NURS 8114 Translation Models and Frameworks

Sample Answer for NURS 8114 Translation Models and Frameworks Included After Question

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.

A Sample Answer For the Assignment: NURS 8114 Translation Models and Frameworks

Title: NURS 8114 Translation Models and Frameworks

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 analgesia130(5), 1425. https://doi.org/10.1213/ANE.0000000000004586

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A Sample Answer 2 For the Assignment: NURS 8114 Translation Models and Frameworks

Title: NURS 8114 Translation Models and Frameworks

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.

NURS 8114 Translation Models and Frameworks
NURS 8114 Translation Models and Frameworks

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  

A Sample Answer 3 For the Assignment: NURS 8114 Translation Models and Frameworks

Title: NURS 8114 Translation Models and Frameworks

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

Interprofessional collaboration (IPC) is  is described as various specialties collaborating in a common area to provide outstanding care. Lack of effective IPC has been shown to deter improvements in patient outcomes, however, very few studies document the longevity of highly effective interprofessional teams (White-Williams & Shirey, 2022). Establishing a high-performing interprofessional team requires effort, but it is doable.

Effectively putting research and evidence on IPC into practice can help improve the quality of healthcare services provided, subsequently improving health outcomes. The Knowledge-to-Action (KTA) model is the translation science model relevant in addressing lack of effective IPC. 

The KTA framework, which is generally defined to include evidence-based communications, guidelines, and other interventions and tools, outlines and illustrates the high-level procedures required to translate discovery into action through the use of translation of evidence-based practices and policies. Graham and associates reviewed 31 planned action theories before creating the Knowledge to Action (KTA) Framework in Canada in the 2000s.  The model has two components: knowledge creation and knowledge application, which is the action cycle (White et al., 2012). 

It has seven phases which can be applied to addressing lack of effective IPC. In the first phase,  having identified my practice issue, choosing studies or information pertinent to this practice problem will be the next step. Looking at peer-reviewed and scholarly articles on this issue and how to address it is part of this phase. The knowledge that is obtained from these studies can then be taken on in the second phase which involves adapting the knowledge to the local context in my organization. The third phase known as the assessment of barriers to knowledge use, examines the obstacles and enablers to applying best practice guidelines in my organization. For those components that will aid in knowledge transfer, it is important to remember certain obstacles, such as individual values and beliefs, ignorance of roles and responsibilities, reluctance to change, attitudes, the silo system care culture, or organizational resource constraint (Moncatar et al., 2021).

In my organization, some team members do not know their roles when it comes to communicating with other team members to meet patients’ needs. For example, for ordering a durable medical equipment (DME) in my organization, a primary care provider (PCP) not only has to place the order, the PCP also has to send a communication message to social work DME pool to communicate this order. If the PCP fails to this, the order lies their without the social work team knowing about it because it does not translate to their workflow, and patient care is delayed. Finding out the barriers to applying this knowledge by PCPs is very important in translating this knowledge to practice.         

In the fourth phase of using the KTA to address my practice issue, it is essential to include stakeholders, each member of the interprofessional team, and adapt knowledge to the needs of each team member that will will use it. The last three phases of translating knowledge using the KTA model will include  tracking the application of knowledge, assessing the results of its application, and maintaining its use in addressing lack of effective IPC.

These phases can overlap and repeat themselves in the process of translating knowledge to practice. For example while in the third phase of assessing the barriers to use of knowledge in addressing lack of effective IPC, a new knowledge may come up that may now need to be adopted. The inclusion of all the stakeholders- physician, nurses, clinical pharmacists, social workers, community health workers, and case managers at all phases of the process will ensure that it will be of interest to every team member.

References:

Moncatar, T. R., Nakamura, K., Siongco, K. L., Seino, K., Carlson, R., Canila, C. C., Javier, R. S., & Lorenzo, F. M. (2021). Interprofessional collaboration and barriers among health and social workers caring for older adults: A philippine case study. Human Resources for Health19(1). https://doi.org/10.1186/s12960-021-00568-1 

White, K. M., & Dudley-Brown, S. (2012). Change Theory and Models: Framework for Translation in Nursing and Healthcare. In Translation of evidence into nursing and Health Care Practice (pp. 42–45). essay, Springer Pub. Co. 

White-Williams, C., & Shirey, M. R. (2022). Taking an interprofessional collaborative practice to the next level: Strategies to promote high performing teams. Journal of Interprofessional Education & Practice26, 100485. https://doi.org/10.1016/j.xjep.2021.100485 

A Sample Answer For the Assignment: NURS 8114 Translation Models and Frameworks

Title: NURS 8114 Translation Models and Frameworks 

Translation Models and Frameworks: Roger’s Diffusion of Innovation

Nursing practice entails the application of relevant theoretical concepts that would improve the patient care process through the application of evidence-based practice. Scientific underpinnings play vital roles in guiding healthcare professionals and ensuring that they meet the clinical principles and simultaneously align with the empirical justifications of patient care processes. Translation science in healthcare practice refers to the general implementation of science within the clinical care platform with the primary goal of maximizing the application of evidence to address health disparities (White et al., 2019). An example of this translation science framework is Roger’s Diffusion of Innovation. This paper provides a description of the framework and its application in the surgical nursing unit.

Description of Roger’s Diffusion of Innovations

Diffusion of Innovations framework was developed in 1962 by E.M. Rogers; he was a renowned scientist at the University of New Mexico. The theory explains the different phases of adopting a new idea through active participation by the stakeholders and the individuals affected by the emerging initiative. The active players identified by Rogers in this framework include the innovators (introducers of the new idea), early adopters (the individuals to be first interested in the trend and are ready to adopt), early majority (the early users of the new idea at the society level, late majority (users that adopt the new idea after they have witnessed its success), and laggards (individuals left behind during the adoption of the new idea) (White et al., 2019). Rogers provides the context of technology whereby new initiative is developed, communicated, channeled, and applied in the social system. The framework also brings about the characterization of stakeholders’ behaviors during the change adoption process relating to technology.

Relevance of the Framework in Surgical Unit

The surgical unit is an acute care setting that would benefit greatly from advanced clinical gestures and innovations. New ideas in the unit are more likely to reduce instances of adverse health outcomes for post-operative patients. For example, the introduction of electronic health records (EHRs) in the healthcare delivery system provided an opportunity for effective data mining and analytics practices (Parthasarathy et al., 2021). It provided an opportunity to limit a lot of paperwork and maximize patient-centered care.

The law of Diffusion of Innovations explains the foundation for a dramatic adoption of technology in the surgical care unit necessarily due to the benefits that come with post-operative care services including home care (Parthasarathy et al., 2021). Most of the patients discharged from the unit need further care to recuperate effectively while at home. New ideas including telehealth provide an opportunity for interprofessional partnership between the primary care provider and the caregiver which offers a chance for accessing care remotely.

Conclusion

Diffusion of Innovations by Rogers is a demonstration of the dynamic nature of the healthcare delivery system which is characterized by emerging trends that aim to promote population health. The framework is used in the surgical unit to maximize the adoption of technology which is inevitable, especially in the contemporary age. The application of technology to make clinical decisions provides a chance to improve the accuracy and efficiency of nursing interventions.

References

Parthasarathy, R., Rangarajan, A., & Garfield, M. J. (2021). Implementation of secure health information technology innovations: An extended diffusion of innovations perspective. e-Service Journal12(3), 43-76. 

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