Responses

1. There are many different variables that can prevent the proposed EBP capstone change project from continuing to obtain the same desired results. The first and undoubtedly the biggest possible barrier is the common lack of information surrounding hypertension. Many individuals are unaware of the effects that unmedicated hypertension can have on the body. The issue with this is if one of the individuals who attended the presentation is talked out of adhering to their treatment plans by a person who did not attend the presentation. This is a very real possibility, as ignorance often speaks louder than knowledge. Overcoming this challenge will require only one strategy, and that is to have an airtight presentation. If all information is backed up and makes sense, the recipient will have no choice but to believe it and follow its advice.

Another possible barrier is a lack of trust in the health care system. Somewhere between 20% and 80% of Americans report distrust in some part of the health care system (Armstrong et al., 2006). Thus, the information provided may not be accepted wholly as fact. This will prevent adherence to the treatment plan, making the presentation useless. To overcome this, the same strategy must be used; well-supported information and a simplification of complex processes go a long way with the general public.

2. There are many potential barriers that could prevent my EBP change proposal from continuing to obtain the same desired results 6 months to a year from now. Two of the most significant potential barriers are resistance from staff and a lack of institutional support.

Staff resistance is a common barrier to the successful implementation of EBP changes. In order to overcome this barrier, it is important to ensure that staff is involved in the change process from the beginning. Staff should be involved in identifying the problem that the change is intended to address, developing solutions, and testing the proposed changes (Ginex, 2022). Furthermore, it is important to ensure that staff understands why the change is necessary and its benefits.

Lack of institutional support can also be a significant barrier to successful EBP implementation. In order to overcome this barrier, it is important to develop a strategy for garnering institutional support. One way to do this is to identify key stakeholders who will need to be on board with the change and develop a plan for meeting their needs (Ginex, 2022). Furthermore, it is crucial to provide staff with information about the benefits of implementing EBP changes and how they can be involved in realizing these benefits.

Overall, many potential barriers could prevent my EBP change proposal from obtaining the same desired results 6 months to a year from now. However, by taking steps to ensure staff involvement and institutional support, I believe that I can overcome these challenges and continue to obtain the desired results.

3. Barriers are common when implementing EBP change within an organization. Creating change within an organization takes time and effort and won’t always be the easiest to implement or continue the success of EBP change (Ginex, 2018). There are many barriers that may be presented while attempting to implement and continue the success of EBP change including, but not limited to, time, knowledge, resistance, financial burdens, administrative support and many others (Ginex, 2018). I believe with my specific change proposal, the two main barriers I will face will be resistance and administrative support. Unfortunately, even though mental health is such a big issue and of vast importance to me, it is not that important to all healthcare and educational providers. The idea of getting a group of nurses on board with more tasks they will be handed such as screening tools and referral needs is a daunting idea to say the least. Additionally, even though the initial educational product is free, nurses will need to be reimbursed for the time it takes to undergo the education (nobody does anything for free anymore) and that may be a burden with which the administration of the school district does not want to endure.

My strategy would be to continue educating nurses and administration on the importance of mental health in students with yearly or bi-yearly presentations including (hopefully) the data that supports my project pertaining to student attendance, growth and health wellness. Doing this not only as a presentation for the nurses but also for administration will gain administrative support to continue the program and show the need that mental health care truly is.

4. Expert communication skills as well as presentation skills are essential for nurse leaders to effectively influence health care (Fowler et al., 2015). It is important to recognize points of strengths and weaknesses in order to communicate and present in the best way possible. Presentation skills can be learnt, building on characteristics most nurses already possess, and usually require learning to control nervousness and preparing properly (Hadfield-Law, 2001). For me personally, one strength I possess is the clarity and volume of my speech during presentations. Contrastingly, a weakness I also possess is nervousness when presenting to a large audience. One method for improvement in both my strength in speech and my weakness in nervousness is through preparation and practice. By preparing thoroughly for a presentation, whether that is thoroughly studying the topic or rehearsing in front of family, I am able to enunciate and speak clearly as I have knowledge and experience in the topics I am presenting. Preparing and practicing also helps me overcome my nervousness, as I can gain confidence in knowing that I am prepared and knowledgeable in whatever I am presenting in. It is critical for me to work on these skills especially when preparing for a more formal setting, as the way I present and carry myself during my presentation can have an effect on how my audience perceives not only me, but the topic I am presenting as well.

5. An important aspect of presenting includes connecting with your audience. Engagement in learning, promoting equity, and receiving feedback are all important to think about and overcome when presenting with a scientific strategy (Corwin et al., 2018). Is the audience interested in the topic? How do we involve everyone in the subject? How can I do this better next time? A personal weakness in presenting is my stage fright. My mouth gets dry, I forget what I am going to say, and my voice gets shaky. The audience is my influence. If I am presenting to children or amongst my peers I am more relaxed opposed to people who are older and more experienced than me. I took interpersonal communication instead of public speaking for my pre-requisite course because of my fear of public speaking.

To help overcome this fear I acknowledge my stage fright. I use my humility and honesty to tell my audience that I am nervous and that this is who I am. I don’t hide the truth or put on some façade. Most people are understanding of this and somehow become more engaged of what I am about to say. I break the ice with this and move on. As the presentation progresses I begin to get more relaxed and finish what I need to do. My strength is the courage I have to be a leader and even though I am nervous and scared I will overcome it. I may start shaky but I will end strong. Most of my life this is how my presentations have gone and at the end of the day I’m glad I overcome my fear every time.

6. When it comes to professional presentations, it is important to distinguish the things you do well and areas that should be enhanced. Recognizing these strengths and weaknesses allows you to learn and improve on future presentations. Presentation is the practice of showing and explaining the content of a topic to the audience or learner (Swathi, 2015). Presenting well is all about achieving great levels of impact in front of groups of people, and delivering presentations that inspire and motivate others, or communicate information in powerful ways (Swathi, 2015).

A personal weakness for me during formal presentations would be nervousness when public speaking. What helped me the most to somewhat overcome this weakness is rehearsing the materials in front of my family or friends several times before actually presenting the materials. This is essential to be able to effectively present the research or information with professional speed and success. A strength would be confidence. It is important to be confident when presenting the information and confidence in the subject manner itself allows your audience to be confined in what it is you are saying. To prepare for this strength it helps to be knowledgeable, informed, and as up-to-date as conceivable in the subject or materials being presented.

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