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Week 10

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Who will benefit from receipt of this evidence?

The beneficiaries of the evidence from the research will be the older adults above 65 years suffering from congestive heart failure. Middle-aged adults will also benefit from the evidence from the research because they are also at risk of developing congestive heart failure.

The current prevalence of heart failure is approximately 2% for middle-aged adults, and for older adults, this number reaches 3% in patients more aged than 65 years. Beyond 65 years, the prevalence rises to about 10%, especially for patients above 75 years.

These patients will benefit more from the evidence derived from research because it will effectively improve their health outcomes (Daw et al., 2020). Young people will also benefit from the research as it will provide the right information to help prevent this health condition.

The individuals to benefit from the implementation of the evidence-based practice (EBP) are the hospitalized patients on the general medicine unit. This population are benefiting from the reduction in the risk of being diagnosed with urinary tract infections. The urinary tract infections are the leading cause of infections within hospital settings. Based on this EBP, the performance of the removal of urinary catheters within 72 hours will help in the reduction in the number of infections that occurs. The EBP is helping in ensuring that there is a reduction in the occurrence of the urinary tract infections caused by waiting for the physicians to place the order.


Where will this evidence have the greatest impact?

This research will be most effective when healthcare organizations implement these strategies in daily practice. The evidence will improve the current patient care strategies at the health organizations and enhance patient-centered care. Health professionals will therefore use the evidence to screen, diagnose and treat patients with heart failure. Through the evidence, health professionals can employ the best technology and techniques to improve daily healthcare. The research evidence will also effectively implement change in the organization (Curtis et al., 2017). The research findings will help implement new methodologies and technology in patient care and abandoning obsolete practices. Moreover, the evidence will also improve patient education programs and initiatives geared towards creating awareness about congestive heart failure and enhancing wellness.

The implementation of the EBP helps in ensuring that there is a protocol used by the nurses as opposed waiting for the physicians to place an order. This is important in ensuring that there is a reduction in the reported cases of the urinary tract infections.


What resources are needed?

The organization will need to have updated technology which will improve access to the research evidence by the health professionals and the patients. Technology will also be effective for assessing the knowledge needs of the population for targeted interventions. Further, human resources will also help explain the importance of the evidence and ensure that patients and health professionals use it correctly to improve health outcomes (Daw et al., 2020). Capital and financial resources will also support education programs and initiatives for patients with heart failure in the organization and within the communities. Materials such as brochures, booklets, and pictures will be necessary for delivering the evidence to populations.

There are various resources that are required for the successful implementation of the EBP. One of the resources is the urinary catheterization sample policy that is embedded with the evidence-based practice on the organizational policy. The policy is used to meet the needs of the facility. There is also sample bladder scan policy that is used for the assessment and confirmation of the urinary retention or catheterization. Another resource is the poster on the indication of the urinary catheters ad the risk as well as indications. The posters are used to educate staff on the suitable indications and the non-indications for the use of the foley bundles and the risks. There is also decision-making algorithm that guides on decision-making on proper use or non-use of the foley bundles. Other resource is the urinary catheter project fact sheet that helps in the education of the staff concerning CAUTI, the goals of the project, and the indications for the catheter use and their removal. There is urinary catheter pocket card to help in the education of the removal of the catheters, risks, and the indications or non-indications for the catheter use.


The most appropriate audience

The most appropriate audience for the evidence dissemination process are patients suffering from congestive heart failure. The older adults above 65 years are the target audience for the evidence dissemination process. The research aims to determine the best possible intervention strategies and health promotion for those suffering from congestive heart failure; further, the evidence is also appropriate for audiences such as middle-aged adults that are prone to developing the disease (Preston et al., 2020). The research evidence, in this case, will be effective in determining prevention strategies for health promotion. Ultimately, the health organization and health professionals aim to minimize the incidence and prevalence of chronic diseases such as heart failure. Thus, both HF patients and populations at risk of developing the disease are appropriate audiences.

The population targeted by this intervention are the patients who are hospitalized on a general medicine unit with the foley catheters. These are the patients who are risk of being diagnosed with hospitalized acquired catheter associated urinary tract infections. The other audience are the healthcare providers especially the nurses. Nurses play a huge role in the implementation process of the EBP. Their active involvement in such activities helps in reducing the risks of CAUTI amongst patients. The other audience are the hospital management and the healthcare facility. When the management of the healthcare facilities are not involved, then the implementation of the EBP will be impossible


The benefits of the selected audience

Congestive heart failure is a chronic health condition that increases adverse health outcomes. The evidence will be beneficial because it will improve the current treatment strategies and management strategies for the health condition. Through the evidence, health professionals can increase the effectiveness of their daily care practices. Therefore, it will improve the cost-effectiveness of treatment plans administered (Curtis et al., 2017).

The patients will heart failure will receive high-quality treatment services that will improve their health outcomes. The audience will also benefit from the research because they will apply the suggested interventions to minimize hospital readmissions after discharge from the healthcare organizations. Therefore, the audience will receive the best pharmacological interventions and high-quality discharge plans that will promote recovery and improve the quality of life.

Patients are important audience in the implementation of the EBP. When they are educated about such intervention, they help in informing the nurse in-charge about the errors and some of the mistakes made in handling catheters that might expose them to CAUTI. Nurses helps in ensuring that patients are provided with quality healthcare services. This is achieved through successful implementation of the EBP. The management role in this case is to ensure that there is implementation of the EBP through development of the policy that guides nurses. They provide resources required to ensure that there is successful implementation process.


Potential risk of failing to disseminate the evidence

Failing to disseminate the evidence will result in adverse health outcomes for patients with heart failure. The failure will also increase morbidity and mortality rates for patients with heart failure. In addition, there is a risk for increased readmission rates due to poor management strategies and discharge planning for health workers. The quality of patient care in hospitals will also remain low (Daw et al., 2020). The health workers and health organizations will fail to identify then-new interventions and technologies available for improving screening, diagnosis, and treatment of heart failure. Consequently, healthcare costs will rise, the quality of health services in hospitals will be lost, and patient outcomes will be adverse.

The failure to disseminate information about the EBP implies that nurses will not be aware of the importance of EBP. It will lead to an increased level of resistance thus affecting the implementation cases. There will be an increase in the reported incidences of morbidity associated with CAUTIs. There will be an increase in death cases associated with CAUTIs infections. It leads to the failure of the healthcare organization to ensure that there is existence of the policy that promotes the implementation of the EBP.


The barriers to the dissemination of the evidence

Potential barriers to disseminating evidence, in this case, include a lack of the appropriate technology to reach large audiences across different regions. Lack of capital and human resources to facilitate the dissemination processes effectively could affect the effectiveness of the process. The limited number of participants may also affect the effectiveness of the dissemination process throughout the target populations (Curtis et al., 2017). Minimal correspondence and a sparsely populated target audience across different geographical regions could make it hard to disseminate evidence appropriately.

One of barriers to the dissemination of the EBP is the lack of knowledge. There is also fear of the unknown that tampers with the process of convincing colleague to get on board. Another is the failure to understand the process. There is also lack of the skills to help in the assimilation of the EBP practices. The dissemination process is also affected by the organizational dynamic to determine the ability of the staff to implement and ensure that there is maintenance of the innovative approaches.



Curtis, K., Fry, M., Shaban, R. Z., & Considine, J. (2017). Translating research findings to clinical nursing practice. Journal of clinical nursing, 26(5-6), 862–872.

Daw, P., van Beurden, S. B., Greaves, C., Veldhuijzen van Zanten, J., Harrison, A., Dalal, H., McDonagh, S., Doherty, P. J., & Taylor, R. S. (2020). Getting evidence into clinical practice: protocol for evaluation of the implementation of a home-based cardiac rehabilitation programme for patients with heart failure. BMJ Open, 10(6), e036137. https://doi.org/10.1136/bmjopen-2019-036137 Preston, N., Hasselaar, J., Hughes, S., Kaley, A., Linge-Dahl, L., Radvanyi, I., Tubman, P., Van Beek, K., Varey, S., & Payne, S. (2020).

Disseminating research findings using a massive online open course for maximising impact and developing recommendations for practice. BMC palliative care