This document set outs preliminary ideas for the activities of the interdisciplinary team at Kendall Regional Medical Center to support the dissemination of the research and practice for an administrative change project of complication prevention and PICC reinsertions. Because PICC presents a range of complications associated with placement (Kornbau, Lee, & Firstenberg, 2015), the audience of the dissemination plan should involve the team of professionals working at Kendall Regional Medical Center directly responsible for the organization, management, and the performance of the procedure.
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The key stakeholders of the dissemination plan include patients, clinical nurse specialists, registered nurses, medical consultants, and radiologists (who are particularly responsible for reporting about possible complications). The needed resources for the successful dissemination of research and practice include spaces for holding meetings, presentations, and practical activities; IT resources for sharing health-related evidence and increasing the dissemination of knowledge (Allen, Stanton, Di Pietro, & Moseley, 2013), time resources, and human resources such as “champions” who were successful in using new information for reducing the risks associated with PICC in their practice settings.
Useful strategies include:
- Reach strategies;
- Motivation strategies;
- Ability strategies;
- Multicomponent strategies;
- “Champion” involvement;
- Evidence-based approaches.
Not appropriate strategies include:
- Print materials dissemination;
- Theory-based approaches.
Dissemination of clinical and health-related evidence is a process of effective distribution of information through the pre-determined channels with the help of strategies that would be the most appropriate for the given setting, scope of practice, and audience (Tabak, Khoong, & Chambers, 2012). This plan selected multicomponent dissemination strategies for the achievement of the set objectives. Such strategies will address combinations of ability, reach, and motivation since they have been proven to be more effective in improving the behaviors of clinicians, particularly in the sphere of guideline adherence and the improvement of clinical outcomes (AHRQ, 2013). Multicomponent strategies have been chosen because they combine the following aspects of successful dissemination of information and evidence:
- Increase in the reach to a vast audience (Brownson, Colditz, & Proctor, 2012). This can be achieved through evidence distribution across a variety of settings to different audiences for increasing information reach (e.g. e-mail, social media, etc.).
- Improvement in the motivation for using and applying the disseminated knowledge is accomplished by increasing the interest in new information with the help of “champions” that have successfully applied the knowledge in their setting.
- Enhancement in the actual ability to use and apply the disseminated evidence through providing additions evidence sources and implementing skill-building efforts.
Therefore, the health-related evidence dissemination plan for the prevention of complications and PICC line reinsertions at Kendall Regional Medical Center will include procedures targeted an increasing reach, motivation, and ability of the medical staff involved in the procedures concerning the regulatory change project. It is crucial to draw from the successful experiences of complication prevention for the PICC line reinsertions implemented in other hospitals across the country.
The involvement of “champions” into the process will boost motivation and offer the audience information about the best practices that have proven to work. A multicomponent strategy is expected to bring fruitful results during the project implementation due to its all-encompassing nature with regards to how professionals benefit from the dissemination of health-related evidence. Since a one-sided approach may limit the scope of the practices for preventing complications among patients, including multiple components of the dissemination strategy will ensure the expansion of procedures and the achievement of the set goals.
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AHRQ. (2013). Communication and dissemination strategies to facilitate the use of health-related evidence. AHRQ Pub, 13(14), 1-12.
Allen, H., Stanton, T., Di Pietro, F., & Moseley, L. (2013). Social media release increases dissemination of original articles in the clinical pain sciences. PLOS ONE, 8(7), 1-6.
Brownson, R., Colditz, G., & Proctor, E. (Eds). (2012). Dissemination and implementation research in health. New York, NY: Oxford University Press.
Kornbau, C., Lee, K., & Firstenberg, M. (2015). Central line complications. International Journal of Critical Illness and Injury Science, 5(3), 170-178.
Tabak, R., Khoong, E., & Chambers, D. (2012). Bridging research and practice: models for dissemination and implementation research. Am J Prev Med, 43(3), 337-350.