Respond to your colleagues o by offering additional ideas to overcome the barriers to strategies suggested by your colleagues and/or by offering additional ideas to facilitate dissemination

Discussion Response

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Discussion Response

I agree with you that disseminating information on comorbidities such as those listed is vital to ensure all population especially the older population have current, accurate, and authentic information for effectiveness in treatment plans and to be informed. Using poster and PowerPoint presentation as disseminating techniques prove to be comprehensive, informative, and well-received techniques, as they communicate information in an organized manner and attractive to everyone (Melnyk, 2018). As identified, some of the barriers to these disseminating techniques include challenges trying to educate physicians that are not up to date and culture changes. Primarily, disseminating information to older physicians who are not up to date can result in misunderstanding; hence, it is essential to first learn about your audience concerning their demographics to devise the information in a more acceptable way. Old habits and older method of attending to things among physicians can inhibit successful and effective information dissemination. Addressing this barrier requires one to be more prepared to use materials and information aligning with their traditional thoughts to avoid conflict and misunderstanding.

Similarly, changing organization culture can be difficult; however, possible uncertainties coming from the dissemination process can be addressed using better and convincing presentation skills to seem knowledgeable and willing to effect change  (McClung, 2012). Moreover, I agree with your mitigation strategies on educating each medical staff to be familiar with the issue, probably on an individual and group levels to maximize reception, retention, and information acceptance. Familiarizing these concepts and EBP before presentation among physicians on individual level maximizes on socialization and interaction, which in turn helps know each person’s strength and weaknesses. However, if the audience is extensive, one could choose top-level physicians in job titles to ensure you mark and effect constructive change (Newhouse, 2007).

References

McClung, S. J. (2012). Potential Effects of Institutional Repositories on Nursing Research Dissemination. Master’s Thesis, University of Tennessee.

Melnyk, B. M.-O. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia: Wolters Kluwer.

Newhouse, R. P. (2007). Organizational change strategies for evidence-based practice. Journal of Nursing Administration, Vol 37(12), 552–557.

My community includes many residents that have comorbidities such as diabetes, cholesterol, heart disease, which could be attributed to the development of strokes later in life if they do not change their lifestyle.  I believe that it would be essential for a neurologist to give a poster or PowerPoint presentation to primary care physicians regarding the use of clopidogrel and aspirin while updating the general public as well as methods in preventing strokes. The purpose of the neurologist being invited to give validity to the issue presented.  They will listen more to the neurologist as he/she explains the importance of administering clopidogrel and aspirin together for patients with small strokes or Transient Ischemic Stokes (TIA).

The first thing that must be done is for the neurologist to provide statistics relating to the local population and providing a good reason or purpose as to why the poster presentation will help the community (Melnyk & Fineout-Overholt, 2018).  Implementing statistics into the presentation will validate it more and thus capturing the people’s attention.  The poster or PowerPoint presentation will include bullet points that people will be able to see that does not limit the information by too many special effects (Melnyk & Fineout-Overholt, 2018).  Creating too many special effects may cause confusion and instead hinder the people from gathering substantial information.  It is also important to gather the leadership within hospitals and clinics to support the EBP (Newhouse et al., 2007).  The support from the leadership will make it easier for everyone to follow since they would be the group to make changes within healthcare settings.

One of the difficulties that may be seen while trying to educate physicians is that they might not be up to date regarding (EBP) (Melnyk et al., 2017).   It is troublesome to change habits and certain ways of doing things for older physicians but may listen and change once they hear that the current data has proven to help people with strokes.  It is also beneficial to hear the information from the neurologist themselves which gives more credibility as mentioned above.  Another difficulty seen is that the culture within an organization is hard to change (Melnyk et al., 2017).   The culture could change by educating and making the medical staff more familiar with the issue.  The familiarity will allow for more people to support new ideas regarding EBP.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Choy, K. (2017). A test of the ARCC© model improves implementation of evidence-based practice, healthcare culture, and patient outcomes. Worldviews on Evidence-Based Nursing, 14(1), 5–9. doi:10.1111/wvn.12188

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.0000302384.91366.8f