NURS 8114 Week 11: TRANSLATION OF EVIDENCE AND APPLICATION

Walden University NURS 8114 Week 11: TRANSLATION OF EVIDENCE AND APPLICATION– Step-By-Step Guide

This guide will demonstrate how to complete the Walden University NURS 8114 Week 11: TRANSLATION OF EVIDENCE AND APPLICATION assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NURS 8114 Week 11: TRANSLATION OF EVIDENCE AND APPLICATION

Whether one passes or fails an academic assignment such as the Walden University NURS 8114 Week 11: TRANSLATION OF EVIDENCE AND APPLICATION depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NURS 8114 Week 11: TRANSLATION OF EVIDENCE AND APPLICATION

The introduction for the Walden University NURS 8114 Week 11: TRANSLATION OF EVIDENCE AND APPLICATION is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NURS 8114 Week 11: TRANSLATION OF EVIDENCE AND APPLICATION

After the introduction, move into the main part of the NURS 8114 Week 11: TRANSLATION OF EVIDENCE AND APPLICATION assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NURS 8114 Week 11: TRANSLATION OF EVIDENCE AND APPLICATION

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NURS 8114 Week 11: TRANSLATION OF EVIDENCE AND APPLICATION

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NURS 8114 Week 11: TRANSLATION OF EVIDENCE AND APPLICATION

Barriers to Translating EBP for Organization Practice Change 

In order to address the issues for NURS 8114 Week 11: TRANSLATION OF EVIDENCE AND APPLICATION, I work for a hospital organization located in an impoverished community. There are cultural challenges as well as organizational challenges that will impose barriers to translating and applying evidence-based practice (EBP) for a quality improvement change. Another barrier to overcome is allocating resources within the organization and transitional community programs for patients who suffer from a severe mental illness (SMI). My goal is to present a Doctorate of Nurse Practice (DNP) quality initiative (QI) program to improve access to mental healthcare and health outcomes of patients diagnosed with a SMI.  To implement a DNP quality initiative (QI) project, I must identify the critical question and introduce EBP to support leadership, clinical, or policy changes (White et al., 2019). The QI project is in the early stages and the proposed critical question will continue to evolve.  

White et al. (2019) mentions that one barrier for translating EBP for organizational change is due to the gap of time that evidence is collected and then utilized in healthcare. The authors suggest that the Doctorate of Nurse Practice (DNP) clinician ability to foster an interprofessional team is an excellent way to introduce knowledge with the feasibility of attracting stakeholders’ buy-in. Petri (2010) as cited in White et al. (2019) stated that interdisciplinary teams derive from an integrated model that identifies problems and offer scientific resolutions reflective of EBP.  

Specific Approaches to Address Organizational Stakeholder Barriers    

White et al. (2019) suggests that I identify key stakeholders that will buy into the DNP-QI project and formulate a multidisciplinary team. I found that the multidisciplinary team is not committed to attending regular rounds (MDRs), such as the doctors and clinical pharmacists. Zuzelo (2019) wrote that cost-effective and comprehensive healthcare is contingent on interdisciplinary teams (IT) ability to commit to meeting on a regular basis. Zuzelo suggests that implementing an Interprofessional Education Collaborative (IPEC) model provides resourceful tools and educates nurses and other interested key stakeholders. I would implement IPEC to influence all relevant stakeholders to be selected for the DNP-QI project. IPEC provides educational programs that align with the American Association’s mission for quality and patient centered care (American Association of Colleges of Nursing [AACN], 2006; Zuzelo et al., 2019). 

Utilizing an inter-collaboration (IC) approach to improve healthcare is contingent on multidisciplinary teams that respect each other’s individual roles and their perspectives of the patient’s needs (Sutter et al., 2019, as cited in White et al., 2019). Sutter et al. identified IPC has problematic concerns regarding power-struggles amongst team members and respect for each clinicians’ roles. Sutter added, poor communication skills will impose greater problems. World Health Organization [WHO] (2010) as cited in White et al. (2019) cites that working in a team is not a resolution which concludes with the best EBP initiative changes. WHO (2010) that each healthcare clinician should present their best clinical skills within the group for a targeted goal related to quality, safe, and efficient patient healthcare, which relies on effective communication skills.  

DNP Role: QI Project Relevant to EBP and Cultural Awareness 

Identifying my organization’s cultural values will allow me to better understand how these beliefs influence employees (White et al., 2019).  My personal philosophy of patient-centered care is the philosophical foundation of how I view my role as a DNP. It is important to know if my values are being shared by the organization. Negative influences within the hospital’s structure can affect employees, such as nurses, and their healthcare delivery approach (White et al., 2019). Cultural awareness is a subsystem, which details the individual shared beliefs and behavioral responses of people (White et al., 2019). As cited in this course study discussions and assignments, my philosophy of nursing practice is to provide quality patient-centered healthcare that improves the health outcomes of this vulnerable population, such as those suffering with an SMI. Unaddressed cultural diversities within organizations imposes poor stakeholder engagement and staff participation, which can lead to poor organizational support for a QI-project. Overcoming cultural barriers is a paradigm effect of implementing comprehensive models of care that addresses organizational gap practices and socioeconomic determinants of health (Rogoff, 2016, as cited in White et al., 2019). 

It is my responsibility to appraise EBP and translate the highest quality research into healthcare practice (White et al., 2019). Understanding multi-disciplinary roles and division of labor amongst professionals will allow me to gain a greater insight into non-nursing frameworks, which helps the patient’s reach their achieved goals and enhanced patient outcomes (AACN, 2006; White et al., 2019).  As a DNP, I will foster improved health outcomes through cultural awareness and development programs for patients with a AMI (Drissi et al., 2020). According to the Essentials VI of the AACN, the Core Competencies for Interprofessional Collaborative Practice enables innovative change by involving healthcare clinicians and integration of patient, family, and community centered care (AACN, 2006; White et al., 2019).  Essential VI will foster the DNP’s ability to improve health outcomes by covering a broader dimension of clinical healthcare through interprofessional development. Essential V: Health Care Policy for Advocacy in Health Care will enable DNP to deliver healthcare services specific to the patient’s needs. Healthcare equality will influence the DNP to implement policy changes that address disparities and injustices in health for improved population health outcomes, which supports cultural consideration for population groups (AACN, 2006). 

Social Change Agent and EBP-QI Project for Quality Improvement 

As cited in previous discussions, The American Association Colleges of Nurses (AACN) Essentials (2006) will foster my growth as a DNP-APN social change agent. Walden also supports the DNP student’s advocacy for social change by empowering them to use reflective practice tools, collaborative practice, ethics, and scholarship application of skills (Walden, n.d.). Walden has incorporated core educational values that will enable me to implement innovative practices through a DNP-leadership role. My QI-project will enhance quality care and motivational change within the hospital organization by aligning with their core mission and goals for integrity, self-awareness, holistic, congruent, and collaborative care for all patients (Walden, n.d.; White et al., 2019). Overall, becoming a DNP leader will enhance QI improvement by eliminating healthcare disparities across the lifespan of the patient, which is indicative of Essential II: Organizational and Systems Leadership for QI and Systems Thinking (AACN, 2006).  

References 

American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practiceLinks to an external site..  

Drissi, N., Ouhbi, S., Idrissi, M. A. J., Fernandez-Luque, L., Ghogho, M., & Janati Idrissi, M. A. (2020). Connected mental health: Systematic mapping study. Journal of Medical Internet Research, 22(8), N.PAG. https://doi.org/10.2196/19950Links to an external site.  

Walden University. (n.d.). Walden catalogLinks to an external site. 

Links to an external site.Links to an external site. Vision, mission, and goals. https://academicguides.waldenu.edu/catalog/homeLinks 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. 

Zuzelo, P. R. (2019). Partnering for Holistic and Safe Care: Interprofessional Collaboration. Holistic Nursing Practice, 33(5), 316–318. https://doi.org/10.1097/HNP.0000000000000343

Sample Answer 2 for NURS 8114 Week 11: TRANSLATION OF EVIDENCE AND APPLICATION

Thank you for speaking about cultural awareness, I think we do not speak about it enough and a change is needed immediately. Health disparities among Olmsted County residents with obesity: unemployment rate in Rochester is higher at 3% than the state of MN at 2.2%. 70.4% of the obese population are males, Hispanics 32% and African American 29%. Lifestyle practices adopted by the community that has contributed to the increase in obesity are physical inactivity especially during winter, not eating a well-balanced diet, access to a lot of fast and cheap foods like McDonald’s where there are 7 and Burger King has 5 locations, lack of access to healthy foods, prenatal/early childhood exposures, and despite high education level, there is still lack of education regarding obesity. Being culturally competent gives us the opportunity to properly treat patients and/or the community. It’s important to understand their traditions and beliefs to assure that their care plan includes them so there is a higher chance of my patients to adhere to the treatment and believe in the treatment. It is important to first self-assess for any prejudice or bias, create awareness, gain knowledge and put them into practice. An understanding of one’s values and beliefs is important to be able to set them aside when caring for a culturally different population which will help reduce racial and ethnic health disparities and increase better health outcomes among the patient population by providing patient centered care and make the patients feel like his or her input is valued, respect their opinions and give them the autonomy to make informed decisions. On the other hand, poor cultural competence has been linked to poor patient satisfaction which may lead to the patient not coming back to the PCP and seek further treatment not only hurting the practice by losing a client and their money but also by putting that patient at higher risk of other consequences. 

It is my experience professionally and personally that when a patient who does not speak and understand English well, they are less likely to follow instructions and follow up with appointments as they get discouraged because they do not see improvement. I speak Spanish, whenever I have encountered a patient, whose main language is Spanish, and I am able to understand they are more willing to try and share information which can help with the plan of care/treatment. Lastly, it reflects the ethical standards in nursing practice as patient advocates, nurses often times are the voice of the patient and by being culturally competent and helping them with translation, we are advocating for them and making sure they are being heard and that all the information is accurate. 

References 

Community Health Needs Assessment – Mayo Clinic. (2019, October). https://communityengagement.mayoclinic.org/wp-content/uploads/2020/02/Community-health-needs-assessment-Dotorg-December-2019-1.pdfLinks to an external site.

Olmsted County Community Health Improvement Plan 2021-2023. (2020, December).https://www.olmstedcounty.gov/sites/default/files/2021-01/CHIP2123Final.pdLinks to an external site.

Petersen R, Pan L, Blanck HM. Racial and Ethnic Disparities in Adult Obesity in the United States: CDC’s Tracking to Inform State and Local Action. Prev Chronic Dis 2019;16:180579. DOI: http://dx.doi.org/10.5888/pcd16.180579Links to an external site.

Sample Answer 3 for NURS 8114 Week 11: TRANSLATION OF EVIDENCE AND APPLICATION

Introduction

In today’s healthcare, there is a widely accepted emphasis on evidence-based practice (EBP) that focuses on growing an environment where evidence supports clinical and administrative decision-making to ensure the highest quality of care, promotes optimal outcomes, and creates a culture of critical thinking and accountability (White et al., 2021). While there is emphasis based on evidence based practice, there still continues to be gap in implementation as it takes 17 years or more for research to be implemented. With this in mind, it is the responsibility of healthcare professionals to translate evidence into action and apply it for quality improvement. Research is only a beginning, and not an end in itself (White et al., 2021).

Challenges and barriers

 The key to making these important contributions in today’s complex healthcare environment is to understand the challenges and opportunities involved in developing, implementing, and sustaining EBP at every level of practice and setting (White et al., 2021). When considering the target health care organization, there are many challenges and barriers to applying evidence for practice change. The main challenge considered is collaboration.  Interprofessional collaboration (IPC) among healthcare professionals is a critical challenge in today’s healthcare environments (White et al., 2021).  IPC is a process during which different professional groups work together to positively impact healthcare processes and delivery; each values the expertise and contributions that others bring to the team (White et al., 2021). This would be a challenge as some disciplines do not view nurse practitioners as being qualified enough or experts in their assigned field of study. In other words, they may not value the expertise and contributions an NP, especially a DNP can bring to the field. This not only involves, IPC, but further the culture of the organization.  Culture plays a large part in the success of translation of evidence into practice (White et al., 2021).  Organizational culture is the shared beliefs, values, and attitudes of that organization. An accepting organizational culture is pivotal to translation, and has a direct impact on the success of the organization, as well as on the success of the translation (White et al., 2021).

Specific approaches for Challenges

Osteoporosis affects 51% of institutionalized adults with developmental disabilities and 55% of patients with CP including children (Kodama et al., 2017). Since patients with CP and osteoporosis have a tendency to suffer spontaneous fractures during routine care such as changing clothes, constructive treatment for osteoporosis in patients with CP is necessary (Kodama et al., 2017).  The cerebral palsy population [EBH1] is overlooked in relation to osteoporosis which creates a gap in in healthcare.  This is an issue of concern and treatment for osteoporosis in the cerebral palsy population is vital.  The gap between what is known and what is done contributes to poor health outcomes and ultimately results in inefficient use of resources (White et al., 2021).  Professional standards have long held that nurses need to integrate the best available evidence, including research findings, into practice decisions (Dang et al., 2018).  Knowledge gained from research studies is valuable only to the extent that it is shared with others and appropriately translated into practice (Dang et al., 2018). This is where is it important to have an organizational culture that promotes change and interprofessional collaboration among the team.  One approach for addressing this challenge is interprofessional education.  Some healthcare workers may assume they are working collaboratively and are good team players.  A collaborative practice-ready health worker is a practitioner who has learned how to work in an interprofessional team and who is competent to do so (White et al., 2021). In light of this, interprofessional education may be needed for healthcare workers in order to achieve success.

Another approach is to implement frameworks that identify barriers in advance such as the Barriers Scale and An Organizational Readiness to Change Assessment instrument.  Many and varied translation frameworks and models have emerged to guide implementation efforts and ensure the adoption of evidence into routine practice (White et al., 2021).  It is knowledge through frameworks, that can assist the translation by identifying and addressing as many barriers in advance (White et al., 2021).  If a team is aware of the barriers in advance, this can lead to resolution prior to the challenge as the team can plan ahead how to overcome.

DNP role in promoting translation of evidence

The clinical nurse specialist (CNS), as an advanced practice nurse, has the primary goal of continuous improvement in patient outcomes and nursing care by creating clinical practice environments that reflect evidence-based practices and interventions (Westlake, 2012). As individual practitioners, we need to acknowledge and address these challenges and barriers, and institutions must also promote translation and address both individual and institutional barriers to both translation of evidence and to the practice of EBP (White et al., 2021). In light of this, it is the DNP’s role to create a health care culture that promotes translation of evidence for quality improvement. Furthermore, quality in safety in US hospitals is a concern. Nurses, who are integral point of care providers and members of that healthcare team, are charged with improving our healthcare system (White et al., 2021). Therefore, our voices need to be heard and it is critical that we understand our part in bringing evidence based research into practice to improve healthcare quality.

Advocating for quality improvement and social change

 In order to advocate effectively for lifesaving legislation, advocates must have clear and compelling scientific evidence to provide a basis for policy change (White et al., 2021).  It is widely recognized that the translation of research evidence into practice and policy is determined as much by the decision making context and other influences as by the evidence (White et al., 2021).  Transferring research knowledge into action is an extremely important task and it is widely accepted that successfully doing so can contribute to the delivery of better health services (White et al., 2021). However, there is still wide variation in the rate at which research and other evidence is used in practice (White et al., 2021). Actions and activities I can model to advocate for quality improvement and social change is to be a leader and to have effective communication.  This leadership, modeling IPC at all levels of the organization, requires articulating a clear, valued, and shared vision of collaboration among health professionals with a common and understandable purpose of that collaboration for translation and practice improvement (White et al., 2021).  We don’t see quality as just a clinical goal. It’s an enterprise wide priority that encompasses customer service, compliance, and wellness (White et al., 2021)

References

Dang, D. & Dearholt, S.L. (2018) Johns Hopkins nursing evidence-based practice: model and

            Guidelines. (3^rded.). Sigma Theta Tau International.

Kodama, Y., Okamoto, Y., Kubota, T., Hiroyama, Y., Fukami, H., Matsushita, K., & Kawano,

1. (2017). Effectiveness of Vitamin K2 on osteoporosis in adults with cerebral palsy.

            In Brain and Development 39(10), 846-850.

Westlake, C. (2012). Practical tips for literature synthesis. Clinical Nurse Specialist, 26(5),

            244-249. Retrieved from https://doi.org/10.1097/NUR.0b013e318263d766.

White, K.M., Dudley-Brown, S. & Terhaar, M.F. (2021). Translation of evidence into nursing

            And healthcare (3^rd ed.). Springer Publishing Company.

Sample Answer 4 for NURS 8114 Week 11: TRANSLATION OF EVIDENCE AND APPLICATION

Thank you for your contribution to the preceding discussion. Utilizing evidence and research findings is advantageous for providing efficient and effective patient care and enhancing nursing care quality. Evidence-based nursing practice can also hold nurses accountable for their own performance. However, there are a number of obstacles that can affect translation processes. I concur that a paucity of time can make it difficult for nurses to implement evidence-based practice in clinical settings. Because of emergency activities, time constraints are a concern. Some caregivers labor 24 hours per day. Even if they obtain various pieces of evidence from the library, they are unable to visit the library due to time constraints in the emergency ward. In addition, there are fewer nurses than emergency activities. Nurses are perpetually at work. They are robust. Due to their burden, nurses do not utilize evidence. There is no time for both patient care and reading. There is fatigue. Nonetheless, I believe that it is possible for nurses on the project team to translate evidence-based practice with appropriate time management and collaboration with the organization. One method is to request that the leadership dedicate one day per week to evidence-based practice for nurses (Bianchi et al., 2018).

Reference

Bianchi, M., Bagnasco, A., Bressan, V., Barisone, M., Timmins, F., Rossi, S., Pellegrini, R., Aleo, G., & Sasso, L. (2018). A review of the role of nurse leadership in promoting and sustaining evidence-based practice. JOURNAL OF NURSING MANAGEMENT, 26(8), 918–932. https://doi.org/10.1111/jonm.12638Links to an external site.

Curtis K. Fry M. Shaban R. Z. & Considine J. (2017). Translating research findings to clinical nursing practice. Journal of Clinical Nursing 862–872. https://doi.org/10.1111/jocn.13586Links to an external site.