NURS 8114 Translation Models and Frameworks

BY DAY 3 OF WEEK 5

Post an explanation of the translation science framework or model that you selected and explain why it is most relevant to your practice problem. Be specific and provide examples.

Read a selection of your colleagues’ posts.

The Knowledge to Action (KTA) framework is the selected translation science Framework. The KTA framework facilitates stakeholders’ use of research knowledge, including practitioners, policymakers, and the public. The framework outlines stages of the research-to-practice process, from discovering and generating research-based knowledge to implementing and applying research (White et al., 2019). The KTA framework has two components: Knowledge Creation and Action. Knowledge Creation comprises inquiry, synthesis, and tools or products. Knowledge becomes more advanced as it moves through the three steps.

Knowledge inquiry is the first generation knowledge. It refers to primary studies and represents the majority of the research. Knowledge synthesis is the second generation knowledge. It entails synthesizing results from individual studies and interpreting them within the context of global evidence (White et al., 2020). Knowledge tools and products is the third generation knowledge. They include decision aids, clinical practice guidelines, and videos. Action entails identifying and appraising the problem and the known research, identifying barriers and successes, planning and executing, and lastly, monitoring, evaluating, and adjusting.

The KTA framework is relevant to my practice problem on hypertension since it can guide the translation of evidence-based knowledge in managing patients with or at risk of hypertension. It will guide the translation of evidence-based knowledge and the application of the knowledge in preventing and managing hypertension in clinical settings. Furthermore, the KTA framework can provide a deliberate map for hypertension interventions and allow increased validity and rigor (Lee & Ho, 2019). It also facilitates the seamless integration of evidence-based literature into the growing body of implementation literature.

References

Lee, C., & Ho, K. (2019, July). Knowledge to action framework for home health monitoring. In Healthcare management forum (Vol. 32, No. 4, pp. 183-187). Sage CA: Los Angeles, CA: SAGE Publications. https://doi.org/10.1177/0840470419855364

White, K. M., Dudley-Brown, S., &Terhaar, M. F. (Eds.). (2019). Translation of evidence into nursing and healthcare (3rd ed.). Springer.

White, M. C., Daya, L., Karel, F. K. B., White, G., Abid, S., Fitzgerald, A., … & Leather, A. J. (2020). Using the Knowledge to Action Framework to Describe a Nationwide Implementation of the WHO Surgical Safety Checklist in Cameroon. Anesthesia and analgesia, 130(5), 1425. https://doi.org/10.1213/ANE.0000000000004586

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Hello Florence, your choice of the transition science framework is appropriate as it seeks to enhance the constancy of chronic disease patients to medication. The Theory of Reasoned Action (TRA) is suitable as it seeks to explain factors affecting patients’ behavior. Adherence to the prescribed medication is one of the requisite factors for improved care. The focus on this patient population is warranted as chronic patients are linked to poor medication adherence (Kasahun et al., 2022). Some reasons support your choice of the TRA as the appropriate transition science framework. For instance, it helps with understanding that patient satisfaction with medication is according to their beliefs concerning potential outcomes relating to the medication (Shikiar & Rentz, 2004). The framework helps nurses to consider all the salient factors that affect medication adherence from the patient’s perspective. The TRA also offers a guide to nurses to match the behavior of focus to the degree of specificity of the inherent beliefs and values (Shikiar & Rentz, 2004). For instance, if the particular behavior in consideration is medication adherence, then the degree of inquiry should focus on the patient’s outcomes linked to taking the prescription and the value underlying those outcomes. Therefore, the TRA guides nurses in promoting medication adherence among patients with chronic illnesses.

The Theory of Planned Behavior is another translation science model that can be considered for enhancing medication adherence among patients with chronic diseases. It is a framework extensively utilized for health-related and unrelated studies. The framework has been determined to more accurately illustrate constructs necessary to understand a patient (Alhamad & Donyai, 2021). It is more appropriate due to studies outside health behaviors, which outline additional consideration factors.

References

Alhamad, H., & Donyai, P. (2021). The validity of the theory of planned behavior for understanding people’s beliefs and intentions toward reusing medicines. Pharmacy, 9(1), 58. https://doi.org/10.3390/pharmacy9010058

De Sousa, M. M., Almeida, T. de, Andrade, S. S., Gouveia, B. D., & Oliveira, S. H. (2018). Teoria da ação racional e suas características em pesquisas na enfermagem. Enfermería Global, 17(3), 575. https://doi.org/10.6018/eglobal.17.3.305911

Shikiar, R., & Rentz, A. M. (2004). Satisfaction with medication: An overview of conceptual, Methodologic, and regulatory issues. Value in Health, 7(2), 204–215. https://doi.org/10.1111/j.1524-4733.2004.72252.x

Improving medication compliance in psychiatric patients through the Knowledge-to-Action Model

Medication non-compliance among psychiatric patients poses significant challenges to the overall well-being of patients and treatment outcomes. Enhancing medication compliance is crucial to optimize the effectiveness of psychiatric interventions. The Knowledge-to-Action (KTA) Model provides a framework to bridge the gap between research knowledge and its implementation in practice (E. Moore, 2022).

The KTA Model consists of two main phases: knowledge creation and action. In the knowledge creation phase, relevant evidence is synthesized and translated into usable knowledge. This knowledge encompasses various factors influencing medication compliance, such as patient characteristics, healthcare provider interventions, and systemic barriers. In this phase, evidence-based guidelines and educational materials can be developed to enhance healthcare providers’ understanding of medication compliance strategies.

In the action phase, the focus shifts to implementing the synthesized knowledge into practice. The KTA Model emphasizes the importance of tailoring interventions to specific contexts and stakeholders. It encourages a participatory approach involving healthcare providers, patients, and their families to co-design interventions (Murphy et al., 2021). For medication compliance in psychiatric patients, this may involve collaborative goal setting, shared decision-making, and individualized adherence plans.

Applying the KTA Model to Improve Medication Compliance

Assessing the Evidence: In the knowledge creation phase, a comprehensive review of existing evidence is done. Studies examining interventions targeting medication compliance in psychiatric patients, such as psychoeducation, reminder systems, and technological solutions, are identified and synthesized.

Adapting the Evidence: The synthesized evidence would be adapted to my patient population. Considerations include cultural and socioeconomic factors, healthcare infrastructure, and available resources. Guidelines and individualized educational materials would be developed to support healthcare providers in applying evidence-based strategies.

Identifying Barriers and Facilitators: A thorough understanding of barriers and facilitators to medication compliance is essential. Factors like stigma, side effects, forgetfulness, and lack of social support can hinder adherence. Assessing these factors through surveys, interviews, or focus groups can inform the development of targeted interventions.

Co-Designing Interventions: Engaging healthcare providers, patients, and families in the intervention design process enhances its acceptability and effectiveness. Collaborative goal-setting sessions shared decision-making discussions, and interactive workshops can be organized to develop personalized adherence plans for patients.

Implementing and Evaluating Interventions: The implementation of interventions would be monitored and evaluated for effectiveness. This would involve assessing medication adherence rates, patient satisfaction, and treatment outcomes. Feedback from stakeholders would also be considered to refine and improve interventions over time.

Conclusion

Improving medication compliance in psychiatric patients requires a comprehensive approach that incorporates evidence-based strategies into routine clinical practice. The Knowledge-to-Action Model offers a framework to bridge the gap between knowledge and action, ensuring that research findings are effectively implemented. By applying the KTA Model, healthcare providers can enhance medication compliance, leading to improved treatment outcomes and overall well-being for psychiatric patients.

References:

Graham, I. D., Logan, J., Harrison, M. B., Straus, S. E., Tetroe, J., Caswell, W., & Robinson, N. (2006). Lost in knowledge translation: time for a map? Journal of Continuing Education in the Health Professions, 26(1), 13-24.

Moore, Dr. J. (2022). Implementing the Knowledge to Action (KTA) Model to pick change strategies. The Center for Implementation. https://thecenterforimplementation.com/toolbox/knowledge-to-action-model

Murphy, J., Qureshi, O., Endale, T., Esponda, G. M., Pathare, S., Eaton, J., De Silva, M., & Ryan, G. (2021). Barriers and drivers to stakeholder engagement in global mental health projects. International Journal of Mental Health Systems, 15(1). https://doi.org/10.1186/s13033-021-00458-y

NURS 8114 Translation Models and Frameworks