Assignment: NURS 8114 Translation of Evidence and Application 

Assignment: NURS 8114 Translation of Evidence and Application

Assignment: NURS 8114 Translation of Evidence and Application

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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Assignment: NURS 8114 Translation of Evidence and Application Sample

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.

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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.

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.

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 Quality, 35(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 Science, 16(1), 1-12. https://implementationscience.biomedcentral.com/articles/10.1186/s13012-021-01137-9