and Dissemination Strategies To Facilitate the Use of Health-Related Evidence. Retrieved from 

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

Laureate Education (Producer). (2018). Evidence-based Practice and Outcomes [Video file]. Baltimore, MD: Author.

RHIHub. (2019). Methods of Dissemination. Retrieved from 

https://www.ruralhealthinfo.org/toolkits/rural-toolkit/6/dissemination-methods

 

As a Psych Nurse, I have seen a lot of cases concerning mental issues by a lot of patients. For instance, there was a time I received a patient who was distraught. She was on her medication for a long time, but there reached a point she felt she was getting better than she stopped her medication without doctor’s orders. The lady was brought into the facility with her family member, I had to educate them about the medication regime and not to stop any medication without seeing her doctor.

I believe that it is vital for the incorporation of patient preference in daily experiences especially when it comes to mental health. This is because of the various occurrences that might take place when patient preference is not incorporated, i.e., when they do not incorporate patient preference, then it means that they may end up doing some actions that will not be favorable either to them or to the people around them. When a patient preference is incorporated, then they will be advised accordingly, and even the necessary actions are taken when their condition may be deteriorating and is noted earlier (OHRI, 2019). As we all know, prevention is better than cure, particularly to this category of patients.

When a patient preference is incorporated in a medical situation, it usually means that the patient has full trust in the doctor and also that they are determined to ensure they are healthy. With the kind of patients I see at the psychiatric facility I work, patient preference would be very helpful, both to the patient, their family members and to the psychiatrist. To the patient, it means that he/she will be able to be diagnosed early and that they will be guaranteed of a healthier life in the near future. To the doctor, it means that their treatment plan was put in place earlier concerning the patient will be implemented prior. When this is done, the chance of the plan of care to treat the condition will be high. The treatment plan is usually made when the patient is diagnosed; in this case, there will be a lot of time for the plan to be implemented since it was previously anticipated. It means that the patient will be provided with the best care if the situation is serious and when it is minor it would not be that serious. To me patient care will be much easier.

Patient decision aids are a means of helping people make informed choices about

 

healthcare that take into account their personal values and preferences. Decision aids are a part of a shared decision-making process, encouraging active participation by patients in healthcare decisions (The BMJ, 2013).  The patient decision aid that I think is best is the treatment team meeting we do every morning which consists of the social worker, doctor, nurse, therapist, and patient; we all talk about what is working and what needs to be changed incorporating the patient to be involved in his or her care. On the decision about medication management patients have the right to discuss the medication that is working for them and the ones that are not working so that the provider can change medications if needed. This treatment team meeting has aided us in providing patient safety, health promotion and involving patients in their plan of care.  These decision aid is very important to me and my patients it helps treat not only the diseases but the whole being. Hence I will ensure to incorporate this decision aid in my practice because it allows patients’ values and preferences to be included and it creates a good relationship with my patients. Also, this will builds trust between me and my patient they will know I’m there to help treat their pain (NCBI, 2015).   

 

                                              References

The BMJ. (2013, July 23). An introduction to patient decision aids. Retrieved from 

https://www.bmj.com/content/347/bmj.f4147

NCBI. (2015, March). Patient decision aids used in consultations involving medicines – Medicines Optimisation – NCBI Bookshelf. Retrieved from 

https://www.ncbi.nlm.nih.gov/books/NBK355917/

OHRI. (2019, October 15). Patient Decision Aids – Ottawa Hospital Research Institute. Retrieved from 

https://decisionaid.ohri.ca/

EVIDENCE BASED PROJECT
RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE

HEALTH CARE ORGANIZATION
JOHN HOPKINS HOSPITAL TO PROVIDE QUALITY HEALTHCARE SERVICES TO THE PATIENTS
HAS THE CULTURE FOR EMBRACING THE DESIRED CHANGE FOR THE LONGTERM PROSPERITY
HAS THE CULTURE FOR IMPROVING THE HEALTH AND SAFETY OF THE PATIENTS

John Hopkins hospital has always been focused to provide quality healthcare services to the patients and the hospital has the culture for embracing the desired change for the long term prosperity. John Hopkins hospital has the culture for improving the health and safety of the patients and in any case if there is need to embrace change for the achievement of this objective, the management of the hospital cannot delay.
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CURRENT PROBLEM
INCREASED CASES OF MEDICATION ERRORS AMONG THE HEALTH PRACTITIONERS.
OCCUR DUE TO INCREASED FATIGUE AMONG THE NURSES
ALSO CAUSED BY POOR COMMUNICATION BETWEEN THE PHYSICIAN AND THE PHARMACIST
ALSO CAUSED BY LIMITED INFORMATION AMONG THE PATIENTS ON THE RIGHT DOSAGE

Recently there have been increased cases of medication errors among the health practitioners (Institute for Healthcare Improvement, 2017). This has resulted in adverse effects to the patients ranging from increased hospitalization due to health complications and even death. Medical errors may occur due to increased fatigue among the nurses, where long working hours with limited shifts may result in the administration of the wrong medication to the patients. Medical errors are also caused by poor communication between the physician and the pharmacist resulting in the administration of the wrong dosage to the patient. Medical errors are also caused by limited information among the patients on the right dosage resulting in an overdose or under dose.
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DESCRIPTION OF THE CIRCUMSTANCE
ROBERTSON, AN EIGHTEEN-MONTH-OLD LITTLE BOY, WAS ADMITTED TO JOHN HOPKINS HOSPITAL.
HAD SUFFERED FROM BURNS
WAS DENIED A DRINK DESPITE HIS REQUEST FROM THE MOTHER
THE NURSE INSTRUCTED THAT THE CHILD SHOULD NOT DRINK ANYTHING.
WHEN THE MOTHER WAS BATHING HIM, THE CHILD APPEARED TO SUCK THE WASHCLOTH IMMENSELY
THE DOCTOR ASSURED THE MOTHER THAT EVERYTHING WAS OKAY.
THE DOCTOR INSTRUCTED THAT NO NARCOTICS WERE SUPPOSED TO BE ADMINISTERED TO THE CHILD
THE NURSE DECIDED TO ADMINISTER METHADONE TO THE CHILD AT AROUND ONE O’CLOCK DESPITE BEING AWARE THAT THE DOCTOR HAD INSTRUCTED NO NARCOTICS WAS TO BE ADMINISTERED
DOLPHIN SUCCUMBED TO SEVERE DEHYDRATION AND MISUSED NARCOTICS.

Robertson, an eighteen-month-old little boy, was admitted to John Hopkins Hospital in February 2003 after suffering from first and second-degree burns. The injury was caused by his act of climbing in a hot bathtub. The child did spend over ten days in the intensive care unit, after which he was referred to the step-down unit to commence the discharging process. The child was denied a drink despite his request from the mother, and the nurse instructed that the child should not drink anything. When the mother was bathing him, the child appeared to suck the washcloth immensely; an aspect that made her mother worried and consulted the doctor to ascertain the root cause of the behavior. The doctor assured the mother that everything was okay, and it was reasonable for the child to behave the way he did. The mother left and went home but made regular calls to ascertain the progress of the child, and the following day, Dolphin was not excellent.
The health care team administered medication to the child, which comprised of two doses of Narcan. After the medication, the child drank a liter of juice, after which he started to feel better. The doctor instructed that no narcotics were supposed to be administered to the child. That morning, the mother felt that the nurse was acting quite strange and told the doctor who agreed with her.
The nurse decided to administer methadone to the child at around one o’clock despite being aware that the doctor had instructed no narcotics was to be administered. The mother tried to intervene, but her pleas fell into deaf ears after the nurse told her that the initial instructions were null and void. After two days, Dolphin succumbed to severe dehydration and misused narcotics.
 
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EVIDENCE BASED PRACTICE APPROACH FOR THE ISSUE.
THE RIGHT MEDICATION SHOULD BE ADMINISTERED ALL THE TIME
THE NURSE SHOULD HAVE ADHERED TO THE DOCTOR’S INSTRUCTIONS.
NURSES SHOULD BE TAUGHT ON THE NEED TO ADMINISTER QUALITY MEDICATION.
THE NURSE SHOULD HAVE ADVISED THE MOTHER TO GIVE THE CHILD WATER.

The medication error would have been prevented because Quality patient care is what should have occurred (Mills, 2016). As nurses, we are always taught to check our orders to make sure nothing had been changed. Nurses are taught to maintain five checks before the administration of any medication. Medication should be administered to the right patient to avoid medication errors. The right medication should be administered all the time in the right dosage at the right time. The nurse should not have administered the wrong medication to the patient but The right medication should be administered all the time. The nurse should have advised the mother to give the child water, which might have reduced the extent of dehydration that was one of the major causes of his death.
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PLAN OF KNOWLEDGE TRANSFER TO ERADICATE MEDICATION ERRORS
THE NURSES SHOULD USE THE HALT METHOD TO AVOID THE POTENTIAL CAUSES OF MEDICAL ERRORS.
WOULD HELP THE HEALTH PRACTITIONERS TO SCRUTINIZE THEMSELVES BEFORE THE ADMINISTRATION OF THE MEDICAL CARE TO THE PATIENTS
SHOULD NOT WORK WHEN HUNGRY, ANGRY, AND LATE OR TRIED TO AVOID THE POTENTIAL MEDICAL ERRORS
REGULAR TRAINING FOR THE HEALTH PRACTITIONERS.

The nurses should use the HALT method to avoid the potential causes of medical errors as an improvement plan to eradicate the medical errors that have adverse effects on the patients (Joint Commission, 2018). The method would help the health practitioners to scrutinize themselves before the administration of the medical care to the patients. The method would help them to ensure that they provide medical care to the patients when they are okay, implying that a nurse should not work when hungry, angry, and late or tried to avoid the potential medical errors. The hospital should ensure that the health practitioners are competent by aligning each illness with the right medical practitioner for the reduction of the potential medication errors. Effective training should also be scheduled regularly for the health practitioners to help them cope with changes in how various ailments are diagnosed and treated.
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MEASURABLE OUTCOME UPON THE IMPLEMENTATION OF CHANGE
THE PERFORMANCE APPRAISAL SHALL BE CONDUCTED AMONG THE HEALTH PRACTITIONERS.
RECODING CASES ON MEDICATION ERRORS
ENSURING THAT NURSES EAT THEIR MEALS ON TIME.
INTERACTION WITH PATIENTS TO ASCERTAIN ANY NEW HEALTH COMPLICATIONS.

The departmental heads would be in charge of the plan. They would ensure that all nurses eat their meals on time, those who appear to be stressed or angry given time to overcome their situation before their administration of medication to the patients (Gimbutas, Lamb, K& Quigley, 2017). The performance appraisal shall also be conducted to ascertain the extent of medical errors among the nurses to ascertain the scope of improvement as far as the administration of medication to the patients is concerned. The cases on medication errors shall also be recorded and the results would be crucial to determine whether the desired change has been realized in the hospital.
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LESSONS LEARNED FROM THE JOURNALS
THE ROLE OF PARENTERAL NUTRITION FOR THE WELL-BEING OF THE PATIENTS.
THE VALUE FOR SUPPORTING THE INDIVIDUALS WITH NUTRITIONAL PROBLEMS IN THE SOCIETY

The peer reviewed journals enhanced my understanding of the value for supporting the individuals with nutritional problems in the society. Parenteral nutrition plays a significant role the reduction of metabolic abnormalities among the children and adults with nutritional challenges.
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LESSONS LEARNED FROM COMPLETING THE TABLE
I APPRECIATED MY ABILITY IN ANALYZING THE ARTICLES
HAD THE DETAILED UNDERSTANDING OF THE ARTICLES

By completing the evaluation table i appreciated my ability in analyzing the articles and presenting the information according to the format that was outlined ranging from the conceptual framework to the key findings and outcomes.
 
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REFERENCES
GIMBUTAS, S., LAMB, K. V., & QUIGLEY, P. (2017). FALL REDUCTION AND INJURY PREVENTION TOOLKIT: IMPLEMENTATION OF TWO MEDICAL-SURGICAL UNITS. MEDSURG NURSING, 26(3), 175–179, 197.

HTTPS://WWW.JOINTCOMMISSION.ORG/STANDARDS_INFORMATION/NPSGS.ASPX
INSTITUTE FOR HEALTHCARE IMPROVEMENT. (N.D.)(2017). WHY IS REDUCING HARM – NOT JUST ERROR – IMPORTANT TO PATIENT SAFETY? [VIDEO]. RETRIEVED FROM HTTP://WWW.IHI.ORG/EDUCATION/IHIOPENSCHOOL/RESOURCES/PAGES/ACTIVITIES/BATES-REDUCING-HARM-IMPORTANT-TO-PATIENT-SAFETY.ASPX
JOINT COMMISSION. (2018). TWO THOUSAND EIGHTEEN NATIONAL PATIENT SAFETY GOALS. RETRIEVED FROMJOURNAL, 103(6), 636–639.
MILLS, E. (2016). THE WAKEWINGS JOURNEY: CREATING A PATIENT SAFETY PROGRAM. AORN