Describe one internal and one external method for the dissemination of your evidence-based change proposal. 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 change proposal to both of these groups. How will your communication strategies change for each group?

(Ben Kon 5/25)


An effective dissemination strategy based on both external and internal methods is key for a successful implementation of evidence-based practice. Such a strategy will lead to enhanced awareness of the research hence maximizing the impact of the research on the health outcome of the patient. It is clear that nurses working in mental facilities experience compassion fatigue and burnout which consequently affects their services towards the quality care of the patients.

Internal Method: The internal method that can be used to disseminate the results of evidence-based practice in a mental health facility is the hospital board. The board’s responsibility is to plan main activities such as the hiring of new employees and the formulation of the organization’s policies (Hendry & Kiel, 2014). This makes it convenient for the board to communicate relevant information, knowledge, and opinions from the evidence-based practice which as a result help to minimize the major problem of compassion fatigue and burnout that nurses experiences. The board has directors whose role is to serve the governing body of the hospital (Goeschel, Wachter & Pronovost, 2010). Even though those directors are not involved in the daily operations of patients in mental facilities, they are accountable for oversight of the hospital and the general provision of quality care to patients.

 External Method: On the other hand, the New Jersey State Nursing Association ( NJSNA)  is an external method that can be useful in the intervention to be used in Mental and Behavioral Health mental facilities. The NJSA has the needed resources that can enhance the dissemination of the evidence-based practice results by enabling nurses to join programs that can advance their profession (Finkelman & Kenner, 2014). Since the majority of the nurses working in this facility hold dual membership of NJSNA and the American Nurses Association (ANA), NJSNA stands to control and minimize the big problem of compassion fatigue and burnout that they experience when dealing with patients in mental facilities.

Importance of Reporting Results: It is imperative to report the results to both the hospital board and the NJSNA as it will give both the opportunity to make necessary changes concerning the underlying problem of compassion fatigue and burnout among nurses (Squires et al., 2014). Reporting the results will also bring an efficient communication strategy that will ensure the majority of nursing staff are also involved in solving the underlying major problem in the facility. Additionally, nurses are likely to acquire continuous education and training by reporting the results to the hospital board and the professional nursing association which as a result help them in staying updated with current information concerning issues that they may develop in a mental facility.

Communicating Changes In each group, my communication strategies will change since they will involve clear and strategic communication that will ensure information flows smoothly and is understood by all. For instance, professional nursing organizations will require upgraded technology that can support nurses while advancing in their profession. In the hospital board, it will require leadership or cultural rules that will ensure effective communication is enhanced and flows effectively from top management down to the lower staff. This is essential as it will ensure all nurses are informed and made aware of any change hence reducing any risk of staff not adapting to changes in the facility. 



Finkelman, A., & Kenner, C. (2014). Professional nursing concepts. Jones & Bartlett Publishers.


Goeschel, C. A., Wachter, R. M., & Pronovost, P. J. (2010). Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. Chest, 138(1), 171-178.


Hendry, K., & Kiel, G. C. (2014). The role of the board in firm strategy: Integrating agency and organizational control perspectives. Corporate Governance: An International Review, 12(4), 500-520.


Squires, J. E., Estabrooks, C. A., Hayduk, L., Gierl, M., & Newburn-Cook, C. V. (2014). A precision of the conceptual research utilization scale. Journal of nursing measurement, 22(1), 145-163.




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