Week 3: Translating Science in Advanced Nursing Practice
Health care is an increasingly complex field fueled by the explosion of information available at one’s fingertips. As technology, medical research, and information systems continue to evolve, more emphasis is being placed on incorporating science and effective practices into health care. Nurses are increasingly called upon to implement best practices based on scientifically sound evidence.
This week, you examine the current state of science in your specialty area. This is an essential step for being able to assess and promote evidence-based practice, whether or not you are directly involved in the delivery of patient care. For instance, you may investigate the latest research in leadership, economics, management, education, and so on, and apply that research in your specialty practice area.
Also this week, you submit your time log and a journal entry for your practicum experience.
• Evaluate the state of the current context of science in your specialty area in nursing and health care
• Assess the practicum experience
• Evaluate current literature pertaining to an issue in a specialty area
White, K. M., Dudley-Brown, S. & Terhaar, M.F. (2021). Translation of evidence into nursing and health care practice (3rd ed.) Springer.
• Chapter 1, “Evidence-Based Practice”
• Chapter 2, “The Science of Translation and Major Frameworks”
Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.
• Pages 15-18, “The Process of Translating Evidence Into Clinical Practice”
• Chapter 3, “Conducting a Literature Review”
Djulbergovic, B. (2014). A framework to bridge the gaps between evidence-based medicine, health outcomes, and improvement and implementation science. Journal of Oncology Practice, 10(3), 200-202.
Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part 1. American Journal of Nursing, 110(7), 47-52.
Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part II. American Journal of Nursing, 110(7), 47-52
Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part III. American Journal of Nursing, 110(11), 43-51
Guyatt, G., Oxman, A. D., Akl, E. A., Kunz, R., Vist, G., Brozek, J., Schünemann, H. J. (2011). GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables. Journal of Clinical Epidemiology, 64(4), 383-394.
Jeffs, L., Beswick, S., Lo, J., Campbell, H., Ferris, E., & Sidani, S. (2013). Defining what evidence is, linking it to patient outcomes, and making it relevant to practice: Insight from clinical nurses. Applied Nursing Research, 26, 105-109.
Leung, K., Trevena, L., & Waters, D. (2014). Systematic review of instruments for measuring nurses’ knowledge, skills and attitudes for evidence-based practice. Journal of Advanced Nursing, 70(10), 2181–2195
Rosswurm, M. A., & Larrabee, J. H. (1999). A model for change to evidence-based practice. Journal of Nursing Scholarship, 31(4), 317-322.
Conduct your own research on translational science and how it is utilized in your specialty area. Review your specialty area websites and search for articles on evidence-based practice that address the translation of research into practice. This information will inform the Discussion.
Discussion: The State of the Science in Practice
The phrase evidence-based practice may be most often thought of as a clinical reference; however, research evidence is applicable in every specialty area. What types of research evidence support your work environment? How does research evidence inform your practice?
Now, how current do you think the science is that underlies your practice? How current is the evidence that supports your specialty practice guidelines?
• Bring to mind an issue related to your practice. You may use the issue you are exploring for your EBP Assignment, or another current issue in your specialty area.
• If possible, examine practices and/or practice guidelines established to address your selected issue and determine how current the evidence is that supports them.
• Using the Walden Library, locate recently published articles that discuss research translated into evidence that applies to your selected practice issue. If you are unable to locate current articles (within the last five years), use the Internet to find evidence-based practice articles on this topic.
• Consider the following questions:
o How current is the science that supported the practice or practice guidelines?
o What new evidence has emerged since the practice guidelines were crafted and adopted?
Post a cohesive scholarly response that addresses the following:
-Discuss the state of the scientific underpinnings that relate to your selected issue- What are the Best Practices that can Promote Cultural Awareness in Outpatient Clinical Settings?
-How current is the science that supported the practice or practice guidelines?
-What new evidence has emerged since the practice guidelines were crafted and adopted? Provide one or two examples that support your assessment.