NUR 550 Topic 5 DQ 1 & 2 Discussion

NUR 550 Topic 5 DQ 1 & 2 Discussion

NUR 550 Topic 5 DQ 1 & 2 Discussion

Topic 5 DQ 1

Identify either a safety or quality improvement initiative related to improving population health. Explain how translational research can influence the development of the initiative. Include a specific example to support your response.

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Topic 5 DQ 2

Identify a quality initiative from your workplace. What were some barriers to implementation? What are common barriers for translating research into practice?

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Topic 5 DQ 1: Improving Population Health

The health and well-being of individuals and communities depend on measures used across societies to optimize population health. A suitable quality improvement initiative for improving population health is an education program on childhood obesity prevention and management. According to Delgado et al. (2021), population health improvement focuses on the health outcomes of a group of individuals in a particular population. Therefore, improving its management is essential for better health of the entire population. Health education programs in healthcare facilities and schools are associated with positive outcomes by improving decision-making regarding dietary choices and physical activities (Smith et al., 2020; Yuksel et al., 2020). Healthcare providers’ role in their implementation is to guide the target population (children and their parents) in adopting healthy lifestyles to prevent and manage obesity. Doing so is crucial in improving health and reducing obesity-related patient visits to healthcare facilities. Importantly, it can help to shield children from the multifaceted dangers of obesity, including poor academic performance, low self-esteem, and low quality of life.

Translational research can influence the development of the initiative by guiding its implementers on translating basic science to humans, patients, and clinical practice. As Acharjee (2023) posited, translational research brings together scientists and clinicians to develop research questions, testing plans, and new interventions for improved health outcomes. The education program on childhood obesity and management requires a comprehensive plan to test its effectiveness and translate it to humans and patients. For instance, implementers should ask the right questions about its appropriateness, cost-effectiveness, and implementation time. If found feasible, the initiative can be replicated in other populations to help them prevent and manage childhood obesity. Successive improvements can also be made in future translations to ensure the dangers of childhood obesity are effectively addressed in healthcare organizations and communities.

References

Acharjee, A. (2023). Translational research and key aspects to make it successful. Translational Medicine Communications, 8(1), 19. https://doi.org/10.1186/s41231-023-00153-9

Delgado, P., Binzer, K., Shah, A., Ekberg, J., Arrieta, J., & Allwood, D. (2021). Accelerating population health improvement. BMJ (Clinical research ed.), 373, n966. https://doi.org/10.1136/bmj.n966

Smith, J. D., Fu, E., & Kobayashi, M. A. (2020). Prevention and management of childhood obesity and its psychological and health comorbidities. Annual Review of Clinical Psychology, 16, 351–378. https://doi.org/10.1146/annurev-clinpsy-100219-060201

Yuksel, H. S., Şahin, F. N., Maksimovic, N., Drid, P., & Bianco, A. (2020). School-based intervention programs for preventing obesity and promoting physical activity and fitness: a systematic review. International Journal of Environmental Research and Public Health, 17(1), 347. https://doi.org/10.3390/ijerph17010347

DQ 2: Quality Initiative in the Workplace

Patients visit healthcare facilities looking forward to high-quality care in safe environments. As a result, quality improvement initiatives focus on achieving efficient, effective, timely, and safe care. A suitable example of a quality initiative in my workplace is a self-care program for nurses. In this case, leaders encourage and support nurses to engage in self-care to optimize their physical, emotional, and mental health. Nursing research positively links nurses’ intentional self-care practices with high-quality care since it enables them to avoid workplace stress and burnout that hamper their health and well-being (Monroe et al., 2021). Stressed nurses have low job satisfaction, and their potential to commit medical errors is high. Preventing such dangers implies safe and high-quality care. Quality improvement programs face many barriers, including organizational culture, inadequate resources, and nurses’ commitment (Alexander et al., 2022). Among them and others, a high workload deters nurses from engaging in self-care as intended. There is also a lack of a robust policy to implement, evaluate, and improve the program as situations necessitate.

Translating research into practice is the foundation of evidence-based practice (EBP). Like other initiatives seeking to improve patient safety and care quality, the translation process encounters multiple barriers, including inadequate resources, poor research culture, and inadequate staff trained in translating scientific findings into clinical guidelines (Smith & Johnson, 2023). The organizational infrastructure is another significant barrier since research translation centered on technology adoption requires a robust infrastructure to support it. These barriers hamper evidence-based practice and increase the gap between the achieved and desired patient outcomes. As a result, healthcare leaders should continually evaluate such barriers and their implications while adopting measures to support a culture of research translation in clinical practice.

References

Alexander, C., Tschannen, D., Argetsinger, D., Hakim, H., & Milner, K. A. (2022). A qualitative study on barriers and facilitators of quality improvement engagement by frontline nurses and leaders. Journal of Nursing Management, 30(3), 694-701. https://doi.org/10.1111/jonm.13537

Monroe, C., Loresto, F., Horton-Deutsch, S., Kleiner, C., Eron, K., Varney, R., & Grimm, S. (2021). The value of intentional self-care practices: The effects of mindfulness on improving job satisfaction, teamwork, and workplace environments. Archives of psychiatric nursing, 35(2), 189-194. https://doi.org/10.1016%2Fj.apnu.2020.10.003

Smith, S., & Johnson, G. (2023). A systematic review of the barriers, enablers and strategies to embedding translational research within the public hospital system focusing on nursing and allied health professions. PloS One, 18(2), e0281819. https://doi.org/10.1371/journal.pone.0281819