Discussion on challenges in translating and applying evidence to implement a quality improvement initiative

TRANSLATION OF EVIDENCE AND APPLICATION

A cell structureBased on your work in previous modules, you will wrap up the course with a Discussion on challenges in translating and applying evidence to implement a quality improvement initiative. Draw on your experience in your current or previous health care settings to consider specific barriers to address and opportunities to leverage in advocating for evidence-based practice quality improvement.


RESOURCES

LEARNING RESOURCES

Required Readings

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

Chapter 15, “Interprofessional Collaboration and Teamwork for Translation” (pp. 299–314)
Chapter 16, “Creating a Culture That Promotes Translation” (pp. 315–334)

Chapter 17, “Best Practices in Translation: Challenges and Barriers in Translation” (pp. 337–346)

Note: Read one or more of the following chapters based on the focus of your Discussion post:

Chapter 5, “Translation of Evidence for Improving Quality and Safety” (pp. 103–123) (Review from Week 10)

Chapter 6, “Translation of Evidence for Leadership” (pp. 125–147)

Chapter 14, “Information Technology: A Foundation for Translation” (pp. 287–298)

TO PREPARE:

Review the readings in the White, Dudley-Brown, and Terhaar text. With your current health care organization, or an organization you are targeting for your DNP Project, in mind, consider the area(s) of greatest challenge with regard to translating and applying evidence for a practice change initiative, e.g., leadership, technology, collaboration, stakeholder buy-in. Focus on the relevant text chapter(s) in your Discussion preparation.

Consider theories and best practice recommendations for addressing your identified challenges and barriers to translating and applying evidence that would support practice change initiatives.

Reflect on the philosophy of nursing practice that you developed in Modules 1–2. Consider your role as a DNP in creating an organizational culture that embraces evidence-based practice and quality improvement.

With these thoughts in mind …

Write a 2-3 page explanation of the challenges and barriers to translating and applying evidence for practice change in your target health care organization. Briefly explain your issue(s) of concern and describe specific approaches for addressing these challenges. Explain how you view your role as a DNP in creating a health care culture that promotes translation of evidence for quality improvement and explain why. Then, recommend actions and activities you could model and lead, including through an EBP QI project, to advocate for quality improvement and social change in nursing. Be specific and provide examples.

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