apa format 2 references per peer
good length

Peer response

The purpose of dissemination strategies are to spread knowledge of evidence-based interventions so that it can become more widespread in practice. To me, the most favorable dissemination strategy that I would choose to use is social media. I am 27 years old and was born in an era of seeing how influential social media can be. On average, 4.48 billion people are on social media and check it regularly (Undiscovered Maine, n.d., para. 8). I have seen firsthand how when a friend or someone I know starts doing a new trend their response is typically that they saw it on Instagram, TikTok, etc. We could use social media and its impact for good by spreading evidence-based practice findings in healthcare to a large audience of variety.
The second dissemination strategy that I would be inclined to use is press releases. Press releases are a great way to communicated evidence-based findings to a large group of people. Additionally, having a press release on topics enhances reliability to most viewers if you are on a trusted and professional news outlet. Going along with a benefit of social media, in todays climate, impactful press release videos will generally now find themselves viral on social media, so even people who do not watch the news will eventually view the press conference.

Dissemination Strategies I Would Be Least Inclined to Use

The dissemination strategy that I would be the least inclined to use is e-mail. While e-mails are a quick way to get information across, they do not have as big as an impact as many other strategies do. Most of the time, people generally just scroll through e-mails and delete things that do not require immediate action because their inboxes are probably filled with things that do. Additionally, it is incredibly difficult to convey emotion over e-mail, so some information and passion behind the message being conveyed are susceptible to being lost in translation. Lastly, e-mail is not as accessible to a larger group of people because only people who receive the e-mail would be able to see the information provided.

Another dissemination strategy that I would not be inclined to use is the use of poster presentations. While poster presentations may provide a bit of hard work and personalization, they are not as effective as other strategies. Poster presentations may come across as informal and may not convey the urgency of the message being conveyed. Additionally, the poster will just stay a poster that will probably stay in one area or may even be thrown away. In this day and age, if you want a large people to view something, it will need to be digital so that it stays in a place forever and is able to be spread to other people and saved to their personal devices for reference and storage.

Barriers and Solutions to Desired Dissemination Strategies

One of the biggest risks to using social media to communicate evidence-based findings is that there is a lack of privacy. A way to overcome the barrier of having a lack of privacy with social media is to make private pages and accounts that only target and allow the audience involved (Narayanaswami et. al., 2015, para. 6).

There are also risks that come with holding press conferences to communicate evidence-based findings. One barrier to holding a press conference is the current political climate and how things may be perceived by the general public (NHR, n.d., para. 3). We were able to really see this barrier evident during COVID 19. We were at a point where we we were so divided in our country, that health officials were struggling to get their points and advice about the pandemic across because some people would not listen or believe what they were saying simply because of who was saying it, what news outlet was promoting it, and the content of what they were saying. This barrier can be overcome by being mindful of and knowing your audience, choosing your words carefully, and ensuring you are using a reliable, non-biased news outlet to convey your message (NHR, n.d, para. 4).

Peer 2

The two dissemination strategies I would be most inclined to use are podium and poster presentations at my healthcare organizations. The reason why I am inclined to use podium dissemination strategy is because it gives the opportunity to present evidence-based practice ( EBP ) cited EBP to my organizational staffs, and it also gives the oppurtunity to answer individual questions posed by the audience of staffs. To support this idea, one study mentioned that when presentations are delivered in a context of caring and suppotive organizational culture, the highest quality of care and best patient outcome can be achieved ( Gallagher, Fineout-Overholt, Melnyk & Stillwell, 2011). Also, the reason why I prefer poster presentation is because a written poster presentation can be an educational tool that staff can read, study, and re-read in the future to gain more understanding of the cited EBP. To explain further, another study mentioned that a number of resources are needed to be establish to encourage the growth and development of a program. These resources includes the availability of EBP model in written and electronic format ( Newhouse, Dearholt, Poe, Pugh & White, 2007).
In addition, the two dissemination strategies I will be least inclined to use are organizational level presentation and publication in peer-review journals. The reason why I am least inclined to use organizational level presentation is because it is difficult to get most executive staffs on board mostly in they are not in agreement with the cited EBP study. Also, the reason why I am least inclined to use publication in a peer-review journals is because it takes longer time to do a peer-review journal, and to circulate ther information around.
Moreover, the two barrier I might encounter when using my selected dissemination strategy is lack of information retention by some staffs, who might have attended the podium presentation. For example, some of my organizational staffs could attended the presentation about the cited EBP, and 30 -50 minutes after the presentation you asked them what was the presentation about? They responded or answered they do not know, or they have forgetten. Also, another barrier I might encounter when using my selected dissemination strategy is failure to read, or study the written poster information. For example, after presenting the written poster containing the cited EBP information, most of my staff members might not read the poster, or they might throw them in to the trash can.
To overcome these barriers, I think a quaterly continous education has to be provided to my staff members whether they recieved their presentation through the podium, or through the written poster. They have to get quaterly continous education to help them recieved and retained presented cited EBP information. To explained a little further, one study reveals that the retention of key information is the reason why certain clinicians have to keep up with new studies to expand their konwledge and skills, which means continous education is not a nice to have, but an absolute necessity for any healthcare staffs, who wants to provide quality patient care ( Health management.org, 2017).

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Discussion reply 1

Subjective
The patient reports slurred speech and left side weakness onset 11 pm. He had an episode of amaurosis fugux (blindness)in his right eye one month ago that lasted for 5 minutes. Around 3 months ago his wife states he had bilateral pain in his legs while they were on a walk that lasted about 15 minutes, the patient reports a history of alcohol use and smoking in the past but stopped after his heart attack.
Objective
Blood pressure is 195/118 Pulse 106, Respiratory rate 18, Temperature 99.8, O2 sat is 97% on room air, unable to move his left arm and leg, pupils are equal and reactive, and the ocular movements are intact, he is unable to turn his eyes voluntarily toward the left side, neck is supple, there is no jugular vein distension, and there are no bruits, lungs are clear heart sounds regular without murmurs, and abdomen is normal, limbs are not well perfused distally,neurologic examination reveals that he is alert and oriented, although he does not recognize he is sick. The patient shows loss of awareness and attention with respect to objects or stimuli on his left side. He has mild dysarthria but, his speech is fluent, and he understands and follows commands very well. There is mild weakness on the left side of the face and left sided homonymous hemaianopsia, but there is no nystagmus or ptosis, and no tongue or uvula deviation, the patientis not able to move his left arm and leg, has hyperreflexia, and the left great toe is upgoing.
Questions that I would ask this patient, if he has had a history of CVAs, the way that the patient is presenting is with signs and symptoms of a stroke. Although assessing if the patient get really bad headaches can also indicate underlying conditions. The time course of a patients symptoms can provide clues to the pathophysiology. The sudden onset of difficulty speaking, for example, may suggest a stroke whereas a progressive worsening of speech over a few months may suggest a brain tumor ( Bickley, 2021). I would also ask if the patient had any recent falls and hit his head. Weakness can be caused by damage to upper motor neurons or their projections (the corticospinal tract) or by damage to lower motor neurons or their projections ( Bickley, 2021). Social determinants to health would be drinking, smoking, poor diet, lack of exercise and activity, not complying with meds and not following up with a provider and monitoring health.