NR706-10056 Week 4 Translation Science Project Guidelines MP

NR706-10056 Week 4 Translation Science Project Guidelines MP

NR706-10056 Week 4 Translation Science Project Guidelines MP

Introduction

Nursing homes and healthcare centers face several problems and challenges amidst the global pandemic. Researchers believe that nurses and hospital staff should engage in innovative ways to improve the quality of care to achieve brighter patient outcomes (Steinskog, 2021). In Vila Health Hospital in the United States, amidst the pandemic, patients related to depression and anxiety is increasing rapidly due to many personal and socioeconomic reasons. For example, in Vila Health Hospital, recently, a senior nurse Jessica reported to the hospital management that patients on coronary artery bypass department have been also increasingly feeling the stress of being isolated from their families. Since those patients are on the waiting list to be treated by doctors and healthcare professionals due to increasing number of patients in their homes. The nurse revealed that those patients of coronary array bypass are experiencing depression and anxiety in their beds and often show signs of restlessness and emotional turmoil. This is the reason the head nurse Melinda decided to create a plan to reduce depression of such patients who needed immediate attention to feel better. She suggested if it is a feasible idea to reach out to such patients with home visits before their surgeries. That required paying a personal visits to patients suffering from coronary artery disease and reaching out to them via follow-up telephone calls and Skype video calls would be a great idea to reduce their stress (White, 2019). Therefore, a cardiac nurse was assigned to specially communicate with such patients using the right technology.  The goal of this practice is to find out whether home visits and Skype and telephone calls are going to reduce their depression or stress significantly? This research deals with such a nursing problem by using PICOT question. Moreover, the organization also decided to implement Electronic Health Records (HER) in the hospital settings to better communicate with patients and ensure greater patient involvement in the whole process. The EHR system will allow patients to access their personal records and information using an Internet connection on a web-based portal. This will also facilitate the doctors and nurses to improve their own communication within the hospital settings.  

NR706-10056 Week 4 Translation Science Project Guidelines MP

This research aims to address the critical PICOT question for the chosen healthcare organization. The leaders want to know whether there will be a positive or negative impact of using information technology in their current organizational systems to promote change and enhance patient care outcomes. This problem statement will also become the PICOT question of the research being performed on Vila Health Hospital. The question arises whether the hospital can use information technology and tools to collect and analyze patient data to promote nursing practices across healthcare settings. Therefore, this research aims to provide evidence from scholarly resources to determine whether information technology can help to enhance nursing practices across the hospital settings. The research deals with a particular practice problem and uses evidence to tackle the problem. It also requires creating a translation path that evaluates the selected change model related to the implementation of information technology in the hospital settings. Therefore, organizational issues can be dealt with perfectly using IT systems and EHR records and tools to enhance patient care outcomes. 

Role of Evidence to Address the Selected Practice Problem.

Potential strategies to enhance using practices in Vila Health hospital include a new plan that focuses on the implementation of information technology systems (IT) for communications with patients waiting at home during the pandemic and suffering from depressive symptoms in the pre-surgery mode. The introduction of IT has been approved and embraced by many scholars for quality improvement in hospital settings. This is relevant in such situations because failure to collaborate with remote patients during the pandemic lockdowns can result in their increasing frustration and can lead to depression and anxiety (Tilter, 2018). There is enough evidence on the Internet that deploying EHR and Skype communications in the hospital settings will allow helping to prevent medical errors and will also improve patient care outcomes to reduce depression in the pre-surgical patients (Steinskog, 2021). Since information technology is associated with organizational positive change, it can play a pivotal role in improving communication between patients, nurses, and doctors in Vila Health Hospital. 

Practice Problem Question in PICOT Format

The PICOT research question is as follows: 

Is paying home visit to coronary artery patients and collaborating with them via Skype and telephone calls going to be beneficial for the patients to reduce their feelings of anxiety or depression amidst the global pandemic? Can nurses’ practices be improved to better reduce depression in coronary artery surgery patients waiting at home using information technology tools? 

The role of DNP Practice Scholar is also extremely important in evidence translation. Nurses are prepared to do the most crucial healthcare work that requires building research skills. The fact remains that DNP prepared nurses with or without PhD make significant contribution to research and discovery of innovative methods to improve organizational practices. The role of research and innovation in contemporary nursing practices is vital; the impact of translation research helps to explore and evaluate the quality of healthcare along with the possibilities to access patient data effectively. Scholars agree that DNP-prepared nurses are better able to advance to scholarship and research and can improve the condition of their workplaces with evidence-based capabilities.

NR706-10056 Week 4 Translation Science Project Guidelines MP

Doctor of Nursing Practice (DNP) prepared nurses show capabilities that are unique to satisfy the needs of healthcare organizations and academic institutions to improve their involvement in healthcare system. The DNP is equal to a PhD or a doctorate that helps nursing graduates to take more advanced roles in places such as academic, clinics, and healthcare practices. According to Phichitchaisopa (2013), DNP-prepared nurses are able to take more leadership roles in their healthcare settings.  This shows that DNP has a great significance in nursing practices to ensure quality of healthcare. The research states that nurses ought to be partners with doctors and other healthcare professionals in revamping organizations in the US. That requires tools and research skills for effective workforce planning and policy enhancement to collect vital data and improve the information infrastructure. Another research by Pham (2014) shows that DNP prepares nurses for clinical practices and leadership roles; they can use translation of research into their current practices to improve outcomes. This shows that DNP is vital for preparing expert nursing professionals to design complex organizational systems. They can also lead by example to improve healthcare outcomes by collaborating effectively with patients and enhance the care quality. Since there is a need for more DNP-prepared nurses in healthcare settings, there are economic ramifications to teach others to apply knowledge in practice. This means that such qualified nurses can better develop innovative programs to enhance organizational effectiveness. More scholars reveal that DNP drives change and transformation by using evidence-based practices that helps translate research into practices (Munn, 2018). That helps moving nursing education to policy formation and improves patient’s satisfaction. Therefore, DNP as an educator and researcher can help nurses to improve their patient care outcomes in Vila Health Hospital. 

Evidence Synthesis of Literature to Address the Selected Practice Problem

This research is conducted while using a number of scholarly resources such as EMBASE, Science Direct, and ProQuest. The relevant literature is found from such databases that were peer-reviewed. The resources that were searched online included Google Scholar, Google, American Medical Informatics Association, and the World Health Organization reports. Moreover, this study uses descriptive research to summarize the body of evidence searched from this number of sources. 

The synthesis of research evidence involves the analysis and aggregation of research information that helps to effectively, analyze, summarize, and interpret the body of literature using transparent methods the scoping is a new method to offer an evidence of the available research to help answering a research question (McCurry, 2017). According to Melnyk (2018), scoping can help to answer broad healthcare-related problem’s questions and helps to know what information is presented in the literature. This helps to effectively describe the literature and includes findings from a wide range of research publications and journals. Therefore, scoping helps to comprehensively find information on a topic or a problem in nursing practices that is complex and difficult to find. 

Main Points of Each Source, Comparison, and Appraisal of the Evidence

NR706-10056 Week 4 Translation Science Project Guidelines MP

The selected practice problem can be effectively addressed using a number of scholarly resources in the literature and compare them in a narrative form to solve a problem. When geographical location is a problem for both patients and nurses, health information technology is a way out for the professionals at Vila Health Hospital to enhance patient care outcomes and treat depression patients seamlessly. A number of scholarly resources were consulted to find the relevant and credible evidence related to the subject matter explored in this case. The first source explored called “The Use of Technology in the Clinical Care of Depression: An Evidence Map” published by Eric Paydin and Alicia Ruelaz in 2017 reveals use of technology in clinical care for treating depression patients. The authors claim that use of technology will increase in the future to incorporate comprehensive treatment of depression. The research shows an evidence map to provide a positive overview of technology utilization in clinical settings of the United States. This is a qualitative analysis of data extracted from samples size of 161. The findings reveal that use of computer has significantly increased in healthcare settings since 2012; almost 90% of the responded expressed that IT intervention had positive outcomes that helped improving depressive symptoms. The evidence map also shows that computer application is getting popular; the study suggests exploring and evaluating the role of technology in healthcare sector. The evidence is sustainable because it is published in the Journal of Clinical Psychiatry. 

The second article referred to be published on Rand.org titled “The Use of technology to Augment Clinical Care in Depression and Anxiety Disorders”. It was published by the same authors Alicia Rauelez and Eric Apaydin 2019 with 122 pages. It was a series of research reports published by Rand.org related to use of technology in clinical settings to treat depression and other diseases. The researchers used a strong qualitative and secondary research design with evidence map that helped to identify 280 randomized controlled trials. The article discusses several technologies used in augmented care and psychotherapy. The scholars researched several hundreds of studies to explore that 91% of researches showed the positive outcomes of depressive symptoms with improvements in patients’ conditions. The findings reveal that these treatments delivered over the phone, computer, Smartphone, or tablet helped participants to complete treatment modules conveniently. 

Other vital and relevant resources consulted were titled as “Evidence on Technology-Based Psychological Interventions in Diagnosed Depression: Systematic Review“. Published in 2021, by Cohen Dreier and Kriston L, the study aims to structure evidence on technology-based psychoanalysis of patients to treat depression. The study used randomized control trials method to diagnose depression. The researchers searched for trials in various resources such as PSYINDEX, PsychInfo, and MEDLINE. The researchers searched 15,546 records and included 241 searches. Almost 94% of the researches talked about the acute phase of depression treatment and 80% provided stand-alone interventions. All the studies reveals dropout of a patient as a negative event that was highly unsystematic. This research suggests that high-quality research is needed to represent technology-based interventions in depression treatment. The evidence is sustainable because it was a part of an international publication on JMR Publications that advances digital health and open science. 

Translation Path (Narrative) 

Healthcare organizations can take several steps to ensure technological change in their environment. The process begins with finding the reliable resources and evidence-based peer-reviewed articles to prove the effectiveness of the proposed technology (Mallidou, 2018). Moreover, an implementation plan is devised in the next step and outcomes are evaluated to be presented in the form of a report to the management. The chosen organization uses criteria for translation that ensures fitness, feasibility, and appropriateness and major elements to evaluate the change model. The translation path allows leaders to determine whether this infrastructure or practice change will benefit the organization and what additional resources are needed to improve outcomes (Maher, 2019). A clean pathway to translation can be easily implemented and incorporated into the team environment. According to Köhnen (2021), the quality of healthcare services can be improved by incorporating information technology; however, there external factors such as rural areas that make a difference in the acceptance of technology. Healthcare administrators need to think that culture of an area can affect the utilization of technology and they way people access technology. Therefore, it is vital to study the difference between urban and rural cultures whether people are interested in using remote technologies for depression treatment. Another research regarding technology adoption discusses the internal factors associated with the adoption of technology related to the implementation of EHR systems. The study uses quantitative data collected from physicians and nurses. By using multivariate statistical techniques, the results indentified some internal factors such as communication, the innovation decision type, and the participatory process of decision-making. The proposed model was evaluated the results and improvements achieved by the implementation of information systems. The results show that the introductuction of IT systems helped to streamline processes and create new solutions for customers. 

The suggested change model includes incorporation of the EHR software into the existing practices of Vila Health Hospital in America to treat patients’ depression. The administration also approved the idea of remote collaboration with patients waiting to be treated at home with Skype and other Smartphone communications. The model is effective because the use of IT in the healthcare sector is intense. The good news is that nurses, administrators, doctors, and leaders can all use the proposed IT system and the EHR software to improve their missions to save human lives. This model adopted in the healthcare settings will provide several improvements and innovations for the future patients to be treated effectively. Therefore, the EHR provides several benefits for improved patient care with accuracy and consistency in recording and accessing data. The IT system requires hardware, software, networking faculties and wireless devices, database, and gadgets (Hickman, 2018). 

NR706-10056 Week 4 Translation Science Project Guidelines MP

Technology planning and evaluation of implementation plan is important to achieve good outcomes. The company found out that two methods such as Balanced Scorecard and critical success factors help to influence the information technology strategy of the company. The company created a qualitative questionnaire to be distributed to all employees to evaluate the effectiveness of IT and EHR systems in the company. With such an evaluation plan, the anticipated outcomes are going to be positive for the organization.  

Conclusion

Healthcare organizations and nursing homes are extensively turning to technological tools and systems to improve their patient care outcomes. Using evidence-based approaches, this study reveals that the use of EHR electronic records and remote collaboration tools will enhance the patient care outcomes related to treatment of depressive symptoms in many patients in Vila Health Hospital. Despite the cost and some implementation challenges, the company can evaluate the performance of newly installed systems by using a qualitative question are and improve the organizational performance to solve issues. The research shows that DNP-prepared nurses can play a better leadership role in healthcare organizations to provide innovative solutions. Using several databases, this research proves the effectiveness of deploying IT and remote collaboration systems to enhance the depression treatments’’ outcomes. 

References 

Hickman, L. D., DiGiacomo, M., Phillips, J., Rao, A., Newton, P. J., Jackson, D., & Ferguson, C. (2018). Improving evidence based practice in postgraduate nursing programs: A systematic review: Bridging the evidence practice gap (BRIDGE project). Nurse education today63, 69-75.

Köhnen, M., Dreier, M., Seeralan, T., Kriston, L., Härter, M., Baumeister, H., & Liebherz, S. (2021). Evidence on Technology-Based Psychological Interventions in Diagnosed Depression: Systematic Review. JMIR mental health8(2), e21700.

Maher, A. R., Apaydin, E., Raaen, L., Motala, A., Shanman, R. M., & Hempel, S. (2019). The Use of Technology to Augment Clinical Care in Depression and Anxiety Disorders: An Evidence Map. RAND NATIONAL DEFENSE RESEARCH INST SANTA MONICA CA.

Mallidou, A. A., Atherton, P., Chan, L., Frisch, N., Glegg, S., & Scarrow, G. (2018). Core knowledge translation competencies: a scoping review. BMC health services research18(1), 1-15.

McCurry, S. M., Logsdon, R. G., Mead, J., Pike, K. C., La Fazia, D. M., Stevens, L., & Teri, L. (2017). Adopting evidence-based caregiver training programs in the real world: outcomes and lessons learned from the STAR-C Oregon translation study. Journal of Applied Gerontology36(5), 519-536.

Melnyk, B. M., Gallagher‐Ford, L., Zellefrow, C., Tucker, S., Van Dromme, L., & Thomas, B. K. (2018). Outcomes from the first helene fuld health trust national institute for evidence‐based practice in nursing and healthcare invitational expert forum. Worldviews on EvidenceBased Nursing15(1), 5-15.

Munn, Z., Peters, M. D., Stern, C., Tufanaru, C., McArthur, A., & Aromataris, E. (2018). Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC medical research methodology18(1), 1-7.

Pham, M. T., Rajić, A., Greig, J. D., Sargeant, J. M., Papadopoulos, A., & McEwen, S. A. (2014). A scoping review of scoping reviews: advancing the approach and enhancing the consistency. Research synthesis methods5(4), 371-385.

Phichitchaisopa, N., & Naenna, T. (2013). Factors affecting the adoption of healthcare information technology. EXCLI journal12, 413.

Schaffer, M. A., Sandau, K. E., & Diedrick, L. (2013). Evidence‐based practice models for organizational change: overview and practical applications. Journal of advanced nursing69(5), 1197-1209.

Steinskog, T. L. D., Tranvåg, O., Nortvedt, M. W., Ciliska, D., & Graverholt, B. (2021). Optimizing a knowledge translation intervention: a qualitative formative study to capture knowledge translation needs in nursing homes. BMC nursing20(1), 1-11.

Titler, M. G. (2018). Translation research in practice: An introduction. OJIN: The Online Journal of Issues in Nursing23(2).

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

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