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The final step in the Iowa Model is dissemination (Iowa Model Collaborative, 2017). Dissemination should occur in the clinical area, within the organization, externally to the greater nursing and healthcare communities, and to patients and the public (Becker et al., 2018; Chapman et al., 2020; Clavijo-Chamorro et al., 2020; Curtis et al., 2017; Oermann et al., 2018; Oman et al., 2016). Focus dissemination efforts on the audience, message, and method (e.g., peer-reviewed journals, conferences, seminars, workshops, face-to-face meetings, news media, press releases, social media; Brownson, Eyler, et al., 2018; Chapman et al., 2020). Explore rapidly growing social media and mobile-based platforms for timely, accessible, and cost-effective dissemination (Chapman et al., 2020; Curtis et al., 2017; Gennaro, 2018; Lefebvre et al., 2020; Oermann et al., 2018; Son et al., 2021; Tunnecliff et al., 2015; Zhu et al., 2018). Consider both interactive (participation by both presenter and recipient) and non-interactive (participation by recipient only) methods (Darnell et al., 2017). Non-interactive instruction is often less expensive, easier to maintain, and available “on demand” but lacks the support and mentorship afforded by interactive instruction (Darnell et al., 2017). Create a comprehensive dissemination plan with both interactive and non-interactive methods to reach internal and external stakeholders.


Plan to report in the clinical area, within the organization’s shared governance structure, and within the quality and safety program. Begin formal and informal internal dissemination of results shortly after completing the pilot evaluation (Lipman et al., 2014). Reporting pilot results is an important step toward integration of the evidence-based practice (EBP) change (see Figure 11.2 and Strategy 4-8). Report through the quality program or directly to executives (see Strategies 4-6 and 4-7), and be strategic in drawing a direct link among the EBP change, the EBP infrastructure, and organizational priorities (see Strategies 1-10 and 4-6). Executive leadership support grows if the return on investment from the EBP change is demonstrated and clearly articulated (see Example 11.2). Package reports to make it easy for leaders to share with executives and governing boards.

Report pilot results to subsequent clinical areas during scale-up of the EBP change to create awareness and garner interest and to build EBP capacity. Place internal dissemination messages where clinicians are accustomed to looking for updates and announcements (e.g., newsletters, blogs, intranet sites; see Example 12.1, Tool 12.1, and Strategy 2-17). Be creative and concise, and tailor the information to the audience (e.g., nurse, medical assistant, pharmacist, provider, patient, community member; Brown et al., 2017; Brownson, Eyler, et al., 2018; Chapman et al., 2020; Curtis et al., 2017; Oermann et al., 2018).

Consider developing a project poster to rotate between participating clinical areas or creating an electronic poster to share on display screens (see Example 12.2 and Tool 12.2; Davis & ...

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