nur307: chapter 19- houser
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TRANSCRIPT
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Chapter 19Translating Research
into Practice
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Research Translation
Translating research into practice is the final and most important step in the research process
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Why Incorporate Research into Practice?
• Consumer demands
• Pursuit of Magnet designation
• Cost implications
• Effectiveness of interventions
• Regulatory requirements
• Healthy policy
• Quality and Patient Safety
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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
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Ways to Aggregate Evidence
• Systematic review
• Integrative review
• Meta-analysis
• Meta-synthesis
• Practice Guideline
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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
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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
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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
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The Johns Hopkins Model
• Practice question phase
• Evidence phase
• Translation phase
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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
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Outcomes Focused Knowledge Translation at the Bedside
• Aimed at influencing nursing – sensitive outcomes
• Four elements:
- Sources of evidence
- Patient preferences
- Context of care
- Facilitation
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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
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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