NUR-550 Translational Research Graphic Organizer

Sample Answer for NUR-550 Translational Research Graphic Organizer Included After Question

Description:

The purpose of this assignment is to conduct a comparison on different research designs to better understand their designs and application. Understanding the different types of research design is important so that nurses can effectively apply evidence-based research into practice to address issues and offer better patient care.

You will utilize your approved nursing practice problem to complete the evidence-based practice project proposal assignments for this course and NUR-590, during which you will synthesize all of the sections into a final written paper detailing your evidence-based practice project proposal.

Review feedback from your instructor on your “Evidence-Based Practice Project Proposal: Identification of Nursing Practice Problem,” submitted in Topic 1. If your original proposed nursing problem was outside the scope of nursing practice or not conducive to an evidence-based practice project proposal, work with your instructor to identify a new topic prior to beginning this assignment. If your proposed topic requires revision, complete this prior to beginning this assignment.

Conduct a literature search on your approved nursing practice problem. Find two translational research articles, one quantitative article, and one qualitative article. Using the “Translational Research Graphic Organizer,” present your proposed topic and, in the tables provided, compare one translational study to the quantitative study, and one translational study to the qualitative study.

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite four peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

A Sample Answer For the Assignment: NUR-550 Translational Research Graphic Organizer

Title: NUR-550 Translational Research Graphic Organizer

Nursing Practice Problem:

The selected nursing issue for the evidence-based practice (EBP) project is medication errors in nursing that happen due to staffing shortage. Medication errors are a significant problem in healthcare sector, especially at this time when there is nursing shortage and high nurse turnovers. With reduced number of nurses working in the healthcare sector, the susceptibility of patients to medication errors increases, particularly adverse drug events that can lead to death and prolonged stays in hospitals (Buerhaus et al., 2017).

NUR-550 Translational Research Graphic Organizer
NUR-550 Translational Research Graphic Organizer

The project will focus on the effectiveness of implementation of health information technology compared to the conventional ways of medication management to mitigate medication errors in critically ill patients. The selection of critically ill patients as the population of interest emanates from their increased vulnerability to injuries that need high-risk medication and more use of intravenous infusions which raises the possibility of medication errors. Health information technology can play an essential role in enhancing efficiency of nurses to offer required care and reduce medication errors.

Comparing research designs is essential to enhancing better understanding of the application and nature. Through effective understanding, nurses can apply evidence-based research into clinical practice to address issues and offer improve patient care. As such, the translational research graphic organizer compares one translational study to quantitative study, and one translational study to qualitative study.

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Comparison 1: Translational Research vs. Qualitative Research

CriteriaPeer-Reviewed Translational Article and Permalink/Working Link: Härkänen, M., Vehviläinen-Julkunen, K., Murrells, T., Rafferty, A. M., & Franklin, B. D. (2019). Medication administration errors and mortality: incidents reported in England and Wales between 2007 ̶ 2016. Research in Social and Administrative Pharmacy, 15(7), 858-863. https://doi.org/10.1016/j.sapharm.2018.11.010 Translational Research Type: T2Peer-Reviewed Traditional Article and Permalink/Working Link: Barakat, S. & Franklin, B. D. (2020). An Evaluation of the Impact of Barcode Patient and Medication Scanning on Nursing Workflow at a UK Teaching Hospital. Pharmacy (Basel), 8(3):148.  doi: 10.3390/pharmacy8030148 Traditional Qualitative Research Type: Observational ResearchObservations (Similarities/Differences)
MethodologyThe researchers reported cases between 2007 and 2016 from the National Reporting and Learning System for England and Wales. The article also analyzes the deaths reported and categorizes drugs based on various parameters that include, year, age, location, and category of error using incidents’ initial classification.The study was a comparative research with direct observation approach used in the two settings within acute surgical wards in UK hospital.In both studies, the researchers use hypotheses to understand the phenomena under study. In both studies, the researchers actively participate in the research process. However, researchers can manipulate the outcomes and research design in qualitative study but cannot in translational research.
GoalsThe study’s goals include analysis of medication administration errors reported in acute care that led to death, know the involved drugs, and offer a description of administration error features like location type of error and patient age.The authors assert that little is known about the use of barcode medication administration. Therefore, the researchers sought to evaluate the effects of barcode patient and medication scanning on nursing flow at a teaching hospital in the UK.In both studies, the researchers’ focus is to improve practice interventions on the issue of medication administration errors. Conversely, the translational research’s mainfocus is to enhance practice and not produce new knowledge. In this case, the translational research article seeks to improvereporting and knowledge about the effects of medication errors. However, the qualitative research seeks new knowledge about the use barcode scanning.
Data CollectionThe authors collected data from incident reporting in acute care setting. The data came from the National Reporting and Learning System of England and Wales.The researchers collected data on drug rounds through observation on different parameters that include duration, timelines of medication administration, identity of patients, verification of medications and the overall workflow patterns in the two facilities.Both collect data from different sources. However, qualitative study uses primary data collected through observation while the translational study uses secondary data from the reporting mechanism used in England and Wales.

Comparison 2: Translational Research vs. Quantitative Research

            CriteriaPeer-Reviewed Translational Article and Permalink/Working Link: Flott, K., Nelson, D., Moorcroft, T., Mayer, E. K., Gage, W., Redhead, J. & Darzi, A. W. (2018).  Enhancing Safety Culture Through Improved Incident Reporting: A Case Study in Translational Research, Health Affairs, 37(11).  https://doi.org/10.1377/hlthaff.2018.0706 Translational Research Type:Peer-Reviewed Traditional Article and Permalink/Working Link: Alomari, A., Sheppard-Law, S., Lewis, J. & Wilson, V. (2020). Effectiveness of Clinical Nurses’ interventions in reducing medication errors in a pediatric ward. The Journal of Clinical Nursing, 29(17-18): 3403-3413. https://doi.org/10.1111/jocn.15374 Traditional Quantitative Research Type: Action Research (AR) three-phase study.Observations (Similarities/Differences)
MethodologyThe article uses a case study approach to report on an initiative by two large healthcare organizations and providers on the effects of using a learning health systems cycle of interventions.The article used a quantitative research method comprising of three phases of action research. The first phase focused on developing an overview of the medication practice while the second developed and implemented targeted interventions. The third phase evaluated the implemented interventions.Both studies use unique methodologies based on the interests of the researchers. Both do not involve the researchers in designing the methodology and its implementation.
GoalsThe goals of the study are enhancement of patient safety culture using improved reporting of incidents and learning to shape a more just organization culture. The aims and objectives of the study was to evaluate the effects of bundle interventions that nurses can develop and implement to reduce medication administration error rates. The article also focused on enhancing nurses’ medication administration practice.The translational study’s focus is to enhance patient safety culture through effective reporting. However, the quantitative study seeks developing new knowledge for nurses to reduce medication administration errors. The quantitative study also focuses on improving nurses’ understanding of the medication administration practice
Data CollectionThe authors collected data from frontline-staff who implemented seven evidence-based interventions. Through observation, the researchers monitored and recorded reported incidents based on several indicators, including reported harms.The researchers collected data from the six recruited clinical pediatric nurses as part of the action research team. Data collection comprised of medication incident data, medical policy audits using a questionnaire.Both collect data from participants in different patient settings. Both show that data is an important part of any research as it validates the developed hypotheses.

Conclusion

The articles from translational research and traditional research approaches show the effects of the different study approaches in gathering data and evidence on medication errors. The articles demonstrate the need for researchers to use research designs that will lead to enhanced and quality findings to translate into evidence-based practice interventions in clinical practice. The implication is that translational and traditional research approaches differ while also agree on certain aspects of research. 

References

Alomari, A., Sheppard-Law, S., Lewis, J. & Wilson, V. (2020). Effectiveness of Clinical Nurses’ interventions in reducing medication

errors in a pediatric ward. The Journal of Clinical Nursing, 29(17-18): 3403-3413.

https://doi.org/10.1111/jocn.15374

Barakat, S. & Franklin, B. D. (2020). An Evaluation of the Impact of Barcode Patient and Medication Scanning on Nursing Workflow

at a UK Teaching Hospital. Pharmacy (Basel), 8(3):148.  doi: 10.3390/pharmacy8030148

Flott, K., Nelson, D., Moorcroft, T., Mayer, E. K., Gage, W., Redhead, J. & Darzi, A. W. (2018).  Enhancing Safety Culture Through

Improved Incident Reporting: A Case Study in Translational Research, Health Affairs, 37(11).

https://doi.org/10.1377/hlthaff.2018.0706

Härkänen, M., Vehviläinen-Julkunen, K., Murrells, T., Rafferty, A. M., & Franklin, B. D. (2019). Medication administration errors

and mortality: incidents reported in England and Wales between 2007 ̶ 2016. Research in Social and Administrative Pharmacy, 15(7), 858-863.

https://doi.org/10.1016/j.sapharm.2018.11.010

A Sample Answer For the Assignment: NUR-550 Translational Research Graphic Organizer

Title: NUR-550 Translational Research Graphic Organizer

Introduction

Nurse practitioners need to understand the different types of research designs and their applications in their research studies. The increasing use of translational research implores nurse practitioners to have the capacity to identify their types and designs in comparison to the traditional research methods and types that include qualitative and quantitative. The purpose of this paper is to compare various research designs to enhance understanding and help in the application of evidence-based research into practice to tackle issues and provide better patient care and outcomes.

Comparison 1: Translational Research vs. Qualitative Research

CriteriaPeer-Reviewed Translational Article and Permalink/Working Link: Pre-rehabilitation in Alcohol Dependence as a Treatment Model for Sustainable Outcomes. A Narrative Review of Literature on the Risks Associated with Detoxification, From Animal Models to Human Translational Research. https://doi.org/10.3389/fpsyt.2019.00339 Translational Research Type: Translational research type 2 (T2)Peer-Reviewed Traditional Article and Permalink/Working Link: Barriers to and Facilitators of Alcohol Use Disorder Pharmacotherapy in Primary Care: A QualitativeStudy in Five VA Clinics https://doi.org/10.1007/s11606-017-4202-z Traditional Qualitative Research Type: Interview-bases studyObservations (Similarities/Differences)
MethodologyIn this article, the main methodology used is systematic review of the concept of prehabilitation in understanding the increased dependence on alcohol and how nursing professionals and other stakeholders can mitigate the issue through effective care provision. The article notes the increased barriers due to alcohol dependence that hinder nurse professionals from effectively addressing patient needs when they visit their care facilities. The expected harm, risks and proactive planning are critical to preventing the injury or harm and allow participants to cope with the dangers or risks. The authors review existing evidence from animal models, psychological experimental studies and pharmacological studies.The study used interviews where providers from the selected Veterans Administration (VA) clinics completed in-person semi-structured interviews that the researchers recorded, transcribed and analyzed by suing social marketing model and thematic analysis.In those studies, the researchers focused on barriers that hinder providers from effective care delivery in different settings with alcohol use disorder (AUD) patients. Both show the need for participation of stakeholders to get a realistic view of the magnitude of the problem.  In both processes, the researchers are active participants who engage in different components of the studies. However, the studies differ since the qualitative article contains data from providers in their actual setting and practice areas while the translational article conducts a review of existing literature to offer their findings.  
GoalsTranslational research can use different approaches with the goal of getting sufficient information and resources from various disciplines and studies so as to offer evidence-based findings that support effective care delivery for individuals with alcohol use disorders (AUDs) in health practice settings. In this case, the goal of the study was to review evidence on the concept of prehabilitation as linked to alcohol dependence. The study shows that the need to provide patient care is inhibited by different aspects of alcohol dependence among patient drinkers.The goal of the qualitative study was to describe barriers and facilitators in prescription of AUD medications in primary care settings and the provider’s beliefs in these settings and their attitude to provision of and willingness to prescribe AUD medications.In studies, the researchers review evidence about the provision of care to patients with alcohol abuse disorder. The translational study shows that providers face individual patient barriers while the qualitative study shows that provider-based barriers hinder effective provision of prescribed drugs to help the patients.
Data CollectionThe article gathered its data from past and existing literature and discusses the use of Structured Preparation for Alcohol Detoxification (SPADe) as an illustration of its application in clinical practice.The study collects data from in-person semi-structure interviews. The researchers divide the participants into two groups based on a review of their consensus.The two articles have different ways of collecting data where the qualitative study uses interviews while the translational research relies on past data and analyses it based on their tool, SPADe.

Comparison 2: Translational Research vs. Quantitative Research

            CriteriaPeer-Reviewed Translational Article and Permalink/Working Link: The future of translational research on alcohol use disorder. https://doi.org/10.1111/adb.12903 Translational Research Type: Translational research type 3 (T3)Peer-Reviewed Traditional Article and Permalink/Working Link: Barriers for identification and treatment of problem drinkers in primary care. https://doi.org/10.1016/j.gaceta.2016.07.009 Traditional Quantitative Research Type: Use of questionnairesObservations (Similarities/Differences)
MethodologyThe study uses evidence from a scientific meeting conducted at the University of California in Los Angeles, to discuss models in expediting the translation of scientific evidence to the treatment of alcohol use disorder (AUD). The study offers a summary of the present state of AUD treatment and accessible evidence-based interventions and their use in clinical settings.The participants completed an ad hoc questionnaire as the researchers also collected evidence on main barriers that the providers faced in their practice settings. The methodology used by the two studies are different. The quantitative article uses realistic participants, 107 health professionals where close to 63% were medical professionals while about 32% were nurses. Both use participants’ views to collect evidence on the barriers impacting delivery. Both studies focus on existing literature
GoalsThe goal of the study is to review the use of different treatment interventions for AUD based on existing evidence and how translational science models and their effects affect the public health sector. The study emphasizes the need for scientists to bolster clinical use of their research findings to expedite knowledge translation into patient care provisionThe goal of the study was to provide an analysis of the various barriers perceived by health professionals dealing with problem drinkers from the Spanish population. These providers face barriers in their efforts to identify and treat these individuals. The study also analyzes the need to understand the potential differences among the health professional teams.The goals of the two studies differ since the translational one focuses on using effective evidence in the treatment process of individuals with the AUD while the second looks at barriers that hinder provider’s use of prescribed medications. The second article or quantitative article conducts primary research on the issue while the translational one looks at how to implement scientific knowledge and research evidence in patient care provision.
Data CollectionThe article collects data from past studies and the evidence offered at the conference from participants. The study reviews the existing barriers to care provision by nurses on individuals battling alcohol use disorders.The article collected data from participants; healthcare professionals that include physicians and nurses, using questionnaire. The data was on main barriers that they encounter from patients referred to them from different settings. Both articles focus on the importance of data and its effective analysis in generating increased knowledge and application in clinical settings. Both studies emphasize the need to better interventions and translation of research findings and applications in clinical practice. The articles differ in their use of primary and secondary data and their analytical tools.

Conclusion

Translational and tradition types of research have differences in their use of methodologies, collection and analysis of data and even their goals. These differences and similarities are important and nurse practitioners need to understand them to effective offer care and know certain barriers that hinder the overall process of treatment. Therefore, the translational graphic organizer offers an opportunity for them to understand these variations.

References

Coloma-Carmona, A., Carballo, J. L. & Tirado-Gonzalez, S. (2017). Barriers for identification and treatment of problem drinkers in

            primary care. Gaceta Sanitaria, 31(2): 95-99. https://doi.org/10.1016/j.gaceta.2016.07.009

Kouimtsidis, C., Duka, T., Palmer, E., & Lingford-Hughes, A. (2019). Prehabilitation in alcohol dependence as a treatment model for sustainable outcomes. A narrative review of literature on the risks associated with detoxification, from animal models to human translational research. Frontiers in psychiatry, 10, 339. https://doi.org/10.3389/fpsyt.2019.00339

Ray, L. A., Grodin, E. N., Leggio, L., Bechtholt, A. J., Becjker, H., …Ewing, S. W. F & O’Malley, S. (2020). The future of translational research on alcohol use disorder. Addiction Biology, 26(2): e12903

Williams, E. C., Achtmeyer, C. E., Young, J. P., Berger, D., Curran, G., Bradley, K. A., … & Harris, A. H. (2018). Barriers to and facilitators of alcohol use disorder pharmacotherapy in primary care: a qualitative study in five VA clinics. Journal of general internal medicine, 33(3), 258-267. https://doi.org/10.1007/s11606-017-4202-z