NURS 8114 Translation of Evidence and Application

Sample Answer for NURS 8114 Translation of Evidence and Application Included After Question

BY DAY 3 OF WEEK 11

Post an explanation of the challenges and barriers to translating and applying evidence for practice change in your target health care organization. Briefly explain your issue(s) of concern and describe specific approaches for addressing these challenges. Explain how you view your role as a DNP in creating a health care culture that promotes translation of evidence for quality improvement and explain why. Then, recommend actions and activities you could model and lead, including through an EBP QI project, to advocate for quality improvement and social change in nursing. Be specific and provide examples.

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A Sample Answer For the Assignment: NURS 8114 Translation of Evidence and Application

Title: NURS 8114 Translation of Evidence and Application

It can be a challenge to translate and apply evidence for practice change in a target health care organization. Several steps are involved, including identifying the research question, locating relevant studies, appraising the quality of the studies, and then synthesizing the findings. Once the findings are synthesized, it is important to determine their implications for practice. This includes determining which studies are most applicable to the organization’s specific population and setting (Dopp et al., 2021).

The findings must also be translated into practical terms that clinicians can understand and use. Finally, implementation of the new practices must be monitored to ensure that they are having the desired effect. The purpose of this assignment is to provide explanation of challenges and barriers associated with translating and applying evidence for practice change in a target health care organization.

Challenges and Barriers to Translating and Applying Evidence for Practice Change in a Target Health Care Organization

The main challenge for any researcher looking to translate and apply evidence for practice change within their target health care organization is that of overcoming inertia. Inertia is a powerful force and it manifests in many ways throughout the health care system (Dang et al., 2021). It can be seen in the reluctance of clinicians to adopt new treatments or changes in clinical practice, even when these are supported by high-quality evidence; in the fragmentation and lack of integration of care across different settings; and in the failure of policy-makers to take account of research findings when making decisions about health care provision.

The barriers to translating and applying evidence for practice change in my target health care organization are likely very similar to the barriers that exist in any large, complex organization. Some of the key barriers include: lack of leadership commitment and support, fragmentation of care across multiple specialties and organizational silos, resistance to change among clinicians and staff, inadequate or outdated technology, insufficient funding and resources, and poor communication among staff (Dang et al., 2021). Addressing these barriers is often a challenge, but it is essential if we hope to improve the quality and efficiency of health care delivery.

Issues of Concern When Translating and Applying Evidence for Practice Change a Healthcare Organization

 It can be difficult to translate and apply evidence for practice change in healthcare due to a variety of challenges. One challenge is that different types of evidence (e.g., randomized controlled trials, observational studies, expert opinion) can conflict with one another, making it difficult to determine which evidence should be used to guide decision-making.

Additionally, the results of clinical trials may not be generalizable to all patient populations or settings. And finally, incorporating new practices can be challenging in terms of time, costs, and organizational changes required (Dang et al., 2021). Despite these challenges, it is important to continue translating and applying research evidence in order to improve patient care.

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To overcome the challenges/barriers associated with translating and applying evidence for practice change within a healthcare organization, there are a few key things to keep in mind. First and foremost, it is important to remember that change does not happen overnight – it takes time and patience to see results. In addition, it is critical to have a good understanding of the organizational dynamics at play within your institution (Dang et al., 2021). Who makes decisions? Who is responsible for implementing changes? What are the politics around certain clinical issues? It is also important to have a clear vision for how things should change, and be able to communicate this vision effectively to all stakeholders. Finally, it is essential to have the right tools and resources in place in order to support the change process.

NURS 8114 Translation of Evidence and Application
NURS 8114 Translation of Evidence and Application

Role as a DNP in Creating a Health Care Culture That Promotes

Translation of Evidence for Quality Improvement

I view my role as a DNP as that of a change agent. I work to create a health care culture that promotes the translation of evidence into quality improvement initiatives. This means that I work to create an environment in which nurses feel empowered to make changes in their practice based on the latest evidence. I also believe that it is important for nurses to have access to high-quality educational resources so that they can continue to learn and grow as practitioners. That is why I am committed to providing nursing education that is both innovative and evidence-based. Nurses are the backbone of our health care system, and it is essential that they have the tools they need to provide quality care for patients (Barakat-Johnson et al., 2020).

Actions and Activities that could be modeled to Advocate for Quality

Improvement and Social Change in Nursing

There are a few actions and activities that can be modeled to advocate for quality improvement and social change in nursing. First, be an advocate for evidence-based practice. Nurses should seek out the latest research and best practices to apply in their own practice. Second, lead by example. Be a role model for high-quality patient care and set the bar high for your coworkers (Barakat-Johnson et al., 2020). Third, participate in quality improvement initiatives at your workplace. Help identify problems and work with your team to develop solutions. Finally, speak up! Let your voice be heard when it comes to advocating for quality care and social change in nursing.

Conclusion

There are many barriers to translating and applying research evidence for practice change, but perhaps the most important is the lack of engagement between researchers and those who work within the healthcare system. I view my role as a DNP as that of a change agent. I work to create a health care culture that promotes the translation of evidence into quality improvement initiatives (Barakat-Johnson et al., 2020). It can be difficult to translate and apply evidence for practice change in healthcare due to a variety of challenges. One challenge is that different types of evidence can conflict with one another, making it difficult to determine which evidence should be used to guide decision-making.

References

Barakat-Johnson, M., Lai, M., Wand, T., Coyer, F., & White, K. (2020). Systemwide practice change program to combat hospital-acquired pressure injuries: translating knowledge into practice. Journal of Nursing Care Quality35(1), 51-57.  10.1097/NCQ.0000000000000395

Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals: model and guidelines. Sigma Theta Tau.

Dopp, A. R., Kerns, S. E., Panattoni, L., Ringel, J. S., Eisenberg, D., Powell, B. J., … & Raghavan, R. (2021). Translating economic evaluations into financing strategies for implementing evidence-based practices. Implementation Science16(1), 1-12. https://implementationscience.biomedcentral.com/articles/10.1186/s13012-021-01137-9

A Sample Answer 2 For the Assignment: NURS 8114 Translation of Evidence and Application

Title: NURS 8114 Translation of Evidence and Application

MAIN POST WEEK 11 DISCUSSION: TRANSLATION OF EVIDENCE AND APPLICATION 

Translation of evidence and application is the process of using the best available evidence, clinical expertise, and patient preferences and values to make decisions about patient care. This process is important for improving the quality and effectiveness of health care, as well as the health outcomes and well-being of patients and populations. However, this process is not easy or simple. It involves many challenges and barriers that need to be overcome to provide the best possible care to patients. 

Post an explanation of the challenges and barriers to translating and applying evidence for practice change in your target health care organization.  

EBP is the practice of making patient care decisions based on the best evidence available, the clinical expertise of the practitioner, and the values and preferences of the patient. However, EBP can be difficult and time-consuming to implement, as it involves changing behaviors and overcoming obstacles such as lack of time, knowledge, skills, resources, and support. There are several challenges to translating and applying evidence for practice change: 

Time and knowledge: A common obstacle to implementing EBP is lack of time. Another obstacle is lack of knowledge or uncertainty about the EBP process, which includes evaluating and using the literature related to the clinical issue being addressed (Abu-Odah et al., 2022).  

Resistance: Some practitioners may be reluctant to change their practice because they are comfortable with their current way of doing things or they do not see the importance or applicability of EBP. Resistance can also come from patients, families, or other stakeholders who may have different expectations or preferences (Abu-Odah et al., 2022).  

Stakeholders: A key factor that helps the implementation of EBP is engaging the relevant stakeholders. Stakeholders can provide feedback, input, support, and resources for the practice change. They can also help to identify and measure the outcomes of the change (Abu-Odah et al., 2022).  

Administration support: Administration support helps to create a culture that values and supports EBP, gives resources and incentives, and takes away barriers and obstacles. Without administrative support, there can be bad communication, coordination, and collaboration among stakeholders, and also resistance and mistrust from clinicians and patients. (Abu-Odah et al., 2022).  

Briefly explain your issue(s) of concern and describe specific approaches for addressing these challenges.  

Stigma related to mental illness represents a significant public health concern because it is a major barrier to care seeking or ongoing treatment participation. The negative effects of stigmatization can have a substantial negative impact on a patient’s quality of life. In addition, stigmatizing attitudes or behaviors by health care providers have the potential to lead to a lack of access to care, to under-treatment, to social marginalization, and can undermine the relationship between the patient and provider (Modgill et al., 2014). One of the ways to address the challenges and barriers in psychiatric care is to use specific approaches that can reduce stigma and improve access to mental health care.

These approaches include: teaching the public, the media, and the health care providers about the nature, causes, and treatments of mental illness, and the rights and dignity of people with mental illness (Modgill et al., 2014); giving people with mental illness and their families the power to fight against stigma, tell their stories and experiences, and be involved in decision-making and advocacy (Modgill et al., 2014); making a supportive and respectful environment in the health care system that values evidence-based practice, patient-centered care, cultural competence, and collaboration; using anti-stigma interventions that focus on specific groups or settings; and checking the effectiveness and impact of anti-stigma programs and policies using valid and reliable measures (Modgill et al., 2014). These approaches can help to promote health equity and social justice for people with mental health issues and their families. 

Explain how you view your role as a DNP in creating a health care culture that promotes translation of evidence for quality improvement and explain why.  

Stigma related to mental illness represents a significant public health concern because it is a major barrier to care seeking or ongoing treatment participation. During my practice, I see the disparities and inefficiencies in healthcare delivery to patients with mental disorders. Patients with mental health disorders are often deprived of their right to be treated as valued citizens with respect and dignity. In addition, they are victims of discrimination and marginalization in the community. They are subject to human rights violations in healthcare facilities where they should receive compassionate care and support (Saxena & Hanna, 2015). 

The World Mental Health Report: “Transforming Mental Health for All” calls to change how we promote, protect and care for mental health. Mental health is highly stigmatized, misunderstood, or not well appreciated, and this contributes substantially to its lack of prioritization and current neglect (Freeman, 2022). As a DNP practitioner, I find it satisfying to work to effect positive change in the community that will improve care for mental health patients. I view my role as a leader and innovator in creating a health care culture that promotes translation of evidence for quality improvement. I believe that translating evidence into practice is essential for improving patient outcomes, quality of care, and health care systems. 

I can use my skills and knowledge to implement evidence-based interventions that can improve the quality and safety of patient care. As a DNP, I can conduct research that addresses clinical problems and gaps in practice and disseminate the findings to inform and influence practice change. I can also collaborate with other researchers, practitioners, and stakeholders to generate and share new knowledge that can improve health care. I believe as a DNP prepared nurse, I will be more equipped to play a more prominent role in collaborating with other psychiatric providers to create the change needed to improve psychiatric patient care and outcomes, transform the health system, assure more equitable care, increase financial support, and strengthen public health perspectives in mental health care. All these changes will serve the needs of people experiencing mental disorders and advocate for respecting their human rights. 

Recommend actions and activities you could model and lead, including through an EBP QI project, to advocate for quality improvement and social change in nursing.  

Stigma related to mental illness represents a significant public health concern because it is a major barrier to care seeking or ongoing treatment participation. To promote quality improvement and social change in nursing and reduce stigma in psychiatric care, I could lead and model some actions and activities, such as an EBP QI project. This project would involve conducting a needs assessment to understand the stigma level and the factors that affect mental health care access among nurses and patients in my organization (Modgill et al., 2014).

Then, I would develop and implement an educational intervention that would enhance knowledge, awareness, and positive attitudes toward mental illness and EBP among nurses and patients, using various methods such as interactive sessions, role plays, testimonials, videos, or online modules (Modgill et al., 2014). I would also use strategies such as reminders, incentives, champions, or facilitation to implement the intervention (Modgill et al., 2014). I would evaluate the intervention’s impact on stigma reduction and care-seeking behavior using pre- and post-test measures such as the OMS-HC and the EBPAS (Modgill et al., 2014).

Finally, I would disseminate the results to stakeholders such as administration, policy makers, professional associations, and media, emphasizing the benefits of reducing stigma and increasing mental health care access for nurses and patients. I would also advocate for policy and practice changes that support evidence-based mental health care and stigma reduction in my organization, such as lobbying for more funding, resources, training, or supervision for mental health services. 

References 

Abu-Odah, H., Said, N. B., Nair, S. C., Allsop, M. J., Currow, D. C., Salah, M. S., Hamad, B. A., Elessi, K., Alkhatib, A., ElMokhallalati, Y., Bayuo, J., & AlKhaldi, M. (2022). Identifying barriers and facilitators of translating research evidence into clinical practice: A systematic review of reviews. Health & social care in the community30(6), e3265–e3276. https://doi.org/10.1111/hsc.13898 

Freeman M. (2022). The World Mental Health Report: transforming mental health for all. World psychiatry : official journal of the World Psychiatric Association (WPA)21(3), 391–392. httLinks to an external site.ps://doi.org/10.1002/wps.21018 

Giardino, E. R., & Hickey, J. V. (2020). Doctor of nursing practice students’ perceptions of professional change through the DNP program. Journal of Professional Nursing36(6), 595–603. https://doi.org/1Links to an external site.0.1016/j.profnurs.2020.08.012 

 Modgill, G., Patten, S. B., Knaak, S., Stuart, H., & MacDermid, J. C. (2014). Opening Minds Stigma Scale for Health Care Providers (OMS-HC): Examination of psychometric properties and responsiveness. BMC Psychiatry, 14(1), 120. https://doi.org/10.1186/1471-244X-14-120Links to an external site. 

Saxena, S., & Hanna, F. (2015). Dignity–a fundamental principle of mental health care. The Indian journal of medical research142(4), 355–358. https://doi.org/10.4103/0971-5916.169184Links to an external site. 

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

A Sample Answer For the Assignment: NURS 8114 Translation of Evidence and Application

Title: NURS 8114 Translation of Evidence and Application 

Challenges in Applying Practice Change in A Children’s Hospital

Patient (and family) safety and satisfaction are essential in all healthcare settings. In the present children’s hospital where I am employed, there exists a requirement for several modifications in practices. Issues such as insufficient communication and coordination, resistance to change, and patient and family preferences are among a few that make it challenging to implement change. 

Communication and coordination create the pathway for practice change. Implementing proper communication will allow employees to feel comfortable with change. Frequent gatherings, well-defined communication routes, and adopting standardized protocols can ensure universal understanding and alignment. Resistance to change is inevitable, but creating a culture of collaboration should help with this issue. Patient and family preferences should be considered in a practice change, but understanding that patients and families will only sometimes be satisfied with the standard of practice. Including and collaborating with patients and families will create an inclusive environment for their thoughts. “The involvement of patients and their families in the planning and development of health care services has been shown to improve the health and quality of life of patients” (Prior & Campbell, 2018). 

My role as a DNP-prepared nurse will be a driving force for transformation and a link connecting research, clinical application, and healthcare management. Creating a collaborative and interdisciplinary environment within healthcare allows individuals to feel empowered to be a part of the change rather than against it. My role will be to continue working with individuals in the community, hospitals, and patients and families to implement quality improvement initiatives.

An initiative such as collaboration with multiple Children’s hospitals nationwide would effectively create an EBP QI to advocate for social change in nursing. Sharing data and recognizing hospitals demonstrating superior performance can serve as incentives for enhancing improvement efforts. When a hospital operates in isolation, it might tolerate subpar patient safety results simply because it’s accustomed to this status quo (Terao et al., 2019). Collaboration with other hospitals will provide insight into EBP QI for social change. 

References

Prior, S. J., & Campbell, S. (2018, February 1). Patient and Family Involvement: A Discussion of Co-Led Redesign of Healthcare Services. PubMed Central (PMC). https://doi.org/10.2196/jopm.8957

Terao, M., Hoffman, J. M., Brilli, R. J., Finch, A., Walsh, K. E., & Coffey, M. (2019, May 4). Accelerating Improvement in Children’s Healthcare Through Quality Improvement Collaboratives: A Synthesis of Recent Efforts. PubMed Central (PMC). https://doi.org/10.1007/s40746-019-00155-6