Translational Model for EBP QI Project
MY INITIAL PDISCUSSION POST
Translational Model for EBP QI Project
Translational Model for EBP QI Project
Evidence-based practice (EBP) refers to the application of research findings and knowledge in nursing practice, whereas translational science/research is the study of implementation interventions, factors, and contextual elments that influence knowledge uptake and application in nursing practice (Boehm et al., 2020). The objective of research is to discover practical approaches for practitioners to improve outcomes. Aligning with existing EBP efforts, translational science offers an effective strategy to attain this objective (Boehm et al., 2020). Nursing facilities should aim to align the enormous efforts being devoted in developing best practice standards with translational nursing research to speed up the translation of scientific findings from research into broader use in practice. Translational research studies the procedures and results of the implementation of evidence-based practices.
Translational science models can be applied to solve many nursing practice problems. One of the significant issues in my organization is healthcare-associated infections (HAIs). Also known as nosocomial infections, healthcare-acquired infections are infections patients get from healthcare facilities while being treated. HAIs can result in serious illness or death in some cases. Literature has constantly recognized the occurrence and undesirable complications from HAIs in the past few decades (Haque et al., 2018). HAIs cases continue to increase at an alarming rate, which is concerning. They threaten patient safety, not only in the US but also in other countries across the world. HAIs are usually linked to surgical or medical procedures where practitioners use devices such as catheters and ventilators. According to research, 1 in 25 patients in the US is affected by an HAI daily (Magill et al., 2018).
As a nurse, it is essential to develop evidence-based practice quality improvement project that aims to reduce HAIs. One of the evidence-based strategies that solves this problem is hand hygiene. Nurses and other healthcare providers need to clean their hands with soap or alcohol-based hand rubs when caring for patients. Hand washing should be done before and after caring for every patient. At our facility, we need to implement and enforce strict hand hygiene protocols for healthcare workers to ensure the efficiency of this evidence-based practice. Furthermore, healthcare staff must be educated on proper hand hygiene strategies and the significance of compliance. Another EBP is using catheters only when necessary and removing them as soon as they are no longer needed. Healthcare professionals should adhere to strict aseptic strategies during central line insertion and maintenance to prevent Central Line-Associated Bloodstream Infection (CLABSI) (Haque et al., 2018). According to Magill et al. (2018), 22% of all HAIs are surgical infections; therefore, healthcare professionals at my facility should administer appropriate preoperative antibiotics within the proper timeframe. They should also ensure that they prepare the skin properly before surgery and maintain sterile conditions during surgical procedures. Another EBP is to always wear hair covers, masks, gowns, and gloves when appropriate.
Translational science models facilitate the uptake of research findings and evidence-based practices into routine healthcare. For my proposed EBP QI project, I would select the Knowledge-to-Action (KTA) model. The model is perfect for my proposal because it would help me select appropriate implementation strategies. The model is unique because it begins with research evidence and the need to synthesize and translate it (White et al., 2019). It is well-situated to situations where one has a practice change they want to make and recommendations outlining how things should be done differently.
The first step of KTA is the identification of the problem. At this stage, I clearly define the issue of HAIs in my facility, giving an overview of the prevalence and populations most affected. The second step is knowledge creation, which involves reviewing existing research, clinical guidelines, and best practices aiding the prevention of HAIs. The third step is the adaptation of knowledge. At this step, I would customize the evidence-based approaches to my healthcare facility, taking into account resources and the challenges we face. The next step is assessing barriers and facilitators. At this step, I would identify the factors contributing to HAIs and those that can aid prevention. Barriers can be inadequate resources or non-compliance to infection control protocols. After identifying barriers and facilitators, the next step is developing interventions based on them. The succeeding steps are implementation, monitoring knowledge use, evaluating outcomes, and sustaining knowledge use. These comprehensive steps outlined by the KTA framework provide nurses looking to implement EBPs with a practical, systematic implementation strategy (White et al., 2019).
References
Boehm, L. M., Stolldorf, D. P., & Jeffery, A. D. (2020). Implementation science training and resources for nurses and nurse scientists. Journal of Nursing Scholarship, 52(1), 47-54.
Haque, M., Sartelli, M., McKimm, J., & Bakar, M. A. (2018). Health care-associated infections–an overview. Infection and drug resistance, 2321-2333.
Magill, S. S., O’Leary, E., Janelle, S. J., Thompson, D. L., Dumyati, G., Nadle, J., … & Edwards, J. R. (2018). Changes in prevalence of health care–associated infections in US hospitals. New England Journal of Medicine, 379(18), 1732-1744.
White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2019). Translation of evidence into nursing and healthcare. Springer Publishing Company.
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