The Morning Read: Volume IV

Plains of land are still painted with a coating of white, elegant snow. Even from afar, the moon stimulates a glistening effect as every snowflake seems vividly articulated to the naked eye. This is the view for the pediatric nursing staff working the night shift. Distantly above, glows of red and green flash are ever so revealing above the window panes. Symbolic to the season, Christmas lights now hang blissfully along the outer facets of the pediatric-focused hospital. A sign of joy, feasts, and giving. Yes, giving. These pediatric nurses write to Santa just wishing to give the gift of lowering pediatric anxiety. Unbeknownst to these nurses, Santa has been planning diffusion strategies for the facilitation of dissemination. Hey everyone, welcome back to the Morning Read with Zach Gaudette.


Planning for dissemination is crucial for the adaptation of clinical research to become referenced into clinical settings as evidence based practice (EBP) [Singleton, 2017]. Posing great relevance to pediatric practice settings, effective interventions must be utilized by practicing pediatric nurses that meet the needs of care for patients undergoing surgical procedures (Atyekin, Doru, & Kucukoglu, 2016). Evidence stems from the result of having an anxiety trance state be the realization for over half of the pediatric population who find themselves admitted to pre-operative and surgical based environments every year (Chieng, Chan, Klainin-Yobas, & He, 2013; He, Zhu, Chan Klainin-Yobas & Wang, 2015). Implementation of a therapeutic play intervention has not been evaluated when the specific level of developmental achievement for a pediatric patient is known (Perry et al., 2015). As a result, this area of research should be implored further. Laying the groundwork for dissemination within research study potentiates the possibility for future adaptation of findings to additional studies (Neta et al., 2015).

EBP is referenced as the leading principle of evidence in its current state that provides a framework to guides and direct quality care measures in nursing practice (LoBiondo-Wood, Haber, Cameron, & Singh, 2018). The importance of utilizing EBP in practice is to ensure the optimal interventions are in place to promote higher levels of quality care that safeguard patient safety (Singleton, 2017).


The student project should inform practice by stimulating findings that can be used in a future parent-study. Due to the clinical problem not being clearly articulated and sought out in previous research, a pilot study is most applicable for research design (He et al., 2015; Al-Yateem & Rossiter 2016; Li & Lopez, 2008). If there is an identified relationship existing amongst the variables within the study, then there can be the call for a larger study in future research (Connelly, 2008).

Three factors can facilitate or cause impede of the dissemination process. Firstly, facilitation of dissemination can be achieved through strong correlation findings between varying developmental achievement levels and the effectiveness of therapeutic play in the pilot study. Strong research findings will warrant the exploration of a larger-scale study to become constructed for analysis of the intervention further (Connelly, 2008). Continuing, effectual knowledge diffusion can also foster facilitation of dissemination processes (LoBiondo-Wood et al., 2018). Meaningful findings expressed to researchers imploring current interventions dealing with pediatric anxiety can help formulate the parent-study to occur, making the findings one step closer to being clinically relevant in practice settings (He et al., 2015; Connelly, 2008). Lastly, an impediment to dissemination of a study would occur if are not meaningful findings presented in the pilot study (LoBiondo-Wood et al., 2018). This would be evident if there lacked a relationship in understanding if developmental achievements posed any impact to more effectively lowering pediatric anxiety.

For generation of impactful diffusion strategies, two integral interventions are evident. For instance, the research study can become publicized in a relevant medical journal to reach the specified audience to potentially carry the findings to a parent-study (LoBiondo-Wood et al., 2018). As mentioned above, the target audience could be seen as additional researchers currently studying interventions to lower pediatric anxiety. Secondly, publication also promotes the viewers to evaluate the accuracy, feasibility and objectivity of the pilot study and the findings associated with the variables (LoBiondo-Wood et al., 2018). The platform of utilizing research journals for the promotion of the study can help smaller studies (such as a pilot study) to become clinically relevant for practice (LoBiondo-Wood et al., 2018).

This has been a classic installment of the Morning Read with Zach Gaudette. Thanks for continuing the journey with me.

Thank You - Words on Yellow Sticky Notes


Aytekin, A., Doru, O., & Kucukoglu, S. (2016). The effects of distraction on preoperative      anxiety level in children. Journal of PeriAnesthesia Nursing, 31(1), 56-62. doi:    

Chieng, Y.J.S., Chan, W.C.S., Klainin-Yobas, P., & He, H.G. (2014). Perioperative anxiety and  postoperative pain in children and adolescent undergoing elective surgical procedures: a quantitative systematic review. Journal of Advanced Nursing, 70(2), 243-255. doi: 10.1111/ja.12205

Connelly, L. M. (2008). Pilot studies. Medsurg Nursing, 17(6), 411-412.

He, H.G., Zhu, L., Chi Chan, S.W., Klainin-Yobas, P., Wang, W. (2015). The effectiveness of     therapeutic play intervention in reducing perioperative anxiety, negative behaviors, and        post operative pain in children undergoing elective surgery: A systematic review. Pain Management Nursing, 16(3), 435-439. doi:

Li, H.C.W., & Lopez, V. (2008). Effectiveness and appropriateness of therapeutic play     intervention in preparing children for surgery: A randomized controlled trial study. Journal for specialists in Pediatric Nursing, 13(2), 63-73. doi:

LoBiondo-Wood, G., Haber, J., Cameron, C., & Singh, M. D. (2018). Nursing research in        Canada: Methods, critical appraisal, and utilization. Toronto, Canada: Elsevier.

Neta, G., Glasgow, R. E., Carpenter, C. R., Grimshaw, J. M., Rabin, B. A., Fernandez, M. E., & Brownson, R. C. (2015). A framework for enhancing the value of research for dissemination and implementation. American Journal of Public Health, 105(1), 49–57. doi:

Singleton, J. K. (2017). Evidence-Based Practice Beliefs and Implementation in Doctor of Nursing Practice Students. Worldviews on Evidence-Based Nursing14(5), 412–418. doi:


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