NURS 6052 Assignment: Disseminating Evidence Based Practice

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.

Evidence-based practice focus on essential elements that can help create a highly integrated environment where it is possible to attain better outcomes. Assignment Disseminating EBP

The evidence-based practice focuses on a specific problem where the findings can be compared with other results previously obtained. Dissemination of evidence-based practice findings can be evaluated based on different settings, mainly where the practice will be applied.

The work of evidence-based practice (EBP) is a relentless process that requires practitioners to continuously provide evidence in support of their decision-making process and policy/practice changes. Healthcare workers may use the EBP model to initiate and implement policy changes which will improve patient care.

During the process, practitioners must present their appeals to the lawmakers providing evidence to why should the changes happen. There are several ways of disseminating the evidence. Melnyk and Fineout-Overholt (2018) define dissemination as “the process of distributing or circulating information widely” (p. 752).

Two dissemination strategies that I would be most inclined to use

The best dissemination strategies that I would consider include a unit-level presentation and local dissemination (Harvey & Kitson, 2015). Unit-level dissemination is only successful, especially in ensuring where the issue that has been considered help improving the underlying problem within the unit.

Different units with a given setting can have a varied assessment of the operational environment. This means there is a need to take into consideration the context under which the evidence-based practice. Therefore, ensuring that the engagement is strategic help ensure that based on the results, the intervention that is put in place is unit-based (Brownson et al., 2018).

Organizations strive to implement essential aspects of improving their performance. However, evidence-based practice eliminated the uncertainty risk, which is crucial in attaining better outcomes.

Local dissemination entails significant players at the local level, which is a better aspect that helps provide a strong emphasis on institutional development (Hall & Roussel, 2016).  However, it is essential to ensure that dissemination of outcomes is done in an environment where there exist resources and technical ability to attain better results.

Skills and knowledge among the population are likely to be a challenge in successfully implementing the developed practice. There is a need to manage the needs of existing stakeholders, which is essential and help in organizational planning as well as service delivery.

The implementation of evidence-based practice should focus on creating a profoundly transformed environment where it is easier to implement positive change. Therefore, training is crucial in empowering stakeholders on how to implement evidence-based practice (Brownson et al., 2018).

Least Inclined Dissemination Strategies to be used

The least inclined dissemination strategies to be used in communicating EBP are poster presentations and podium presentations. The poster presentations may not give out enough information, and the presentation may not look engaging and exciting, thereby losing the aim of the presentation.

The podium presentation, on the other hand, may encounter poor turnout of participants. There could be poor publicity of the presentation leading to poor attendance.

Disseminating EBP Sample Student Work

Background

A foot ulcer is one of the problems that have been linked to diabetes among different individuals. Foot ulcers can be easily identified since they can be seen in terms of the sores that are visible. Proper handling of diabetes has the potential of reducing foot ulcers among different individuals. In Maryland, there is a high correlation between foot ulcers and diabetes and many people have suffered as a result of foot ulcers.

From the analysis of the causes of foot, ulcers result in pain among the patients. One of the main symptoms that have been identified among different individuals is the swollen foot that usually stains the socks. A black tissue, eschar, also develop on the foot.

The signs that have been identified are not always obvious in the patients. In Maryland, the large population has diabetes and is at risk of getting foot ulcers. Foot ulcers are associated with poor blood circulation besides having other effects that can result in other activities.

Foot ulcer has had a direct impact on the healthcare since it reduces the quality of care among different individuals. Treating foot ulcers is also expensive since it requires fitting diabetic shoes, casts, having shoe braces, having compression wraps, and using the shoe inserts that have direct impacts on the life of the individuals who have foot ulcers.

The cost of treating and handling foot ulcers has been vital in ensuring that there is wellness and that the health of different people is maintained. Foot ulcer has cost the government and many individuals when improving the care of the patients. Assignment Disseminating EBP

However, various ways have been advanced through which foot ulcers can be prevented including the use of footbaths, disinfection of the skins from where there is an ulcer, using enzymes to treat the ulcers, and keeping the ulcers as dry as possible.

Therefore, the health impacts of ulcers increase the cost of managing diabetes and are also a risk in the management of diabetes and other conditions.

The practice-based question in this project is whether homeopathic remedies can be used in reducing foot ulcers in Maryland instead of the conventional medical and surgeries? In answering this question, a homeopathic remedy can be implemented in the management of foot ulcers and the reduction of various activities that contribute to the foot ulcers.

Management of foot ulcers is a step that improves the quality of life among different individuals. Therefore, the case of managing foot ulcers in Maryland requires a coordinated approach that takes into account various activities including the homeopathic remedies and prevention of the factors that can contribute to the improvement of the quality of care.

The use of homeopathic remedies like honey can be useful in clearing bacteria and healing the ulcers that have been vital among different people. Therefore, homeopathic management of foot ulcers in Maryland would be vital in ensuring that the quality of care is improved while at the same time reducing the cost that is incurred in managing the patients.

Evidence

The data are collected from primary and secondary sources to provide an understanding of the foot ulcers in Maryland. From the population of individuals with foot ulcers and diabetes, a qualitative approach is used to capture their experiences and feelings (White, Dudley-Brown, & Terhaar, 2019).

Developing the clinical guidelines is also conducted by the discussions held by the patients. Therefore, it is a process that looks at the development of the disease while at the same time handling different problems linked with foot ulcers. Assignment Disseminating EBP

Interviews and Focus Group Discussions are vital in capturing the experiences and feelings of the patients. Maryland is one of the areas in the United States that have been identified to have an increase in diabetes and foot ulcers. Identification of the problems related to diabetes and foot ulcers remains vital in guiding the operations and handling of the problems.

The practice setting from which the collection of evidence was done was clinic settings in Maryland. These are the clinics that attempt to handle the issues of foot ulcers and diabetes. In the clinics, the patients who are treated provided the data that are required in understanding the nature of the problem. Maryland has several clinics for handling the problem of ulcers.

However, patients vary by age and this was also important in ensuring that the correct numbers of patients are captured. The identities of the patients are kept confidential to maintain the principle of privacy and confidentiality. Assignment Disseminating EBP

Therefore, the data has been collected from the patients and the professionals who have been linked with the operations and improvement of the activities in the process. The primary sources of information remain vital in understanding and collecting the evidence required for rational decision-making.

Results

The results indicate that the foot ulcers that affect several people are due to poorly managed diabetes. In other words, if the diabetes of the patients can be managed properly then the foot ulcers among the patients can be reduced considerably.

The result of the evidence provides an understanding of the problems and also works towards ensuring elaborating the patterns that have existed Assignment Disseminating EBP. Furthermore, foot ulcers have been important in identifying different activities and also painting the lifestyles that have been affecting different individuals. The results of the activities also indicate that the problems can be solved and this has been vital in guiding the operations and the methods that people employ in managing foot ulcers.

Foot ulcers have can easily be identified as a result of the sores and the fluids that it produces among different patients. It results from diabetic individuals who have not been properly taking care of themselves. Black tissues are also found in the foot of the patients who have foot ulcers making them easily identifiable among different individuals. In Maryland, many people have diabetes that is not properly taken care of.

In these foot ulcers, different activities have been identified as the presence of ulcers with no infections, deeper ulcers that expose tendons and joints, abscesses from the infections of different people, and foot which are at risk even though there are no ulcers.

Therefore, the cases of ulcers among different people have been identified to cause problems and this has been reflected in the cases presented. Foot ulcers can also be identified among different individuals who had previously been infected by the disease. The rate of reoccurrence has been on the rise due to a lack of proper care among individuals.

In looking at the issue of foot ulcers, the existence of the ulcers and sores among different individuals also indicate problems that are associated with handling the issue while at the same time ensuring that the patients are not well taken care of.

The evidence was gathered from the patients and based on their experiences. The experiences of the patients provided an understanding of different activities while at the same time ensuring that the best healthcare facility is achieved Assignment Disseminating EBP. Therefore, the evidence that has been identified in the process of understanding foot ulcers includes vital medical records. Foot ulcers have always occurred due to poorly managed diabetes.

Identification of the black scars has been essential in understanding different activities and working towards identifying and diagnosing the diseases and other conditions.

The causes of foot ulcers range from poor circulation of blood, high blood sugar, nerve damage, as well as irritated feet that are also wounded. Poor blood circulation is a type of disease that has been linked with vascular problems.

Poor circulation does not permit the healing of the feet of different individuals. In many cases, the existence of type 2 diabetes presents difficult management of foot ulcers. The case has remained vital in the handling of diabetes and managing the diseases. Nerve damage has a long term impact on the foot of individuals. It is one of the contributors of foot ulcers that have had an impact on the progression of the disease.

The severity of the foot ulcers has been affected by nerve damage and this can be linked to the symptoms that are exhibited in the case of foot ulcers. Nerve damage has the potential of making the feet tingly and painful and this can contribute to the opening of the sores in the foot.

Critically, it can contribute to the destruction of the cells. The case of nerve damage can be seen in different activities that may also contribute to other diseases. In diabetes, dry skin is one of the most common activities that can be identified and has been presented numerously. The feet of different individuals may appear to be cracking.

The feet also appear to be having calluses, corns and also bleeding. Among the patients observed in Maryland, the pieces of evidence have been provided in what has been observed from the skin and the body Assignment Disseminating EBP. These are indications of foot ulcers and poorly managed diabetes type 2.

One of the recommendations is the use of honey in controlling and management of foot ulcers. The use of honey is referred to as the homeopathic management of foot ulcers. In the management of foot ulcers, the sores must be dried and the treatment must also be managed.

The management of the disease also captures different activities including the nutrition that is vital among different individuals. Changing and adjusting the nutrition is also vital as it helps in controlling diabetes while at the same time ensuring that the patients do not get the foot ulcers that have been affecting them directly.

Physical exercises have also been vital as it has controlled many activities and working towards developing a system that promotes the health of individuals. Therefore, the clinical guideline provided must make a provision for physical exercise and also promoting nutrition critically in ways that ensure that the patients in Maryland are helped and that this prevents the diseases and handling of different activities. Therefore, the management of foot ulcers in Maryland requires a range of approaches.

Assignment Disseminating EBP References

• White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2019). Translation of evidence into nursing and healthcare. Springer Publishing Company. https://connect.springerpub.com/content/book/978-0-8261-4737-0

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