Translation Science Theories and Models Essay
Knowledge translation theories, models, and frameworks are applied to incorporate evidence into clinical practice to facilitate change successfully (Esmail et al., 2020). There are various translation science theories and models used in nursing practice change. These theories and models include Diffusion of Innovation, Knowledge-to-Action, i-PARIHS, and Normalization Process Theory, among others. In this discussion, the sustainability strategy of the Normalization Process Theory translation theory and a description of how the sustainability strategy supports the sustainability of the evidence-based intervention beyond the implementation stage of the practice change project.
The translation science theory selected for my practice change project is the normalization process theory. The normalization process theory addresses the factors needed for the successful implementation and integration of interventions into routine work. One of the sustainability strategies found in this theory is reflexive monitoring. According to Walugembe et al. (2019), reflexive monitoring is the formal and informal appraisal of the intervention’s benefits and costs. The strategy ensures that the intervention’s cost considers the intervention’s sustainability, based on the cost versus the benefits of the intervention, thus deciding whether the intervention is feasible before its implementation.
The normalization process theory analysis to appraise the intervention’s benefits and cost involve trial procedures and the optimization of the intervention. If the normalization process theory analysis fails, then the practice intervention does not proceed. However, if the intervention meets the normalization process theory analysis criteria, the intervention is determined feasible to be implemented and successfully address the practice change.
In conclusion, reflexive monitoring supports the sustainability of a practice change intervention beyond implementation. The strategy also involves the various stakeholders affected by the intervention, thus adequately supporting the sustainability of the evidence-based intervention beyond implementation by enhancing intervention acceptance.
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References
Esmail, R., Hanson, H. M., Holroyd-Leduc, J., Brown, S., Strifler, L., Straus, S. E., Niven, J. & Clement, F. M. (2020). A scoping review of full-spectrum knowledge translation theories, models, and frameworks. Implementation Science, 15(1), 1-14. https://doi.org/10.1186/s13012-020-0964-5
Walugembe, D. R., Sibbald, S., Le Ber, M. J., & Kothari, A. (2019). Sustainability of public health interventions: where are the gaps? Health research policy and systems, 17(1), 1-7. https://doi.org/10.1186/s12961-018-0405-y
Purpose
The purpose of this discussion is to provide you an opportunity to examine the applicability of translation science theories and models to all phases of a practice change project with an emphasis on sustainability of the evidence-based intervention beyond implementation.
Instructions
Reflect on your practice problem as you consider possible solutions and address the following:
Select one of the four translation science theories or models introduced in this week’s lesson. These include Diffusion of Innovation, Knowledge-to-Action, i-PARIHS, and Normalization Process Theory.
Determine one sustainability strategy found in your selected translation science theory or model. Describe how the specific sustainability strategy you selected supports sustainability of the evidence-based intervention beyond the implementation phase of a practice change project.
Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:
Link (webpage): DNP Discussion Guidelines
Links to an external site.
Course Outcomes
This discussion enables the student to meet the following course outcomes:
Justify the use of translation science theory when designing, implementing, and evaluating a practice change project. (POs 3, 4, 5, 6, 8, 9)