Capstone discussion 7

please respond to the main DQ1 and DQ2. Also respond to the peer discussions 1-6


Describe one internal and one external method for the dissemination
of your EBP project results. For example, an internal method may be
the hospital board, and an external method may be a professional
nursing organization. Discuss why it is important to report your
results to both of these groups. How will your communication
strategies change for each group?


In order to evaluate an evidence-based practice project, it is
important to be able to determine the effectiveness of your change.
Discuss one way you will be able to evaluate whether your project made
a difference in practice

Peer DQ1

Internal and
external method for dissemination of an EBP project results.

An internal method is the use of hospital board. An
external method is use of a professional nursing organization.A good
technique must be used in order to identify the individual or
organization that need to be included in the programs. In order to
identify the suitable method, the following process is used. First
identify the internal and external stakeholders, then assess the
nature of each stakeholder’s influence and importance in the
organization. Follow this by construction of a matrix that
identifies stakeholder influence and importance. Finally monitor and
manage stakeholder relationships.

It is
important to report the results to both groups. This will enable the
outcome of the research of the project to be perfect and hence more informative.

communication strategies for each group will change. This is where a
good communications strategy is helpful. An internal method is
approached different with the external methods.

In the
internal method, you cross all the information whereas in the
external method one need to have the limit of the information you
give out.


Stetler, C. B., & Caramanica, L. (December 01, 2007). Evaluation
of an Evidence-Based Practice Initiative: Outcomes, Strengths and
Limitations of a Retrospective, Conceptually-Based Approach.
Worldviews on Evidence-Based Nursing, 4, 4, 187-199.

Aarons, G. A., Green, A. E., Trott, E., Willging, C. E., Torres, E.
M., Ehrhart, M. G., & Roesch, S. C. (November 01, 2016). The
Roles of System and Organizational Leadership in System-Wide
Evidence-Based Intervention Sustainment: A Mixed-Method Study.
Administration and Policy in Mental Health and Mental Health
Services Research, 43, 6, 991-1008.

Komendzi??ski, T., Dreszer-Drogor??b, J., Miko??ajewska, E.,
Miko??ajewski, D., & Ba??aj, B. (January 01, 2016). Science and
Innovative Thinking for Technical and Organizational Development

Peer DQ2

The process of disseminating the findings of the
EBP can be done using external and internal methods.Internal methods may include sharing the findings with the
hospital board while the external may involve sharing information
with a professional nursing firm. Dissemination of the EBP findings
helps in creating awareness of what projects have been established
and their success (Myers & Barnes, 2004). As such, it acts a
tool for establishing a profile for the project provided to the
people. It helps stakeholders to understand the processes that have
been undertaken and the results obtained to allow them to take the
lessons learned on board when making a decision. Decision-making
process requires having a clear understanding of the program
developed to ensure making an informed decision that will improve
the health care outcomes of the people, the credibility and
effectiveness of the health delivery system (McCormack et al.,

When sharing the findings with the internal and external
stakeholders different communication strategies can be utilized. For
example, formal reports can be used to share information with the
hospital board. The formal reports provide tailored message to board
members on what has been achieved and future recommendations that
can be followed to establish effective EBP projects (McCormack et
al., 2013). This is because the board members are interested in
making a conclusion on the effectiveness of the project in meeting
its desired goals in the internal environment. On the other hand,
conferences can be used to share the findings with the professional
nursing firm. The conferences will help share the results obtained
with a wider audience to impact the policymaking for bets practice.
It will help the external parties to evaluate the outcomes and
cost-effectiveness of the project that can guide the entire nursing
organization in making decisions. Additionally, nursing
organizations conferences provide a platform where stakeholders can
share their views and identify opportunities that are provided by
the EBP projects (McCormack et al., 2013).


Myers, P., & Barnes, J. (2004). Sharing Evaluation Findings.

McCormack, L., Sheridan, S., Lewis, M., Boudewyns, V., Melvin,
C. L., Kistler, C., … & Lohr, K. N. (2013). Communication and
dissemination strategies to facilitate the use of health-related evidence

Peer DQ3

of project findings, results and outcomes is highly critical in
healthcare sector. It is therefore paramount for communication
aspects ought to be carefully and critically evaluated to ensure
that relevant information is disseminated to all pertinent
stakeholders (Becker et al., 2017). In one way or another, the
stakeholders contribute to the project design, development and
implementation and thus have a right to be informed on the project
outcomes. Result dissemination takes into account two methods; the
internal and the external (Pandi-Perumal et al., 2015). The internal
methods include outcome dissemination to the internal stakeholders
such the healthcare leadership, the physicians, and the nursing
staff. In this project of stem cell therapy, the internal
stakeholders will be communicated to through presentations in a
staff meeting. The hospital board will equally be communicated to
through interactive board meetings and outcome presentation through projections.

the presentations, the internal stakeholders will have an
opportunity to provide insights, ask questions and even respond and
discuss the projects results. Reporting to the internal stakeholders
is essential for making them understand the project results,
building a sense of ownership and trust, and establishing the desire
to advocate and support future evidence based projects. In
disseminating the results to the external groups, the American
nursing organization will be the key recipient of the project
outcomes following its function as a bridge between the government
and the nursing practice, as can easily pass information between the
government and the healthcare sector and advocate for government
support in light of EBPs in healthcare practice. More so, the
project will be published for everyone’s access.


C. B., Perez, M., Kilpela, L. S., Diedrichs, P. C., Trujillo, E.,
& Stice, E. (2017). Engaging stakeholder communities as body
image intervention partners: The Body Project as a case example.
Eating behaviors, 25, 62-67. doi: 10.1016/j.eatbeh.2016.03.015

S. R., Akhter, S., Zizi, F., Jean-Louis, G., Ramasubramanian, C.,
Edward Freeman, R., & Narasimhan, M. (2015). Project stakeholder
management in the clinical research environment: how to do it right.
Frontiers in psychiatry, 6, 71. doi: 10.3389/fpsyt.2015.00071

Peer DQ4

In this present era, EBP is a problem-solving approach to clinical
decision-making within a health care organization. In this approach,
clinicians use theory-derived, research-based knowledge to inform
their decisions about care delivery. EBP considers internal and
external influences on practice and encourages critical thinking in
the judicious application of such evidence to the care of individual
patients, or a patient population, replacing erstwhile sources of
evidence such as authority and tradition (Salinas,
As regards my change project, I would
use the framing communication strategy in a structured format (co
signed by clinical and academic authorities), to disseminate
information about my change project to the management board of the
health care facility; while I would use the narrative strategy to
disseminate information to the local chapter of my state nursing
association. This is informed by the drive of the health organization
to be cautious in its approach to innovation and the quest to mitigate
against loss and risk. Following this, my project must be framed as an
initiative that improves the bottom line and cuts losses. In the other
scenario, a more informal approach (the narrative strategy), would
pique the interest of my colleagues and galvanize support for my
initiative, which the nurse can propose to their respective
managements (McCormack et al, 2013).

Salinas, A. (2017). Why evidence-based practice
matters to students. Retrieved October 2018 from
L, Sheridan S, Lewis M, et al. (2013). Communication and Dissemination
Strategies to Facilitate the Use of Health-Related Evidence. Retrieved
October 2018 from…_

Peer DQ5

According to Brigham Research Institute, creating a comprehensive
dissemination strategy for my EBP project will increase the awareness
of my research and thereby take full advantage of the research done to
increase the health outcomes of those patients with alcohol use
disorder (2015). On my unit we have Unit-Based Council (UBC)
that is where we start the process of incorporating an EPB and policy
changes the nursing staff presents for best practice. I have utilized
this process for my internal dissemination of increasing knowledge of
CIWA-ar protocol. The communication strategy that I utilized was
personal and professional in the narrative style. I utilized the
personal style in part due to these are nurses I work with, attend UBC
meetings with, and have a personal relationship with. Utilizing the
professional strategy of communication to add validity to my EBP
proposal, I needed them to understand the research placed behind my
proposal and the importance of increasing nurses understanding of
alcohol withdraw including treatment significance.

For the external dissemination, after discussion with my mentor, will
be to write my PICOT paper for publication in our state’s
quarterly newspaper. Articles may be sent in for publication that is
sent to all registered nurse practitioners throughout our state. The
format will be slightly change from my capstone paper in effort to
explain the information and capture our state’s nurses attention
to the increasing population of patients with alcohol use disorder. I
will include my information to respond if so desired.


Brigham Research Institute, (2015), Retrieved from…

Mazurek Melnyk, Bernadette, RN, PhD, CPNP/PMHNP, FNAP, FAANP, FAAN,
Gallagher-Ford, Lynn, RN, PhD, DPFNAP, NE-BC, English Long, Lisa, RN,
MSN, CNS, Fineout-Overholt, Ellen, RN, PhD, FAAN, (2014), The
Establishment of Evidence-Based Practice Competencies for Practicing
Registered Nurses and Advanced Practice Nurses in Real-World Clinical
Settings: Proficiencies to Improve Healthcare Quality, Reliability,
Patient Outcomes, and Costs, World Views on Evidence-Based Nursing
Linking Evidence to Action,
11(1), 5-15. Retrieved from…

Novins, D. K., Green, A. E., Legha, R. K., & Aarons, G. A.
(2013). Dissemination and implementation of evidence-based practices
for child and adolescent mental health: a systematic
review. Journal of the American Academy of Child and
Adolescent Psychiatry
, 52(10), 1009-1025.e18.
Retrieved from…

Peer DQ6

The results of my evidence-based practice project will
be important to disseminate in more than one way to reach the most
people possible. An internal method for spreading the
information would be to first consult with the organization’s
higher management to explain the project and learn about their
internal dissemination process. According to Harris et al.,
having a close partnership between the researcher and the
organization is helpful to create a sense of ownership of the
process (2013). A mutually beneficial collaborative partnership is
the goal to be sure that both have the same goals when attempting to
distribute the information (Harris et al., 2013).

External methods for spreading information about the
evidence-based practice project results may include a professional
nursing organization such as the National Association of Bariatric
Nurses (NABN) whose goal is to dedicate resources, knowledge, and
research towards improving the life and nursing care of people
suffering from obesity. They are found through American Nurses
Association. They would be great to help disseminate research
results for evidence-based practice but may only receive a narrow
viewing population. Another, less professional option is
simply using social media. Utilizing such a broad and
wide-spreading platform will ensure that the information is seen by
all different types of people who may be affected by the topic, in
this case obesity. Social media is used by nearly 80% of the
United States population in 2018 according to statistics gathered by
a company called Statista ( This would seem
to be an appropriate platform to reach the overweight and obese
population in the United States.

J., Cheadle, A., Hannon, P., Forehand, M., Lichiello, P., Mahoney,
E., Snyder S., & Yarrow, J. (2013). A framework for
disseminating evidence-based health promotion practices.
Preventing Chronic Disease 9(110081). Retrieved

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