NUR 550 Evidence-Based Practice Project Proposal Identification of Nursing Practice Problem Assignment

NUR 550 Evidence-Based Practice Project Proposal Identification of Nursing Practice Problem Assignment

NUR 550 Evidence-Based Practice Project Proposal Identification of Nursing Practice Problem Assignment

PICOT Draft

Name_____________________________________                                                                                                                                                        

Part 1:

The selected nursing problem for the project is catheter-associated urinary tract infections (CAUTIs). CAUTIs are infections that patients develop following their insertion with urinary catheters. The issue was selected because of it is a safety and quality issue in nursing practice that is preventable (Smith et al., 2019). Statistics shows that CAUTIs affect about 11 million people in America and 150 million people globally annualy. The statistics make CAUTIs the leading type of hospital-acquired infection globally (Flores-Mireles et al., 2019). CAUTIs have adverse health effects. They act as a source of immense disease burden to the population due to their associated costs. CAUTs prolonge the patients’ hospital stay, demand for specialized care, which increase unnecessary costs for them. CAUTIs may also result in complications such as septicemia, which can lead to death. The risk factors associated with CAUTIs include the use of septic techniques, prolonged catheterization, and poor catheter care by the nurses and other healthcare providers. The topic of CAUTIs is relevant to nursing practice because nurses are primarily involved urinary catheter insertion, care, and removal. The actions they take determine the predisposition of patients to urinary tract infections following catheterization (Podkovik et al., 2019). Therefore, the problem should examined to inform the utilization of best practices in catheter insertion, care, and removal.

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Part II: In the table below, describe the population and the intervention. (You will continue drafting the PICOT, completing the shaded areas in Topic 3.)

References

Flores-Mireles, A., Hreha, T. N., & Hunstad, D. A. (2019). Pathophysiology, Treatment, and Prevention of Catheter-Associated Urinary Tract Infection. Topics in Spinal Cord Injury Rehabilitation, 25(3), 228–240. https://doi.org/10.1310/sci2503-228

Podkovik, S., Toor, H., Gattupalli, M., Kashyap, S., Brazdzionis, J., Patchana, T., Bonda, S., Wong, S., Kang, C., Mo, K., Wacker, M. R., Miulli, D. E., & Wang, S. (2019). Prevalence of Catheter-Associated Urinary Tract Infections in Neurosurgical Intensive Care Patients—The Overdiagnosis of Urinary Tract Infections. Cureus, 11(8), e5494. https://doi.org/10.7759/cureus.5494

Smith, D. R. M., Pouwels, K. B., Hopkins, S., Naylor, N. R., Smieszek, T., & Robotham, J. V. (2019). Epidemiology and health-economic burden of urinary-catheter-associated infection in English NHS hospitals: A probabilistic modelling study. The Journal of Hospital Infection, 103(1), 44–54. https://doi.org/10.1016/j.jhin.2019.04.010

Part 1: Propose a relevant nursing practice problem for an evidence-based practice project. Explain why you selected this topic and how it is relevant to advance nursing practice. Include one research article that demonstrates support for the nursing practice problem.

To provide optimal health care, nurses should work without being overwhelmed and always ready to serve all populations. However, the number of patients visiting health care facilities because of obesity and related complications has surged in the last decade. Some of the most at-risk population segments are school-age children and adolescents. My nursing practice problem for an evidence-based practice project is obesity among school-age children. Robinson et al. (2017) found that vulnerability to obesity has increased among children due to unhealthy lifestyles associated with sedentary living, such as watching television and gaming for a long time. I selected this topic since obesity is among the health care issues increasing mortality and morbidity rates in children as its prevalence increases. Being at risk of obesity implies that school-age children will be more exposed to chronic illnesses, such as heart disease and diabetes, and reduced quality of life (Che et al., 2018; De Lorenzo et al., 2019). Such adverse health outcomes increase illness burden in health care organizations, families, and society and increase nurses’ workload. In response, nurses should explore health care issues affecting population health and directly impacting their work and provide evidence-based interventions. I found the article by Stiglic and Viner (2019) to be relevant to the issue and directly supporting the nursing practice problem. Stiglic and Viner (2019) confirmed that obesity hampers children’s well-being, and interventions such as reducing screen time effectively reduce obesity rates. To improve health outcomes, nurses can also help patients and families to understand the risks of obesity and educate them on the recommended amount of screen time for children while encouraging parents to regulate the time that children spend on the screens.

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Part II: In the table below, describe the population and the intervention. (You will continue drafting the PICOT, completing the shaded areas in Topic 3.)
PICOT Question
P Population School-age children with obesity
Obesity among school-age children has reached epidemic levels in the United States. De Lorenzo et al. (2019) described obesity as significant public health concern since it affects the physical, psychological, and cardiovascular health of the affected populations. Data from 2015-2016 shows that 1 in 5 children in the United States aged 6 to 19 years has obesity, and the rate has tripled since the 1970s (Centers for Disease Control and Prevention, 2018). Risk factors include poor eating habits, lack of physical activity, genetics, and negative childhood events. Therefore, immediate, evidence-based, and population-driven interventions are necessary to reduce the surging rates.

I Intervention Reducing screen time

Increased screen time is among the unhealthy lifestyles reducing the level of physical activity among school-age children. According to Robinson et al. (2017), screen media exposure increases obesity levels by encouraging more eating while viewing, reducing sleep duration, and increasing the possibility of taking sugary and low-nutrient foods. In addition, more screen time also exposes children to marketing that influences their eating habits and preferences. As a result, reducing screen time is a perfect intervention to keep children from these dangers to reduce obesity incidence.

Learners will select a valid nursing practice problem for an evidence-based practice project proposal. The project will be completed in sections, beginning in NUR-550 and culminating in a final written paper detailing the evidence-based practice proposal in NUR-590.

The purpose of this assignment is to select a relevant nursing practice problem for your evidence-based practice project proposal. To identify a relevant problem, consider problems generally faced in nursing practice (coordination of health care, assessment, education, patient support, trauma prevention, recovery, health screenings, etc.).  Use the “PICOT Draft” template to complete this assignment.

Use a national, state or local population health care database to research indicators of disparity. Choose a mortality/morbidity indicator to identify a clinical problem or issue that you want to explore pertaining to a population of focus. Use this indicator to begin to formulate a PICOT statement.

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence based practice project proposal assignments.

You are required to cite one peer-reviewed source to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite. t

PICOT Draft

Name_____________________________________

Part 1: Propose a relevant nursing practice problem for an evidence-based practice project. Explain why you selected this topic and how it is relevant to advance nursing practice. Include one research article that demonstrates support for the nursing practice problem.

Part II: In the table below, describe the population and the intervention. (You will continue drafting the PICOT, completing the shaded areas in Topic 3.)
PICOT Question
P Population
I Intervention
C Comparison
O Outcome
T Timeframe
PICOT

Problem Statement

Course Code Class Code Assignment Title Total Points
NUR-550 NUR-550-O503 Evidence-Based Practice Project Proposal: Identification of Nursing Practice Problem 10.0

Optional: ThinkingStorm

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For additional information, the following is recommended:

Grammarly is an online writing assistance application that reviews written submissions and suggests context-specific corrections for grammar, spelling, word usage, wordiness, style, punctuation, and plagiarism. The reasoning for each suggested correction is provided, allowing users to make informed decisions about how to correct writing issues.

Grammarly can be installed as free browser extension, though Grammarly Premium requires an annual subscription. This subscription is not a GCU-required purchase.

NUR-550 Course Objectives

Description:

In this course, the student will:

1. Explore research articles, nursing and related theories, applying levels of evidence, and theoretical frameworks to identify quality research studies.
2. Demonstrate understanding of scientific inquiry, knowledge generation, utilization, and dissemination in advanced nursing practice.
3. Evaluate the evidence for potential solutions/innovations that can potentially solve a health care issue and improve patient outcomes.
4. Identify gaps in nursing knowledge and evidence-based practice that can potentially be resolved by planning and implementing a practice change project.
5. Formulate a clinically researchable question amenable to an innovative evidence-based practice change proposal.
6. Write a scholarly literature review that supports a clinically researchable question amenable to an innovative evidence-based practice change proposal.
7. Evaluate health policy and advocacy issues for the purpose of improving health care outcomes.
8. Engage in scientific inquiry into the state of health care delivery, patient-centered care, and ethical principles related to health beliefs, health promotion, and risk reduction of diverse populations.
9. Propose quality improvement initiatives that advance the delivery of safe, high-quality health care.
10. Use principles from epidemiology, biostatistics, genetics, genomics, and cultural competence to guide comparisons of various patient populations.

Criteria Percentage Unsatisfactory (0.00%) Less Than Satisfactory (80.00%) Satisfactory (88.00%) Good (92.00%) Excellent (100.00%)
Content 100.0%

Population 25.0% The population is not described. The description for the population is incomplete, or the information for the population is inaccurate. A summary of the population is presented. More information is needed. Revision is required. The population is described. Minor detail is needed for clarity or accuracy. Minor revision is needed. The population is thoroughly and accurately described. No revision is needed.

Nursing Practice Problem (relevant to nursing practice, appropriate for an evidence-based practice project proposal, supported by current research) 35.0% A problem was not submitted. A proposed problem is presented but is not relevant to nursing practice. The nursing practice problem lacks support from current research. A new nursing practice problem must be selected. A relevant nursing practice problem for an EBP project proposal is presented and is generally supported by a current research article. Some information or revision is required. The explanation for why the topic is selected and its relevance to advance nursing practice is somewhat unclear.

The nursing practice problem is conditionally approved; final approval is contingent upon revision. A relevant nursing practice problem for an EBP project proposal is presented and is adequately supported by a current research article. Minor revision is needed for the nursing practice problem. An explanation for why the topic is selected and its relevance to advance nursing practice is presented. The nursing practice problem is conditionally approved; final approval is contingent upon revision. The proposed problem is highly relevant to nursing practice, strongly supported by a current research article, and excellent for an evidence-based practice project. A clear explanation for why the topic is selected and relevant to advance nursing practice is presented. The nursing practice problem is approved. No revision is needed. 

Intervention 25.0% The proposed intervention is not described. The proposed intervention is incomplete, or the proposed intervention is not relevant to the population or problem. The proposed intervention is generally described and adequate to the nursing practice problem and the population. More information needed. Revision is required. The proposed intervention is described and adequate to the nursing practice problem and the population. Minor detail is needed for clarity. Minor revision is needed. The proposed intervention is clearly described and relevant to the nursing practice problem and the population. No revision is needed.

Required Sources 5.0% Sources are not included. Number of required sources is only partially met. Number of required sources is met, but sources are outdated or inappropriate. Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content. Number of required resources is met. Sources are current and appropriate for the assignment criteria and nursing content. 

Mechanics of Writing (includes spelling, punctuation, grammar, and language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. The writer is clearly in command of standard, written, academic English. 

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. “The writer is clearly in command of standard, written, academic English.
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.”

Re: Topic 1 DQ 1

Evidence-based practice (EBP) is the process of combining evidence from studies, clinical expertise and patient values and preferences to come to a conclusion to promote the best patient-centered care (Nurse.com, 2021). However, it has been noted that much evidence-based practice takes time to be implemented into practice, and often does not progress past being published in a professional journal (Weiss et al., 2018). According to Titler (2018), there is a gap between EBP recommendations and the actual implementation of said recommendations to help improve patient care. Given this, translational research is utilized. Translational research is the process by which evidence-based interventions are incorporated into real-life, clinical settings (Melnyk & Fineout-Overholt, 2019). The process of translational research falls under the umbrella of translational science, in which EBP interventions are utilized and put into place to help improve patient care and outcomes, as well as the health of the overall population (Titler, 2018).

Although both EBP and translational research are related, they are not to be used interchangeably (Titler, 2018). According to Titler (2018), EBP is the application of evidence while translational research is the implementation of the evidence into practice. This includes executing knowledge, research designs and methods into real-life in practice, communities and public health settings. Translational research focuses on applying these EBP interventions to help improve patient outcomes, and to determine what strategies work for whom, why they work, and in what environment they work in (Titler, 2018).

There are five phases of translational research, which are known as “bedside to community” (Titler, 2018). The first phase, T0, refers to basic science research which includes preclinical and animal studies. After this, a phase 1 clinical trial must be done, to test the safety in a small group of humans, which is known as the T1 phase. The next phase of translational research, T3, includes both phase 2 and 3 clinical trials which tests the safety in a larger group of people and allows for comparison of common treatments. Phase four, or T4, includes phase 4 clinical trials and outcomes research which can be applied into practice. Lastly, phase five (T5) consists of a translation to the community, in which the larger population outcomes research is obtained (Titler, 2018). Translational research can be seen with the implementation of vaccinations. After evidence and research is conducted in regard to the particular disease and vaccine components, the application of the scientific evidence can be applied in trials to see how the product of the research can be used effectively in practice (Centers for Disease Control and Prevention, 2020).

NUR 550 Evidence-Based Practice Project Proposal Identification of Nursing Practice Problem Assignment References

Centers for Disease Control and Prevention. (2020, December 17). Topic area 5: Translational

          research. https://www.cdc.gov/niosh/programs/review/ecb/topic5.html

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing &

          healthcare: A guide to best practice. Wolters Kluwer.

Nurse.com. (2021). Evidence-based practice. https://www.nurse.com/evidence-based-practice

Titler, M. G. (2018). Translation Research in Practice: An Introduction. Online Journal of Issues

in Nursing, 23(2), 1. https://doi-org.lopes.idm.oclc.org/10.3912/OJIN.Vol23No02Man01

Weiss, M. E., Bobay, K. L., Johantgen, M., & Shirey, M. R. (2018). Aligning Evidence-Based

Practice With Translational Research: Opportunities for Clinical Practice Research.

JONA: The Journal of Nursing Administration, 48(9), 425–431.

https://doi-org.lopes.idm.oclc.org/10.1097/NNA.0000000000000644

https://doi-org.lopes.idm.oclc.org/10.1097/NNA.0000000000000644

https://doi-org.lopes.idm.oclc.org/10.1097/NNA.0000000000000644

Translational research and evidence-based practice (EBP) are disciplines that are concerned with advancement and while they go hand in hand, they are not interchangeable. Translational research “…provides a scientific base for guiding the selection of implementation strategies to promote adoption of EBPs in real-world settings” (Titler, 2018).

Translational research has been described as ‘knowledge to action’, ‘bench to bedside’, and ‘science to medicine’. Translational research asks “…how do we use our knowledge to treat disease?” (Starks, 2022). Translational research is very important because it reduces the time research findings are implemented into practice; there is evidence that “…it may take up to 17 years for research findings to be taken into practice” (Lane-Fall et al., 2019), and this gap in time can negatively affect patient outcomes, in the case of healthcare, although translational research can be used for different industries as well. 

The stages of translational research pre-clinical, translational, clinical, and applied research. Pre-clinical research is considered basic research that takes place in a laboratory, and is carried out from cells to animals, such as mice; it is asking how things work, how does a virus affect a cell for example. Translational research focuses on how to fix the disease. Clinical research is where possible treatments are tested, and it includes studies and clinical trials which includes people; this is the stage in which the process of a disease is known, and treatment is researched and or tested to see if it works. Applied research is the stage in which scientists explore existing treatments and try to improve upon it (Starks, 2022).

The stages/levels are also known as T0/Basic, T1/Testing (in small groups), T2/Testing (in larger groups), T4/Translational to Practice, and T5/Translation to community (Titler, 2018). Translational science is a growing field because it is necessary to translate research into practice for better health outcomes without the current long delays.

References

Lane-Fall, M. B., Curran, G. M., & Beidas, R. S. (2019, June 28). Scoping implementation science for the beginner: Locating yourself on the “Subway Line” of Translational Research – BMC Medical Research Methodology. BioMed Central. Retrieved January 21, 2023, from https://bmcmedresmethodol.biomedcentral.com/articles/10.1186/s12874-019-0783-z#citeas

Starks, A. (2022, April 20). What is translational research? with dr Amanda Stranks. YouTube. Retrieved January 21, 2023, from https://www.youtube.com/watch?v=LHAm-ITLzY4

Titler, M. G. (2018). Translation Research in Practice: An Introduction. Online Journal of Issues in Nursing, 23(2), 1. https://doi-org.lopes.idm.oclc.org/10.3912/OJIN.Vol23No02Man01

The type of translational research conducted in this study was T1. T1 translational research involves the development of treatments and interventions (Vukotich, 2016). In this study, a multidisciplinary approach was employed to improve nutrition in preterm neonates. Although approved nutritional guidelines were in place, routine chart audits revealed noncompliance (Page et al., 2017). Therefore, an evidence–practice gap existed. The researchers’ goal was to identify barriers to the timely delivery of the appropriate nutrition in a tertiary‐level Neonatal Critical Care Unit through the development of an implementation project to ensure best practices (Page et al., 2017). Information was obtained via individual interviews with medical and nursing staff and digitally recorded with informed consent of the participants (Page et al., 2017). After analysis of the interview questions, the data highlighted inconsistent practice and a lack of adherence to guidelines regarding nutritional support as a barrier to achieving optimal early nutrition (Page et al., 2017). As a result of this study, appropriate and specific interventions were developed, implemented, and evaluated (Page et al., 2017).

T1 translational research was conducted because interventions were needed to increase compliance with following nutritional guidelines in the treatment of preterm neonates. New knowledge was gained to enhance patient care and improve patient outcomes. Furthermore, the interventions developed were intended to change behaviors and bridge the evidence–practice gap.

NUR 550 Evidence-Based Practice Project Proposal Identification of Nursing Practice Problem Assignment References

Page, D., Gilroy, M., Hurrion, E., Clark, L., & Wilkinson, S. (2017). Optimising early neonatal nutrition using translational research methodology. Nutrition & Dietetics, 74(5), 460–470. https://doi-org.lopes.idm.oclc.org/10.1111/1747-0080.12333

Vukotich, C. J., Jr. (2016). Challenges of T3 and T4 translational research. Journal of Research Practice, 12(2). Retrieved from http://jrp.icaap.org/index.php/jrp/article/view/552/454

Topic 1 DQ 2

Using the GCU Library (notably the GCU Library: Nursing and Health Sciences Research Guide), find a database, journal, or other collection of resources that focuses on translational research. Select a population health problem or issue of interest from the available studies. What type of translational research is used for the study? Provide rationale as to why this is the best.

Re: Topic 1 DQ 2

Incidences of stroke in the U.S. have declined in the past few years for the first time in history. However, stroke incidence among older adults has always been higher than younger adults, especially older women (Portz et al., 2018). Older adults of 80 years and above make about 17% of all stroke patients and are at high risk of mortality and prolonged hospital stays (Portz et al., 2018). This journal is in phase T4 type of translational research, where the information obtained in the previous stages is disseminated and implemented. This translational research aimed to investigate the impact of physical fitness and exercises for older adults with chronic stroke. A large body of literature has examined the correlation between self-management intervention such as physical fitness and exercise and chronic stroke. For instance, Schmid et al. (2014) observed that patients with chronic stroke showed physical improvements like body balance after enrolling in a yoga program that involved physical activities such as walking.

Based on the previous literature, Portz et al. (2018) used the information to investigate whether physical fitness and exercise would be used as a clinical intervention for managing chronic stroke. After implementing the information, Portz et al. (2018) found that it is essential for health care professionals to incorporate self-management interventions such as physical fitness and exercise in managing chronic stroke among older adults. This will improve their quality of life, strength, and endurance by incorporating yoga practice. Furthermore, this kind of research will encourage more health care researchers to conduct translational research to reach phase 4 (T4), where yoga practice can be used as an evidence-based intervention for chronic stroke.

NUR 550 Evidence-Based Practice Project Proposal Identification of Nursing Practice Problem Assignment References

Portz, J. D., Waddington, E., Atler, K. E., Van Puymbroeck, M., & Schmid, A. A. (2018). Self-management and yoga for older adults with chronic stroke: A mixed-methods study of physical fitness and physical activity. Clinical Gerontologist, 41(4), 374–381. https://doi-org.lopes.idm.oclc.org/10.1080/07317115.2016.1252453

Schmid, A. A., Miller, K. K., Van Puymbroeck, M., & DeBaun-Sprague, E. (2014). Yoga leads to multiple physical improvements after stroke, a pilot study. Complementary Therapies in Medicine, 22(6), 994–1000. https://doiorg.lopes.idm.oclc.org10.1016/j.ctim.2014.09.005

Topic 1 DQ 1

Identify the different levels of translational research. Explain how translational research is different from evidence-based practice and discuss application to population health management.

Discussion Question 2

The selected population health problem for this discussion question is depression. Depression is a mental health disorder characterized by depressed mood, anhedonia, changes in appetite and body weight. The treatment of depression mainly aims at symptom reduction and improvement of the patient’s quality of life (Kraus et al., 2019). The study by Latendresse et al., (2021) is an example of a translational study that focused on depression. The researchers conducted a pilot study to determine the effectiveness of videoconference intervention in reducing perinatal depressive symptoms. The study sample comprised pregnant and postpartum women that participated in an 8-week mindfulness cognitive behavioral intervention that was delivered through videoconferencing platform. The results of the pilot study showed that the delivery of cognitive behavioral interventions via videoconferencing was promising. There were the reductions in the Edinburgh Postnatal Depression Scale scores among the participants by the end of the investigation. The implication was that their risk of developing depression during the postnatal and antenatal periods were significantly reduced.

The study by Latendresse et al., (2021) is a T4 translation research. The pilot study examined the factors and interventions in healthcare that can be used to enhance population health. The study was also a population-level outcome study that offered insight into the effectiveness of technological interventions in managing depression. The intervention was also tested on a large scale using human subjects, which make it T4 translational research.

NUR 550 Evidence-Based Practice Project Proposal Identification of Nursing Practice Problem Assignment References

Kraus, C., Kadriu, B., Lanzenberger, R., Zarate Jr., C. A., & Kasper, S. (2019). Prognosis and improved outcomes in major depression: A review. Translational Psychiatry, 9(1), Article 1. https://doi.org/10.1038/s41398-019-0460-3

Latendresse, G., Bailey, E., Iacob, E., Murphy, H., Pentecost, R., Thompson, N., & Hogue, C. (2021). A Group Videoconference Intervention for Reducing Perinatal Depressive Symptoms: A Telehealth Pilot Study. Journal of Midwifery & Women’s Health, 66(1), 70–77. https://doi.org/10.1111/jmwh.13209

Re: Topic 1 DQ 1

Topic 1 DQ 2

Using the GCU Library (notably the GCU Library: Nursing and Health Sciences Research Guide), find a database, journal, or other collection of resources that focuses on translational research. Select a population health problem or issue of interest from the available studies. What type of translational research is used for the study? Provide rationale as to why this is the best.

Re: Topic 1 DQ 2

Part 1:

Nurses are professionally and ethically mandated to promote safe workplaces for optimal patient care. In the current nursing practice, nursing professionals achieve this objective by addressing nursing problems through evidence-based interventions. Nursing burnout is widespread in clinical care, considering that approximately 35%-45% of nurses are burned out in the United States (Schlak et al., 2021). The problem is multifaceted and stems from multiple factors, including a high workload, high job turnover rates, inadequate sleep, and stressful work environments. Research shows that the rate of nurse burnout increases proportionately with an increase in nurses’ psychological stress (Al Sabei et al., 2022). To underline the significance of nurse burnout as a practice problem, it is crucial to explore its profound impacts.

The article by Schlak et al. (2021) demonstrates the importance of addressing nurse burnout by underlining that the risk of patient adverse events and patient mortality is about 8% when being attended to by nurses experiencing burnout. Length of stay is also high in environments with a high prevalence of nurse burnout. As a result, evidence-based interventions for reducing workplace stress can cushion nurses against burnout and improve patient care outcomes.

Part II: In the table below, describe the population and the intervention. (You will continue drafting the PICOT, completing the shaded areas in Topic 3.)

NUR 550 Evidence-Based Practice Project Proposal Identification of Nursing Practice Problem Assignment References

Al Sabei, S. D., Al‐Rawajfah, O., AbuAlRub, R., Labrague, L. J., & Burney, I. A. (2022). Nurses’ job burnout and its association with work environment, empowerment and psychological stress during COVID‐19 pandemic. International Journal of Nursing Practice, 28(5), e13077. https://doi.org/10.1111/ijn.13077

Babapour, A. R., Gahassab-Mozaffari, N., & Fathnezhad-Kazemi, A. (2022). Nurses’ job stress and its impact on quality of life and caring behaviors: a cross-sectional study. BMC Nursing, 21(1), 1-10. https://doi.org/10.1186/s12912-022-00852-y

Fadzil, N. A., Heong, W. O., Kueh, Y. C., & Phang, C. K. (2021). The effect of a mindfulness-based intervention on nurses in Kelantan, Malaysia. The Malaysian Journal of Medical Sciences: MJMS, 28(6), 121–128. https://doi.org/10.21315/mjms2021.28.6.12

Huberty, J., Green, J., Glissmann, C., Larkey, L., Puzia, M., & Lee, C. (2019). Efficacy of the mindfulness meditation mobile app “calm” to reduce stress among college students: Randomized controlled trial. JMIR mHealth and uHealth, 7(6), e14273. https://doi.org/10.2196/14273

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

Schlak, A. E., Aiken, L. H., Chittams, J., Poghosyan, L., & McHugh, M. (2021). Leveraging the work environment to minimize the negative impact of nurse burnout on patient outcomes. International Journal of Environmental Research and Public Health, 18(2), 610. https://doi.org/10.3390/ijerph

Translational research and evidence-based practice (EBP) are disciplines that are concerned with advancement and while they go hand in hand, they are not interchangeable. Translational research “…provides a scientific base for guiding the selection of implementation strategies to promote adoption of EBPs in real-world settings” (Titler, 2018).

Translational research has been described as ‘knowledge to action’, ‘bench to bedside’, and ‘science to medicine’. Translational research asks “…how do we use our knowledge to treat disease?” (Starks, 2022). Translational research is very important because it reduces the time research findings are implemented into practice; there is evidence that “…it may take up to 17 years for research findings to be taken into practice” (Lane-Fall et al., 2019), and this gap in time can negatively affect patient outcomes, in the case of healthcare, although translational research can be used for different industries as well. 

The stages of translational research pre-clinical, translational, clinical, and applied research. Pre-clinical research is considered basic research that takes place in a laboratory, and is carried out from cells to animals, such as mice; it is asking how things work, how does a virus affect a cell for example. Translational research focuses on how to fix the disease. Clinical research is where possible treatments are tested, and it includes studies and clinical trials which includes people; this is the stage in which the process of a disease is known, and treatment is researched and or tested to see if it works. Applied research is the stage in which scientists explore existing treatments and try to improve upon it (Starks, 2022).

The stages/levels are also known as T0/Basic, T1/Testing (in small groups), T2/Testing (in larger groups), T4/Translational to Practice, and T5/Translation to community (Titler, 2018). Translational science is a growing field because it is necessary to translate research into practice for better health outcomes without the current long delay.

References

Lane-Fall, M. B., Curran, G. M., & Beidas, R. S. (2019, June 28). Scoping implementation science for the beginner: Locating yourself on the “Subway Line” of Translational Research – BMC Medical Research Methodology. BioMed Central. Retrieved January 21, 2023, from https://bmcmedresmethodol.biomedcentral.com/articles/10.1186/s12874-019-0783-z#citeas

Starks, A. (2022, April 20). What is translational research? with dr Amanda Stranks. YouTube. Retrieved January 21, 2023, from https://www.youtube.com/watch?v=LHAm-ITLzY4

Titler, M. G. (2018). Translation Research in Practice: An Introduction. Online Journal of Issues in Nursing, 23(2), 1. https://doi-org.lopes.idm.oclc.org/10.3912/OJIN.Vol23No02Man01