NR 702 Week 5 Discussion
Student Name
Chamberlain University
NR-702: DNP Project & Practicum I
Prof. Name
Date
Purpose of the Discussion
The purpose of this week’s discussion is to examine a translation science model as the foundation for moving research into practice. The focus is on applying theoretical frameworks to implement evidence-based interventions effectively while ensuring sustainability in clinical settings.
Instructions
Review this week’s readings and provide a response in 150 words or less to the following questions:
- State your practice question in PICOT format.
- Analyze the process of research translation into practice through a summary of the translational science or theoretical model you selected to support your project implementation. Include the major phases or constructs of the model in your explanation.
PICOT Question
For emergency room nurses, does the implementation of the World Health Organization (WHO) multimodal hand hygiene improvement strategy, compared to current practice, impact perceived hand hygiene knowledge in 8–10 weeks?
Translational Science Model: Knowledge-to-Action (KTA) Framework
The Knowledge-to-Action (KTA) framework is a widely recognized model that provides a systematic approach to bridging the gap between evidence generation and practical application in healthcare (Graham et al., 2006). The framework emphasizes two main components: knowledge creation and the action cycle.
- Knowledge Creation: Involves inquiry, synthesis of evidence, and the development of tools or products that present innovative solutions to healthcare challenges.
- Action Cycle: Focuses on implementing knowledge into practice through barrier assessment, monitoring, evaluation, and sustainability efforts.
NR 702 Week 5 Discussion
In my project, the KTA framework complements the WHO multimodal hand hygiene strategy, ensuring that the intervention is not only evidence-based but also adaptable to real-world settings.
Integration of KTA with WHO Multimodal Hand Hygiene Strategy
| KTA Framework Component | WHO Multimodal Strategy Application |
|---|---|
| Barrier Assessment | Preparing for system changes by identifying institutional and behavioral barriers. |
| Knowledge Dissemination | Conducting training sessions and providing education on proper hand hygiene techniques. |
| Monitoring Knowledge Use | Utilizing surveys and direct observations to track compliance with hand hygiene practices. |
| Evaluation | Collecting and analyzing data from surveys and observations to measure improvements in knowledge levels. |
| Sustaining Knowledge/Practice | Promoting a culture of safety to ensure hand hygiene becomes a long-term, embedded practice. |
This alignment allows for a structured implementation, addressing gaps in knowledge while fostering sustainable behavior change among emergency room nurses (WHO, 2009; WHO, 2021).
Response to Peer: Structured Communication Framework
Question: What structured communication framework are you implementing in your project?
I see that you plan to adopt TeamSTEPPS as your communication strategy. This program emphasizes teamwork and communication in healthcare through structured tools such as SBAR (Situation, Background, Assessment, Recommendation) and I PASS THE BATON for effective hand-offs (Agency for Healthcare Research and Quality [AHRQ], 2020).
- Potential Barriers: Resistance among staff to consistently use structured communication tools and lack of sufficient training may hinder adoption.
- Facilitators: Designating project “champions” to promote positivity, encourage adherence, and conduct rounds with nursing staff can enhance compliance and sustainability.
These considerations highlight the importance of anticipating challenges while leveraging facilitators to ensure successful implementation of TeamSTEPPS in practice (Wende et al., 2022).
References
Agency for Healthcare Research and Quality. (2020). Pocket guide: TeamSTEPPS. U.S. Department of Health & Human Services. https://www.ahrq.gov/teamstepps/instructor/essentials/pocketguide.html
Graham, I., Logan, J., Harrison, M. B., Straus, S. E., Tetroe, J., Caswell, W., & Robinson, N. (2006). Lost in knowledge translation: Time for a map? The Journal of Continuing Education in the Health Professions, 26(1), 13–24. https://doi.org/10.1002/chp.47
NR 702 Week 5 Discussion
Wende, M. E., Wilcox, S., Rhodes, Z., Kinnard, D., Turner-McGrievy, G., McKeever, B. W., & Kaczynski, A. T. (2022). Developing criteria for research translation decision-making in community settings: A systematic review and thematic analysis informed by the Knowledge to Action framework and community input. Implementation Science Communication, 3(76). https://doi.org/10.1186/s43058-022-00316-z
World Health Organization. (2009). A guide to the implementation of the WHO multimodal hand hygiene improvement strategy. https://www.who.int/publications/i/item/a-guide-to-theimplementation-of-the-who-multimodal-hand-hygiene-improvement-strategy
World Health Organization. (2021). WHO multimodal improvement strategy summary. https://cdn.who.int/media/docs/default-source/integrated-health-services-(ihs)/infectionprevention-and-control/core-components/ipc-cc-mis.pdf?sfvrsn=5e06c3d5_10&download=true