As a practice scholar, you are aware of the vast amounts of new knowledge available to inform practice. Reflect upon this issue and consider the following.
- What strategies will you use to stay informed about current best available evidence?
- What strategies will you use to disseminate current best available evidence to those you lead?
- In recent history, there is little to no indication of the sustainability of evidence to reduce the eight national problems. What strategies will you use to ensure the sustainability of evidence-based practice?
Welcome to our Week 8 Discussion! Please read the question carefully to answer all components. Our interactive discussion addresses the following course outcome:
- Analyze qualitative and quantitative data for the purposes of critical appraisal of evidence (PO#3, 9).
- Appraise systematic reviews for translation science (PO 3, 5, 9).
Evaluate selected statistical methods for the purposes of critical appraisal of evidence (PO 3, 5, 9).
Welcome to Week 8! I can’t believe this is my final week with you in NR714. Hasn’t it been a fast eight weeks? You’ve learned a lot of new information and added some crucial skills to your DNP toolbox. As you conclude the third course on your journey to your DNP degree, you’ll have an opportunity to bring it all together and reflect on how much you’ve learned.
Week 8: Student Lesson Plan for Learning Success
Outcomes, Objectives, and Concepts
| Weekly Outcomes | Weekly Objectives | Main Topics and Concepts |
| Analyze qualitative and quantitative data for the purposes of critical appraisal of evidence (PO#3, 9).Appraise systematic reviews for translation science (PO 3, 5, 9).Evaluate selected statistical methods for the purposes of critical appraisal of evidence (PO 3, 5, 9). | Examine the level and quality of data to inform translation science.Evaluate the role of systematic reviews to change practiceAppraise the quality of data generated from selected statistical tests to guide practice. | Identify the Role of the DNP Practice Scholar as Key to Translating Best Available Evidence to Practice for the Intention of Influencing Practice Outcomes |
Foundations for Learning
Start your learning this week by reviewing the following.
Curtis, K., Fry, M., Shaban, R. Z., & Considine, J. (2017). Translating research findings to clinical nursing practice. Journal of Clinical Nursing, 26(5–6), 862–872. https://doi-org.chamberlainuniversity.idm.oclc.org/10.1111/jocn.13586
Student Learning Activities
| Learning Activities | This week you will complete the following. PrepareAssigned ReadingsExplore Interactive LessonTranslate to Practice Discussion Question ReflectReflection on Learning |
| Additional Resources | Carroll, C., Patterson, M., Wood, S., Booth, A., Rick, J., & Balain, S. (2007). A conceptual framework for implementation fidelity. Implementation Science, 2, 40. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=mdc&AN=18053122&site=eds-live&scope=site May, C., Rapley, T., Mair, F. S., Treweek, S., Murray, E., Ballini, L., Finch, T. L. (2015). Normalization Process Theory On-line Users’ Manual, Toolkit and NoMAD instrument. Normalization Process Theory. http://normalizationprocess.org/npt-toolkit.aspx |
Learning Success Strategies
- Review key terms in Resources to ensure you understand the role of the DNP Practice Scholar in translating best available evidence to practice.
- As you review weekly content, consider how the leadership role of the DNP Practice Scholar is critical to the successful translation of best available evidence to a practice problem for the intention of influencing practice outcomes.
- Be ready to share your thoughts through the interactive discussion. Review the discussion guidelines and rubric to optimize your performance.
- You have access to a variety of resources to support your success. Click Resources on the home page to access program and project resources.
- Your course faculty is here to support your learning journey. Reach out for guidance with study strategies, time management, and course-related questions.
Dang, D., & Dearholt, S. (2018). Johns Hopkins nursing evidence-based practice model and guidelines (3rd ed.). Sigma Theta Tau International.
- Chapter 8: Translation
White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2016). Translation of evidence into nursing and health care (2nd ed.). Springer Publishing Company.
- Chapter 14: Creating a Culture That Promotes Translation
Translating Change
1. The quality and safety movement in healthcare is highly visible and caught the attention across all practice communities.
2. In the midst of increasing healthcare choices, interprofessional team members want to know what works to increase the quality of care delivered and to improve and optimize practice outcomes.
Unprecedented exponential growth and accessibility to new knowledge.
3. The Cumulative Index to Nursing and Allied Health Literature (CINAHL, EBSCO host, n.d.) now includes more than 4,000 journals in its index for nursing and allied health professionals. In 1995, when there were fewer journals than are available to clinicians today, it was estimated that clinicians would need to read 19 articles a day, 365 days a year to stay abreast of the explosion of new information (Davidhoff, Haynes, Sackett, & Smith, 1995). The challenge to be updated with research in healthcare is even greater today. As of December 2015, there are 5,635 journals that are indexed in MEDLINE, including 5,141 journals that are indexed as Index Medicus, as well as 494 other non-index Medicus journals.
2. Considerable delay between published research study findings and the translation of evidence-research based interventions to practice.
3. There are numerous examples of known research-evidence based intervention that are not used in daily practice.
4. While there is a record number of the design and implementation of practice change projects in the past 5 years, there is little to no indication of sustainability as evidence by practice outcomes in the top eight national problems that remain substandard, and in some cases, the outcomes have worsened.
Translating Change
Translating best available evidence with the intention of influencing practice problems has moved us from ‘because we’ve always done it that way here’ to a framework where the interprofessional team asks, ‘Why are we doing what we are doing?’ ‘ How confident are we that the decision we are about to make reflects best available evidence?’ The emphasis has shifted from an occasional use of evidence to a sustained momentum where best available evidence is expected.
The increasing complexity of the healthcare delivery system has seen several factors emerge that challenge the DNP practice scholar to seek and use research study findings to guide practice. These include the following.
Translating research evidence to practice is fundamental in influencing practice outcomes. These factors make a clear and compelling case for a systematic process to translate evidence to practice that includes the use of specific appraisal criteria to appraise evidence. Translation science models organize and assist the practice scholar with the design, implementation, and evaluation of best available evidence to practice. Translation models are designed to guide thinking and guiding the iterative process of translation research-evidence base interventions to practice.
Over the past weeks, you explored foundational knowledge and skills required to translate best available evidence to influence a practice problem. Improving practice outcomes requires building the knowledge and skills specific to methods for translation.
American Association of Colleges of Nursing. (2004). AACN position statement on the practice doctorate in nursing. Author.
American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. Author.
Curtis, K., Fry, M., Shaban, R. Z., & Considine, J. (2017). Translating research findings to clinical nursing practice. Journal of Clinical Nursing, 26(5–6), 862–872.
Dang, D., & Dearholt, S. (2018). Johns Hopkins nursing evidence-based practice model and guidelines (3rd ed.). Sigma Theta Tau International.
