Developing a Culture of Evidence-Based Practice
In the health care system, many guidelines and recommendations are developed to inform health practitioners to improve the daily routines of medicine for the management of illnesses. Therefore, the focus needs to be put on the dissemination and implementation of these recommendations and guidelines as a way of empowering patients to make more informed choices due to their increased want in the treatment decision-making process (Melnyk, Gallagher, Zellefrow, et al., 2018). The purpose of this paper is to discuss potential feasible dissemination strategies that can be put in place with barriers these strategies might encounter.
Strategies
Developing user-friendly treatment manuals and practice guidelines as a strategy is crucial due to the interference of some Evidence-Based Practices (EBP) make, especially their transfer from the academic setting to the real-world setting. This is a way of making EBPs more accessible to line-level staff (Gallagher, Fineout, Melnyk, et al., 2011). For instance, when a resource that fosters the development of innovative practice in a research environment is parallel to the demands of patients, these manuals and guidelines, when enforced, a better solution is reached. Also, educating staff on skills and principles through pre-service education and in-service training programs for line-level staff as a strategy would properly enhance dissemination. It allows health professionals to learn the newly developed EBP approaches. However, improving organizational dynamics as a strategy would be difficult to implement due to the wider aspects it entails, such as team leadership and quality management.
Barriers
Lack of time due to busy schedules by the clinicians and resistance encountered when new EBPs are introduced due to cultures formed within the clinical operations act as barriers to these strategies (Newhouse, Dearholt, Poe, et al., 2007). To overcome such, having training technologies with high transferability from job sites to the practice environment can be prioritized as a way of utilizing the available time to adapt to new EBPs. Also, support from the administration is key to helping reduce resistance through the development of an organizational culture that supports EBP.
Conclusion
In conclusion, with the great promise EBPs offer patients in modern health care, the systematic strategies to disseminate recommendations to them, as outlined above, will enable health practitioners in real-life programs to guide the transfer of effective practices into the world. As a result, knowledge and the associated evidence-based interventions are spread on a larger scale. Also, problem-solving redundancies were reduced, and innovations were inspired.
References
Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence- based practice, step by step: implementing an evidence-based practice change. AJN The American Journal of Nursing, 111(3), 54-60.
Melnyk, B. M., Gallagher‐Ford, L., Zellefrow, C., Tucker, S., Thomas, B., Sinnott, L. T., & Tan, (2018). The first US study on nurses’ evidence‐based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes. Worldviews on Evidence‐Based Nursing, 15(1), 16-25.
Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). Organizational change strategies for evidence-based practice. JONA: The Journal of Nursing Administration, 37(12), 552-557.
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Question 
As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.
Developing a Culture of Evidence-Based Practice
In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.
To Prepare:
Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.
This may include unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.
Reflect on which type of dissemination strategy you might use to communicate EBP.