Discussion: Translation Models and Frameworks

Discussion: Translation Models and Frameworks

My Understanding of Translation Science

Quality improvement and evidence-based practice are commonly referred to regarding practice changes in my workplace.  Once a gap in practice or need for change is identified, our group usually looks to current best practices to guide and support our plan for improvement.  When I think of translation science, I think of the method of applying science to practice.  I would further describe it not only as the “how” but the “why”.  QI and EBP seem more practice-based while translation science is more research-based as “implementation science also aims to improve the quality of healthcare, but the approach is focused on systematic adoption and integration of evidence-based health intervention within a particular practice setting” (Boehm, 2020).

Applying Translation Science to my Practice Problem

There are many different major models of translation science framework and Roger’s Diffusion of Innovations model seems to apply to my practice problem as it focuses on the new idea of integrating ultrasound-guided peripheral IV insertion into practice.  This model is a 5 step innovation-decision process that I think will be integral to implementing this change in practice.  As this model supports, this is an innovative way of practice and it is not replacing but helping to improve our current practice, especially for difficult IV sticks.  The 5 stages of this model are knowledge, persuasion, decision, implementation and confirmation.  Every staff member will adapt to this new innovation differently and “the personal characteristics of those individuals involved with the innovation, as described previously, affect how early in the innovation-decision process each individual engages and begins to adopt the new idea” (white, Dudley-Brown & Terhaar, 2019, 36-37).  I think this model will help introduce this new idea and help individuals that are more prone to resist change understand the rationale of why this will help improve patient care and view it as an innovative tool.

References

Beeber, A., Palmer, C., Waldrop, J., Lynn, M., Jones, C., (2019). The role of Doctor of Nursing Practice-prepared nurses in practice settings. Nursing Outlook, 67(4), 354-364.

https://doi.org/10.1016/j.outlook.2019.02.006.

Boehm, L. M.,PhD.R.N.A.C.N.S.-B.C., Stolldorf, D. P.,PhD.R.N., & Jeffery, A. D.,PhD.R.N. (2020). Implementation science training and resources for nurses and nurse scientists. Journal of Nursing Scholarship, 52(1), 47-54. doi:http://dx.doi.org.ezp.waldenulibrary.org/10.1111/jnu.12510

Fiset, V. , Davies, B. , Graham, I. , Gifford, W. , Woodend, K. &  (2019). Developing guideline-based quality indicators.  International Journal of Evidence-Based Healthcare,  17 (2),  92-105.  doi: 10.1097/XEB.0000000000000160.

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

I enjoyed reading your post. i would like to add that ,Diffusion of innovation describes how a new idea, behavior, or item (an innovation) is disseminated to a population in a given period of time through specific avenues of communication (Rogers, 2003). I would say that Innovations are not always adopted even when they have apparent and clear-cut advantages.

Patient care should be scientific and research-based to get positive patient outcomes. Nurses do want to bring innovation in their practice which helps them provide effective and quality care. However, despite their knowledge of its importance and value, most nurses do not incorporate research findings into their practice. Because of lack of administrative support and mentorship, nurses lack authority to change practice, inadequate basic research knowledge, incomprehensible statistics, and insufficient time to implement change are the significant barriers for nurses’ utilization of research in practice and diffusion of innovation. As a result, the process of dissemination of innovation in our practice setting is very slow. Therefore, there is a need to develop some strategies to start up the process of innovation-diffusion.

References

Bennett, J., & Bennett, L. (2003). A Review of Factors that Influence the Diffusion of Innovation when Structuring a Faculty Training Program. Internet and Higher Education,6,53-63.

Rogers, E. M (2003). Diffusion of Innovations (5th ed.). New York: Free Press.