Johns Hopkins Nursing Evidence-Based Practice Thrid Edition: Model and Guidelines

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(^258) Johns Hopkins Nursing Evidence-Based Practice: Model and Guidelines, Third Edition


Appendix J: Dissemination Tool

The final step in any EBP project is dissemination. It is important to communi-
cate practice changes and results of EBP projects both internally and externally.
Appendix J assists groups to craft messages suitable for each intended audience.
Figure 11.9 provides an example.


  1. Think about the project findings and practice change initiative. What is the most important
    information you need to convey?
    Cleansing wipes are best practice over basin bathing.
    With implementation of change:
    ■■Over three months, bathing times decreased and staff and patients reported satisfaction with new process
    ■■CAUTI rate decreased from 1.8/1000 catheter days to 0/1000 catheter days.
    ■■The unit saved $0.16 per patient day (potential of $2630 per year)

  2. Align key messages with audiences.


Audience Key Message

Communication Method
(see below)
Interdisciplinary stakeholders Cleansing wipe use is best practice
and has proven results

Internal meetings/in-services

Organizational leadership Improved care and cost effectiveness
stem from wipe use

Internal meetings/in-services

Departmental leadership

Frontline staff Findings of EBP and rationale for
changing way of providing catheter
care; instructions for using wipes

Internal meetings/in-services

External community (publications,
posters, and presentations)

Implementing best evidence resulted
in a decrease in CAUTI rates and
lower cost

Written publication
External conference/podium
presentation


  1. Review examples below to identify appropriate communication methods.


It is important to align the key message with the audience. People
are interested in what the change means for them and how they
may be affected. Carefully tailoring the content and message to
the audience will ensure that these concerns are met.

Figure 11.9 Completed Appendix J: Dissemination Tool.
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