NUR307: Chapter 19- Houser

Chapter 19Translating Research

into Practice

Research Translation

Translating research into practice is the final and most important step in the research process

Why Incorporate Research into Practice?

• Consumer demands

• Pursuit of Magnet designation

• Cost implications

• Effectiveness of interventions

• Regulatory requirements

• Healthy policy

• Quality and Patient Safety

Evidence from Research can be Applied to….

• Assessment processes

• Nursing diagnosis of patient problems

• Planning effective nursing care

• Implementing effective nursing interventions

• Evaluating nursing care

Ways to Aggregate Evidence

• Systematic review

• Integrative review

• Meta-analysis

• Meta-synthesis

• Practice Guideline

Characteristics of Reviews

• Use of objective criteria reduces bias

• Multiple studies enhance the credibility of recommendations

• Structured approach to the selection and evaluation of studies

• Produces a practice recommendation as an outcome

Steps of a Review

• Determine the background for the review• State the main review question• Develop inclusion and exclusion criteria for

populations, conditions, settings• Devise a search strategy• Develop study selection criteria• Determine study quality criteria• Carry out the review

Models of Research Utilization

• The Iowa Model of EBP– Identify a nursing problem and search the

literature– Determine the organizational priority of the

problem– Form a team to develop, implement and

evaluate the project– Assemble the relevant literature– Critique the literature and formulate

recommendations

The Johns Hopkins Model

• Practice question phase

• Evidence phase

• Translation phase

Integrating EBP in Magnet

• Establish a foundation for EBP

• Identify areas of concern

• Create internal expertise

• Implement evidence-based practice

• Contribute to a research study

Outcomes Focused Knowledge Translation at the Bedside

• Aimed at influencing nursing – sensitive outcomes

• Four elements:

- Sources of evidence

- Patient preferences

- Context of care

- Facilitation

Collaborative Model for Knowledge Translation

• Interactive model of knowledge transfer

• Includes two dimensions:

- Process: dynamic part of the model

- Content: translates knowledge from a program of research into practice

Ottawa Model

• Action-oriented model of knowledge translation• Three phases:

- Assessment: examines barriers to and facilitators for the research uptake project

- Monitoring: communication, feedback, and observation to reduce decisional conflict

- Evaluation: Review the process and outcomes to determine the quality of the decision making process