Discussion: Developing a Culture of Evidence-Based Practice

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.

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.

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

Instructions  

Identify a TJC safety goal that is relevant to an area of concern at your place of employment or clinical rotation. Describe a situation in the workplace or nursing practice that needs change.  Then, following the instructions and using the fishbone diagram template found in course documents, complete a Root Cause Analysis of your identified problem.  Attach your fishbone diagram to your discussion board post.

The root cause analysis allows improvement teams to identify the “root” of the problem, where and why the problem exists.  Improvement teams make decisions based on data rather than “hunches” and look for lasting solutions rather than relying on “quick fixes” and “band-aid” approaches. 

1. Identify a problem
2. Consider all factors of the problem, such as, “we do not perform adequate pain assessments because…” 
3. Once all factors causing the problem are identified, it should be evaluated and grouped in categories
4. Then a “cause and effect” diagram, such as fishbone diagram, can be created. 
5. General categories may include Environment, Equipment, People, Methods (process) and Materials
6. Attach your fishbone diagram to your discussion board post

Using the template found in “resources” tab, complete a fishbone diagram of your identified problem. See fishbone diagram document attached.

The cause and effect diagram (fishbone) starts with a problem at the head of the fish.  Under each general category of the fishbone, answer the questions, “Why?” in regard to the problem identified.  Once the fishbone diagram is done, the various causes are discussed to determine the root of the problem.  The results of this discussion drive the focus for the improvement plan.  There may be several causes of the problem.  The team should prioritize which one cause, if solved, would have the most positive impact on the largest number of residents. 

Also, see some useful document attached below.

1. Survey 30 people to find out if they are left-handed or right-handed, and use the following chart to create a contingency table with the information.

Left handed Right handed Total Female Male Total

1. Answer the following questions about the information in your contingency table:
   1. If a person is randomly selected from the survey participants, what is the probability that the person will be left-handed?
   2. If you randomly choose a female from the people you surveyed, what is the probability that she is left-handed?
   3. What is the odds ratio of choosing a left-handed female?
   4. What is the relative risk of choosing a left-handed female?
   5. two references require

· Develop your position about the individual rights to control the spread of communicable diseases for the good of society.

· Survey the role of boards of health in your community and state to determine how communicable diseases are prevented and controlled.

250-word maximum without the reference(s).

·  Minimum of one reference, APA format.

·  Upload by Thursday at 11:59pm, week #4

·  Be prepared to discuss in class, week #5