NURS 8114 Week 6 Introduction to Science of Translation II

NURS 8114 Week 6 Introduction to Science of Translation II

NURS 8114 Week 6 Introduction to Science of Translation II

Interesting post. This is so nice that California is a union state and practices safe nurse-patient ratios. Unfortunately, in NJ it’s not like this, we get as many as 8 patients on a step-down unit to just one nurse. My organization is undergoing a severe nursing shortage because nurses are burnt out, at one point there was even a protest for safer ratios. It’s no surprise that higher registered nurse staffing levels in hospitals are associated with better patient outcomes and improved care quality (Griffiths et al., 2020). A solution should be introduced. As I conducted research I discovered in England there’s a tool used for nursing assignments. This tool is called The Safer Nursing Care Tool. Patients are allocated to one of five acuity/dependency categories with a weighting (described as a ‘multiplier’) to indicate the required staff to employ associated with patients in each category (Griffiths et al., 2020). This is a very useful tool because higher acuity patients can take away a lot of the nurse’s time leaving room for neglecting other patients and error. However, if the patient assignment is evenly split among acuity there is less room for error. There are other prototype approaches such as an indicator approach. In this system called the RAFAELA system Patients are assigned to one of four classifications, representing different amounts of care required, based upon a weighted rating of care needs across six dimensions (Griffiths et al., 2020). The six dimensions are based on the patient’s ambulatory status, ADL activity, emotional support, and education.

As I conducted more research, I discovered National policymakers and hospital executives often view hospital nurse staffing as an expense to be minimized as much as possible (Aiken et al., 2018). However, I believe leaving nurses in unsafe scenarios places patients in harm and nurses to burn out. Although, NJ isn’t unionized I believe in perhaps unit-based meetings these are issues that should be addressed and presented to the executives because patients are a priority but without nurses, there will not be patients. Nurses are a cost that should be recognized that is essential to practice safe patient care.

Reference

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Aiken, L. H., Ceron, C., Simonetti, M., Lake, E. T., Galiano, A., Garbarini, A., … & Smith, H. L. (2018). Hospital nurse staffing and patient outcomes. Revista Médica Clínica Las Condes29(3), 322-327.

Griffiths, P., Saville, C., Ball, J., Jones, J., Pattison, N., Monks, T., & Safer Nursing Care Study Group. (2020). Nursing workload, nurse staffing methodologies and tools: A systematic scoping review and discussion. International Journal of Nursing Studies103, 103487.

“Change” as a word is somewhat abstract. The same could be said of the phrase “science of translation.” But as you likely know from your nursing experience, change is not abstract for those working to make it happen or those implementing—or adjusting to—a new protocol or procedure.

A significant part of your work in this module involves focusing on stakeholders in an EBP QI project. As you have identified practice sites, you have identified staff members within each setting who would have a say in the approval and a hand in the success of a quality improvement initiative. It is vital to keep those professionals in your sights and to speak with language that will have meaning for them. Consider in a health care setting where “quality improvement” is not formalized through an office or department and how differences in approach and nuance may be required.

As you complete your module Assignment this week, pay particular attention to the presentation you are preparing and how you are applying the science of translation to ensure your EBP QI aims and outcomes are fully understood.

Learning Objectives

Students will:

  • Compare health care settings for quality improvement projects
  • Justify practice problems for quality improvement
  • Analyze site and stakeholder requirements for quality improvement projects in nursing practice settings
  • Compare stakeholder requirements for quality improvement projects across nursing practice settings
  • Evaluate translation science frameworks and models for application to practice problems
  • Apply implementation science frameworks/models for evidence-based practice quality improvement projects

Learning Resources

Required Readings (click to expand/reduce)

White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2019). Translation of evidence into nursing and healthcare (3rd ed.). Springer.

  • Chapter 4, “Translation of Evidence to Improve Clinical Outcomes” (pp. 77–102)

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. https://doi.org/10.1111/jnu.12510

(Review from Weeks 4 and 5)

Dunagan, P. B. (2017). The quality improvement attitude survey: Development and      preliminary psychometric characteristics. Journal of Clinical Nursing, 26(23–24), 5113–5120. https://doi.org/10.1111/jocn.14054

(Review from Weeks 4 and 5)

Hammersla, M., Belcher, A., Ruccio, L. R., Martin, J., & Bingham, D. (2021). Practice and quality improvement leaders survey of expectations of DNP graduates’ quality improvement expertise. Nurse Educator [Epub ahead of print]. https://doi.org/10.1097/NNE.0000000000001009

NURS 8114 Week 6 Introduction to Science of Translation II

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(Review from Weeks 4 and 5)

Jones-Schenk, J., & Bleich, M. R. (2019). Implementation science as a leadership and doctor of nursing   practice competency. The Journal of Continuing Education in Nursing, 50(11), 491–492. https://doi.org/10.3928/00220124-20191015-03

(Review from Weeks 4 and 5)

Powell, B. J., Waltz, T. J., Chinman, M. J., Damschroder, L. J., Smith, J. L., Matthieu, M. M., Proctor, E. K., & Kirchner, J. E. (2015). A refined compilation of implementation strategies: Results from the Expert Recommendations for Implementing Change (ERIC) project. Implementation Science, 10:21. https://doi.org/10.1186/s13012-015-0209-1

(Review from Weeks 4 and 5)

Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention research. Nursing Outlook, 68(4), 396–405. https://doi.org/10.1016/j.outlook.2020.01.007

(Review from Weeks 4 and 5)

Shea, C. M., Jacobs, S. R., Esserman, D. A., Bruce, K., & Weiner, B. J. (2014).                Organizational readiness for implementing change: A psychometric assessment of a new measure. Implementation Science, 9(7), 1–15.

(Review from Weeks 4 and 5)

Document: Handout: Preparing for an EBP QI Presentation to Stakeholders at a Practice Site (Word document)

(Review from Weeks 4 and 5.) 

Required Media (click to expand/reduce)

Walden University. (2021). DNP glossary [Interactive media]. Walden University Blackboard. https://class.waldenu.edu

Module 3 Assignment: Exploring EBP Quality Improvement

Continue working on your Module 3 Assignment to complete this week. Keep in mind that the key requirements are to identify a hypothetical practice problem as the focus of an evidence-based quality improvement project; a hypothetical health care setting for the project based on investigating actual sites; stakeholders for project approval and implementation within health care settings; and a presentation outlining the basic steps of a specific framework/model for translating research and evidence to improved practice.

Although “hypothetical” is the watchword for this Assignment, the substantial effort you have invested and the information and insights obtained can pay real dividends as you begin your DNP project in earnest.

Photo Credit: [Steve Hix/Fuse]/[None]/Getty Images

The Assignment

Part 1: Key Project Elements

Complete your paper of 6–8 pages, plus cover page and references page, explaining your investigation of three hypothetical practice sites for an EBP QI project.

Part 2: Implementation Science Presentation

Complete your PowerPoint presentation of 3–5 slides, plus cover and reference slides, to inform hypothetical stakeholders.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting.

By Day 7 of Week 6

Submit Parts 1 and 2 of your Assignment (Word document and PowerPoint document).

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “M3Assgn+last name+first initial.(extension)” as the name.
  • Click the Module 3 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Module 3 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “M3Assgn+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

Module 3 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Module 3 Assignment draft and review the originality report.

Submit Your Assignment by Day 7 of Week 6

To participate in this Assignment:

Module 3 Assignment

What’s Coming Up in Module 4!

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

In the next module, you will take a deep dive into the components of evidence-based practice, with attention to analyzing and synthesizing evidence to support a nursing practice. You will begin Week 7 with exploring how to identify the critical question in a practice issue that will produce the relevant evidence you seek.

Module 4 Assignment: Literature Review

A literature review will be part of the Module 4 Assignment, which you will begin in Week 8. You will find both required and optional Learning Resources in the Walden Library to help facilitate your search and evaluation of scholarly sources. Reflect on your experiences and success to date with scholarly searches in the library and look for additional guidance, as needed.

Next Module

To go to the next module:

Module 4

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