1. QAH HospitalPortsmouth Hospitals NHS Trust9/3/2015Page 1 Stepping up to Evidence Based Practice - Ideas into Action 6 Debra Ugboma January 2010 Dissemination - Projects into Publication

2. QAH HospitalPortsmouth Hospitals NHS Trust Objectives  Outline the value and importance of dissemination  Identify potential projects for dissemination and publication  Identify the scope for dissemination  Identify strategies for dissemination and publication  Identify useful resources What do I need for this session: –Access to the intranet –Worksheet 6

3. QAH HospitalPortsmouth Hospitals NHS TrustPage 39/3/2015 Stepping up to EBP.. Ideas into action Getting involved in audit Implementing EBP dissertations Evidence from others/policy etc. Questioning care, responding to feedback Structured EBP projects Projects into publication! Active involvement in research

4. QAH HospitalPortsmouth Hospitals NHS Trust What is the value of dissemination..  It’s good to share!

5. QAH HospitalPortsmouth Hospitals NHS Trust Value and importance of dissemination..  It is cost and time effective  You have something important to say – even though you may not think it!  It often helps you consolidate and focus your project  It often helps to identify next steps…  It is a valuable method of helping others learn about good practice  It helps you find allies and support  You can inspire and motivate others  Personal development and job satisfaction  It adds to the available knowledge (and evidence base)

6. QAH HospitalPortsmouth Hospitals NHS Trust What might we share or disseminate..  Service development, EBP projects (small and large)  Audit data  Evaluation data  Literature reviews  EBP projects (as part of degree study programmes)  Implementing new policy (local and national policy)  Implementing aspects of National Service Frameworks or NICE Guidance etc etc etc…

7. QAH HospitalPortsmouth Hospitals NHS Trust Our work is not “good enough” to disseminate..  Highly unlikely  Talk it through with your Manager, Practice Development Nurse or Link Lecturer  Target the right audience  Any contribution to the EBP pool can be valuable  Many people like you, with projects like yours, are presenting their work at meetings and conferences every day

8. QAH HospitalPortsmouth Hospitals NHS Trust Scope for Dissemination  Local  Regional  National  International In relation to your care topic/subject..  Which one is most appropriate?  Which one should you aim for?  Which one takes you out of your comfort zone?

9. QAH HospitalPortsmouth Hospitals NHS Trust Disseminate how?  Informally: –Handover, ward/team meetings –Incorporate into teaching material  Formally: –Team/Divisional/Corporate meetings e.g. audit/governance meetings –Presentation/poster at a local conference –Presentation/poster at a national conference –Presentation/poster at an international conference  Publication: –Journal article –Letter/editorial

10. QAH HospitalPortsmouth Hospitals NHS Trust Informal Good for.. –Small scale changes (but not always) –Getting the message out to your team – where it perhaps matters most –Sharing with students/learners –Being within your comfort zone What to consider.. –Who else could you share this information with – who else might be interested? –Should the rest of the Trust be working this way/changing practice? –Who can you talk to, to identify if this care topic should be discussed at a different level? –How do you feel about a presentation or discussion at Divisional or Corporate level?

11. QAH HospitalPortsmouth Hospitals NHS Trust Formally – Divisional or Corporate Meetings Good for.. –Contributing to Divisional/Trust agenda –Raising awareness of your care issue more broadly –Taking it at step forward –People are usually genuinely interested –Raising your profile and recognition for the work you do –Good for your morale (but may be outside your comfort zone) What to consider… –How to get yourself onto the agenda – give yourself time to prepare –Do not get too bogged down with detail – they are more likely interested in outcome –Provide some key “take home” messages –Consider your presentation skills – do they need development?

12. QAH HospitalPortsmouth Hospitals NHS Trust Conferences Good for..  Getting out to a much wider audience  Finding like-minded people  Networking and making contacts  Ideas and inspiration for the next step  Your professional development, self-esteem and CV! What to consider..  Which conference (next slide)  If you have never attended a conference, try and go to one first, it can help you see the overall standard, format and what goes on..  Who might support you with the abstract writing?

13. QAH HospitalPortsmouth Hospitals NHS Trust Conferences – Choosing which one?  If this is your first time.. try starting local e.g. Celebrating Best Practice ( Debbie.Knight@porthosp.nhs.uk ) Debbie.Knight@porthosp.nhs.uk  Where will your project/findings be best received – who is your target audience? –Ask your Senior Nurses or Practice Development Nurse about relevant conferences –Are there any specialist conferences e.g. renal, critical care, orthopaedics –Try the nursing organisations website for details of annual conferences (specialist nursing organisations and RCN has a very good link http://www.rcn.org.uk/research/cfa)http://www.rcn.org.uk/research/cfa –Keep a look-out in nursing journals/nursing press for calls for abstracts

14. QAH HospitalPortsmouth Hospitals NHS Trust Poster or Oral Presentation?  Both are good  Look at the topic subjects of the conference (usually on the abstract announcement), and check that your project fits  A poster may be more within your comfort zone if “first timer”  Have a look at other posters e.g. by other colleagues, to get some idea about what is involved in putting a poster together  If you want to consider a presentation do you need to develop your presentation skills? Try this website: http://www.presentationmagazine.com/Essential_Presentation_skills.h tm http://www.presentationmagazine.com/Essential_Presentation_skills.h tm  Can you do it with someone else, rather than alone, for moral support and sharing the load?

15. QAH HospitalPortsmouth Hospitals NHS Trust Writing the abstract  Most conference organisers give very clear guidelines for the abstract – read them first and follow them! –Layout/any headings –Font size –Word count –How and when to submit – check closing date and usually submitted on- line  Look at other examples of abstracts to gain some insight  You will need a good summary of your project, identifying important aspects (in line with the conference topics), working with any headings provided e.g. background, method, analysis, outcome.  Look at conference topics, use key words as appropriate  You may add some supporting literature when writing your abstract (but not much – usually in relation to introduction/background)

16. QAH HospitalPortsmouth Hospitals NHS Trust Writing the Abstract cont’d…  It will take several drafts  Find yourself a critical proof reader - someone who has had been successful with abstract submission if possible – medical staff often keen to support  Do not identify yourself or your institution in the body of the abstract  If international conference, write generally/globally rather than a UK/NHS focus  Take your time with this.. you want it to be your best shot!  If it is rejected – look at any feedback (if you get any) and then revise before trying elsewhere/again  If you are a member of the RCN you can access this guide: http://www.rcn.org.uk/development/communities/specialisms/ibd/information_centre/ibd _nursing/article10?SQ_ACTION=login& http://www.rcn.org.uk/development/communities/specialisms/ibd/information_centre/ibd _nursing/article10?SQ_ACTION=login&  Otherwise, try this from the University of Birmingham website (includes some examples of abstracts): http://www.education.bham.ac.uk/event_5/documents/guidelines.pdf http://www.education.bham.ac.uk/event_5/documents/guidelines.pdf

17. QAH HospitalPortsmouth Hospitals NHS Trust Posters  Best not to make your own poster – keep it corporate!  Look at (and follow) the guidance provided by the conference organisers  If you haven’t already, look at previous posters by colleagues to get some ideas  Contact Medical Illustration well in advance and confirm cost and how they can support you with design etc. Will your Division pay?  Decide on your content – you will need a good summary of the project with some key “take home” messages  Divide it into digestible sections (as a guide, it should take someone no longer than 5-10 minutes to read through/digest)  Use pictures, graphics, charts to break up the text where-ever possible  Send the information to Medical Illustration in good time in case you have to make any revisions before the conference

18. QAH HospitalPortsmouth Hospitals NHS Trust Oral Presentations  Look at (and follow) the guidance provided by the conference organisers  They often want a copy of your presentation in advance of the conference  Use corporate templates  Confirm how long you have to speak  Decide on your content – you will need a good summary of the project with some key “take home” messages  Do not put too much information on each slide – the last slide in this presentation contains too much information – suggest 5-6 bullets maximum

19. QAH HospitalPortsmouth Hospitals NHS Trust Oral Presentations cont’d..  Keep slide transitions to a minimum (no whizzing in etc). They can be distracting and you don’t want a triumph of style over content!  Use simple graphics or photographs to help break up text  Run through the presentation, practice and refine  Decide if you are going to read from a supporting paper or talk freely around the bullets (this may depend on your confidence and prior experience)  Do a practice run with colleagues – ask them to be critical with any required changes or ideas  Get your timings right  If you are sharing the presentation, decide who is doing what sections and how you will change over without it being too disruptive to the flow  If you need to, attend a presentation skills study day to hone your skills

20. QAH HospitalPortsmouth Hospitals NHS Trust At the Conference  Make contact with the organisers when you arrive, they will tell you what you have to do  If your abstract submission was unsuccessful, maybe try and attend the conference to help prepare for next time  When you are at a conference, study the programme and if there are concurrent sessions, plan and select which ones to attend  Network and look for ideas, inspiration and possible contacts  Don’t be afraid to ask questions  If there is a “walk and talk” session for the posters, ensure you are stood by your poster at the required time. Be friendly and welcoming to people who look at your poster, ask them about their experiences of the topic  Most of all…Enjoy it!

21. QAH HospitalPortsmouth Hospitals NHS Trust Writing for publication  Why do it? What are your drivers?  You have done all the hard work with the project, this is a good closure!  Gets your project out to as many people as possible and adds to the evidence base  Who is your audience – who do you want to read it?  Do you have a journal in mind?  Can you team up with anyone – this will share the load and might help maintain momentum  Writing a journal article will take some effort, but the rewards are good

22. QAH HospitalPortsmouth Hospitals NHS Trust Writing for publication  You will need a writing mentor to support you – this could be someone in nurse education, a work colleague who has previously published etc.  The clinical journals and Nursing Times/Nursing Standard are a good starting point but you may want to think about more “academic” journals  Review a selection of nursing journals and look at the type of articles they publish  Decide what you want to do –and what you think you can do  Look at the journal websites for guidance for authors before you start writing

23. QAH HospitalPortsmouth Hospitals NHS Trust Writing for publication resources..  Easy to follow guide by Christine Webb (for Wiley-Blackwell publishers) http://www.nurseauthoreditor.com/WritingforPublicationbooklet2008.pdf http://www.nurseauthoreditor.com/WritingforPublicationbooklet2008.pdf  Tips and strategies for writing for publication in nursing: http://findarticles.com/p/articles/mi_qa3976/is_200301/ai_n9174554 http://findarticles.com/p/articles/mi_qa3976/is_200301/ai_n9174554  Nurse Author and Editor (on-line journal): http://www.nurseauthoreditor.com/http://www.nurseauthoreditor.com/  Some parts of this presentation may also be useful : http://www.edshare.soton.ac.uk/3451/1/0910ELEC6021ReportWriting.ppt  Yourself – you will need to be organised and to identify and plan time out to do this work /

24. QAH HospitalPortsmouth Hospitals NHS Trust Take home messages!  Dissemination is an important and a necessary part of EBP  Presentation at local meetings is a good starting point if this is new territory for you  Identify who your target audience will be  Find yourself a publication/conference presentation mentor  Help and support is available for abstract writing, poster design and presentation preparation  Keep it corporate  It is a significant step in personal and professional development  It is about you taking the plunge – go for it!

25. QAH HospitalPortsmouth Hospitals NHS Trust Need to talk it over or get further guidance?  Contact your Practice Development Nurse/Practice Educator or Clinical Manager  Contact Debbie Knight, Deputy Head of Nursing and Midwifery Education and Practice Development: Debbie.Knight@porthosp.nhs.uk Debbie.Knight@porthosp.nhs.uk  Your Link Lecturer (or academic tutor - if you have one) may also be a good resource and offer some support.