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DISSEMINATION OF AN EVIDENCE-BASED PRACTICE PROJECT PROPOSAL

My presentation pertains the dissemination of my evidence-based practice project proposal on managing stress level among mothers of children with ASD. In order to determine whether or not the goals of my Evidence-Based Practice proposal project were attained, it is crucial to look at the project's outcomes. It is essential to communicate this information to the many stakeholders involved in the project because it lays the groundwork for the hospital and other healthcare organizations to continue supporting the project in order to deliver evidence-based procedures that have beneficial results (Ost et al., 2020). Even yet, when the findings are also unfavorable, methods for communication should also be made out to guarantee that the procedures are either abolished or implemented further in order to offer better outcomes.

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Content of Presentation

Introduction
PICOT Question
Organizational culture and readiness
Problem statement and literature review
Change model, or framework
Implementation plan
Evaluation plan
Conclusion

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Introduction

Stress among mothers of children with ASD is becoming an increasingly serious issue due to their rising numbers.
Mothers of children with ASD are at risk of mental health challenges due to ineffective coping strategies and lack of awareness.
Stress management strategies must concentrate on providing safe and optimal care as the ASD population grows, especially for the often-unmanaged mental health.
Coping mechanisms and educational sessions are both beneficial for managing stress.

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PICOT Question

In mothers of children with ASD aged 2-10 years (P), how does using mindful-based stress reduction (MBSR) to manage stress levels (I) compared to the use of nutrition or supplements (C) improve their mental stability (O) within six months (T)?"

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Organizational Culture and Readiness�

The dissemination will use ORCA tool to assess the EBP readiness for change

The instrument I will use for assessing the organization's culture and readiness is the Organizational Readiness to Change Assessment tool ORCA, which will help me determine how to open CHI organizations can make changes (Cleary‐Holdforth et al., 2021). The ORCA tool involves various processes, as shown in the diagram. The advantage of using this tool is that it calls attention to the performance gap among the evidence, context and facilitation from various stakeholders and departments in the facility. If members of the organization value it more, they will be more willing to participate in the activities associated with the change and be more ready to implement it. In contrast to individual readiness for change, organizational readiness for change has not been the subject of much theoretical development or empirical research. This is one of the weaknesses.

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How it works

Y

ORCA

Organisational readiness to change assessment

77-Item Survey Instrument

Fielded among clinicians and staff involved in the planned project

Measures factors that determine effective implementation of a practice change

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Problem Statement�

Assisting mothers to cope with autism parenting are significant nursing practice concern. Early diagnosis and intervention can help children with autism attain their full potential and manage their parents' stress levels. This dissemination examines how the efficacy of mindful-based stress reduction (MBSR) compares to nutrition or supplements for stress management in mothers' mental stability within six months.

A complicated neurological disease known as autism spectrum disorder (ASD) is characterized by impaired social interaction as well as trouble interpreting spoken and nonverbal communication. By the age of 8, the Centers for Disease Control and Prevention (CDC) estimates that autism spectrum disorder (ASD) will have been diagnosed in 1 in 42 children (Ritchie and Straus, (2019). Autism is a condition that cannot be cured, but having early detection and treatment can assist a child in reaching their full potential and allowing their mothers have a stress free life by understanding and implementing the coping strategies. Therefore, assisting mothers to cope with autism parenting are significant nursing practice concern for this dissemination (Ritchie and Straus, (2019). Early diagnosis and intervention can help children with autism attain their full potential and manage their parents' stress levels.

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Literature Review�

Finding peer-reviewed studies that address the PICOT question was the goal of the literature search.
The evidence-based practice project chose and examined eight research articles.
MBSR, mothers of children with ASD, and stress were prevalent themes in several of the articles.
To enhance the search and restrict the articles to those that addressed PICOT keywords were employed.

The consistency in the findings of the studies that are related to the PICOT confirms that MBSR is, in fact, more effective than the approach of increasing nutrient consumption and diet nutritional supplements in minimizing and controlling the stress experienced by mothers of children with autism spectrum disorder (ASD). The research approaches that were taken in these two studies were very different from one another, but the results were nonetheless comparable. The articles reviewed indicated that the Mindfulness-based stress reduction (MBSR) is a more effective strategy for reducing stress levels within six months than nutrient consumption or diet supplements among mothers of children with autism spectrum disorder (ASD). The literature review provides support for the efficacy of the MBSR in lowering levels of stress experienced by mothers of children with ASD.

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Literature Review Synthesis �

The articles by Iadarola et al. (2019), Papadopoulos (2021), and Tathgur and Kang (2021) have common findings showing that raising children between 2-10 years with ASD causes stress among the mothers and caregivers
The articles by Reddy et al. (2019) and Schwartzman et al. (2021) affirm that parents of children with ASD experience stress because of their children's conditions.
Govindasamy et al. (2022), McCabe et al. (2020), and Sharma et al. (2022) articles affirm that MBSR is effective in reducing the stress level of mothers with ASD children (2-10 years) compared to diet supplementation

The research published by Iadarola et al. (2019), Papadopoulos (2021), and Tathgur and Kang (2021) all come to the same conclusion: it is stressful for mothers and other caregivers to take care of children between the ages of 2 and 10 who have autism spectrum disorder (ASD). The many versions of MBSR discussed in the sources are recommended as effective therapies for lowering stress and enhancing mental wellness in mothers and carers of children with autism spectrum disorder (ASD). Both the article by Reddy et al. (2019) and the one by Schwartzman et al. (2021) confirm that parents of children with ASD experience stress due to their children's conditions. These two sources, much like the other publications that were considered for this study, advocate various forms of MBSR intervention to lessen the stress levels experienced by the afflicted parents. This highlights that MBSR effectively lowers stress among moms of children with autism spectrum disorders (ASD).

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Change model or Framework�

W

PRACTICE QUESTION, EVIDENCE, AND TRANSLATION.

Identifying problem

Stress among mothers of children with ASD

The problem (PICOT)

In mothers of children with ASD aged 2-10yrs (P) how does using MBSR to manage stress reduction (I) compared to the use of nutrients (C) improve their mental stability (O) within six months (T).

Disseminate Results

Staff meting
Presentation, discussion and articles

Integrating and sustaining change

Key personnel:
Nurses, psychiatrists, physicians,

• Monitor key indicators through quality improvement

Design and pilot the practice change

Provide preferences: patients choose if they want to participate • Resources and approval • Protocol development • Evaluation plan • Base data (demographics) • Implementation plan • Preparation (staff meeting, emails, collaboration) • Collect and report post data for Corrections

The successful implementation of change initiatives in healthcare organizations can be guided by a number of different change models. The models used for this analysis is the John Hopkins Evidence-Based Model which offers a logical structure for thinking about the upcoming change, which is provided by the framework (Stofer, 2019). Consequently, selecting a change model to implement during the process of putting an evidence-based project into practice in a healthcare environment is an important milestone. Each of the John Hopkins Evidence-Based Model's three stages is required for my mindfully based stress reduction intervention. I would create an expert team to help implement the change after developing my practice question regarding the health need during the first stage of the process (Stofer, 2019). I would also give the team a summary of the healthcare requirement and persuade them that it is urgent for them to look into alternative approaches. To be more precise, I want to improve early detection and intervention by increasing awareness of caregivers of autistic patients' mental stress levels (Speroni, McLaughlin, and Friesen, 2020). I ask that the team members look for evidence during the second evidence stage both offline in library databases and online in research-based journal articles. This would make it possible for us to find a variety of data supporting our initiative. After that, we will assess the information we have collected to identify the sources that are most pertinent. At this point, we will be prepared to incorporate the initiative's implementation process into our theoretical framework for evidence-based practice. In the third stage, I would create and carry out a strategy by assigning duties to those facilitating the change (Speroni, McLaughlin, and Friesen, 2020). Following that, I would meet with the necessary personnel in our institution on a regular basis to assess the progress made and discuss the effects seen in the mental stress levels of mothers and caregivers.

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Implementation plan�

The evidence-based intervention will be put into practice and run for six months.
The mothers' stress levels will be reviewed by nurses and psychologists.
A comparison of the two results will be used to evaluate the participants' average stress levels while using the MBSR and supplements.

After the program has been put into action, there will be extensive reviews carried out by other academics to ensure that the program is operating in an effective manner. To carry out the initiative effectively in the future, coordinated effort from all relevant parties is required. Sessions devoted to teaching and training advance development on a broader scale, encompassing participation from a variety of other organizations (Schwartzman et al., 2021). With the use of this plan, it will be determined whether or not a task study can be conducted within a fair period of time and whether or not there is an enough number of participants for the study. It will also assure the ease of access to a particular environment and the technical skills to address any discrepancies that may arise during the project. Additionally, it will evaluate any suitable ethical limits that may be imposed on the conduct of the study. It will ensure that resources in the form of financial assistance, setting, and personnel are available so that the analysis can be carried out.

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Evaluation plan�

Measurement and evaluation of outcomes
Maintaining Change
Communication Quality
How the stakeholders perceive the program
Financial management and control

The program is going to be kept continuing by means of constant communication, which will be carried both in person and via the internet. The first program will establish a relationship as well as a long-term communication channel, which will allow the second program to be expanded to cover the desired amount of time. It is crucial to take into account the challenges faced by respondents while adjusting techniques (Stofer, 2019). Taking steps to address these challenges will elicit favorable responses and encourage the implementation of change. In addition, for the intervention to be successful, new information that the moms lacked will need to be incorporated. The program or plan will undergo continuous monitoring, and the results will be conveyed to the core committee, which is responsible for monitoring compliance and keeping management up to date.

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Conclusion

It is essential for healthcare practitioners, particularly nurses and mental health professionals, to emphasize the use of MBSR as a means of effectively and correctly managing the levels of stress experienced by mothers whose children have ASD. Educational sessions are necessary for effectively managing pain as it is anticipated that this intervention will enhance stress management levels, increase the quality of life for both mothers and children, and offer valuable ways to cope with stress.

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References

Cleary‐holdforth, J., O'mathúna, D., & Fineout‐overholt, E. (2021). Evidence‐based practice beliefs, implementation, and organizational culture and readiness for EBP among nurses, midwives, educators, and students in the republic of ireland. Worldviews on evidence‐based nursing, 18(6), 379-388. https://doi/abs/10.1111/wvn.12543

Ritchie, L. M. P., & Straus, S. E. (2019). Assessing organizational readiness for change: comment on" development and content validation of a transcultural instrument to assess organizational readiness for knowledge translation in healthcare organizations: the OR4KT". International journal of health policy and management, 8(1), 55.

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References

Ost, K., Blalock, C., Fagan, M., Sweeney, K. M., & Miller-hoover, S. R. (2020). Aligning

organizational culture and infrastructure to support evidence-based practice. Critical care nurse, 40(3), 59-63. https://aacnjournals.org/ccnonline/article-abstract/40/3/59/30977

Schwartzman, J. M., Hardan, A. Y., & Gengoux, G. W. (2021). Parenting stress in autism spectrum disorder may account for discrepancies in parent and clinician ratings of child functioning. Autism, 25(6), 1601-1614.

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References

Speroni, K. G., Mclaughlin, M. K., & Friesen, M. A. (2020). Use of evidence‐based practice models and research findings in magnet‐designated hospitals across the united states: national survey results. Worldviews on evidence‐based nursing, 17(2), 98 107.Https://doi/abs/10.1111/wvn.12428

Stofer, A. E. (2019). Evidence-based diagnostic process for autism spectrum disorder in thepatient-centered medical home. Https://sigma.Nursingrepository.Org/handle/10755/21952