1-Please answer based on these answers as they are listed, each one must be answered in APAform and not less than 150 words

  
1-According to ahrq.gov website resource, the communication techniques play the most crucial part in disseminating message across the communication channels, and that active strategies are the most effective. Active strategies include posting information on the developer’s website, publishing in scientific publications, and searchable databases.
In my case, the results of my research will be available for all interested in our unit’s wall. My mentor is already interested in using it for her work to prepare educational materials for future in-service. I could also use the hospital website, or email, or could develop a presentation for the management.
To reach people externally, email would be the best method to reach educators in the community. Talking to pediatricians visiting the children with NAS, for example as well. I think the networking style is the best to reach the people interested in change and improvement.
Background and objectives for the systematic review. (2012) Retrieved from
https://effectivehealthcare.ahrq.gov/topics/medical-evidence-communication/research-protocol
 
 
 
2-The updated SBAR/ audit form that has been constructed has had good feedback thus far from rural hospitals as well as within my own organizations trauma program manger, director, risk management, forms committee, etc. There are many steps that have to be taken to implement such a tool especially since we will be handing it out to the community/ rural hospitals to utilize as well. If they follow our SBAR/audit tool and there is a poor outcome that could fall back on the organization so we must get approval by our trauma surgeons internally first. Externally it would be valuable to share with the Trauma Nursing Society and the American College of Surgeons which is who verifies our trauma center to review as well as they may have already implemented and seen such a form developed. I have already gotten some push back within my own organization but important to persevere and keep the ultimate goal on grounding EBP and utilizing it appropriately to improve communication and patient outcomes. Attached is a rough draft that is currently being edited by the trauma team and external resources. I am working closely with the trauma clinical nurse leader to make appropriate changes and ensure EBP guidelines for each of the rows.
 
Attached FilesUpdated SBAR.docx

 
 
 
3-I agree that communication is vital in the implementation process. Email is effective for the first initial contact; however I find implementation efforts to be more productive when face to face or skype meetings are initiated to have open discussions. Building trust and a foundational relationship is important. Electronic communications can save time, so can face-to-face meetings, particularly when trust needs to be established. It is difficult to communicate genuineness and a sense of being heard with digital communications, especially those that don’t occur visually and in real time. “But even video conferences limit the remarkable capacity we humans have to sense and feel and discern the other when we are fully present to each other,” says  Kevin Armstrong, Chief of Staff and Executive Vice President of Mission and Values at Indiana University Health.    
Health Management. (2018). Face to Face Communications. Retrieved from: https://healthmanagement.org/c/hospital/news/does-face-to-face-communication-always-work-best