NUR 550 Topic 4 DQ 2
DQ Consider how you could employ translational research to potentially overcome barriers, which may arise during data collection
I have often heard when doing a quality improvement or research project for my facility the phrase “show me the data”, Data tells a story in an analytical manner. I will honestly say I do not like to collect data, yet when in my current role as a nurse manager, it is very difficult to make changes or show improvement without data. The similar can be said for research, when doing research, one cannot prove a point or show why a project will work or improve patient outcomes unless there is data to back up the process. Data collection tools can vary dependent on the type of research, they can range from, interviews as in a qualitative study to capture the emotion or questionnaires, surveys and checklists to gather the numerical data needed in a quantitative study (Formplus, 2021).
Translational research is a tool to transition evidence based research from evidence to “real life” using the translational research(Tilter, 2018). My project is on education of the nurses about quantitative blood loss and how it can improve patient outcomes through early identification of a postpartum hemorrhage, The phase of this research is in the T3 phase of implementation in to practice or disseminating this great research to the clinical areas. Barriers to this research lie in it is a change in practice and a change in a way of thinking or changing “what we have always known”, as nurses we like to have a clear path and the why to a change in or practice to improve patient outcomes. Utilizing translational research to show and create a clinical theory can help to create that clear path on how to translate this research to practice and the “why” behind the practice change. T3 or Phase 4 of clinical outcome research can be utilized through checklists, or toolkits to help follow the translation phased to change the research from bench to bedside easier(Tilter, 2018).
DQ Consider how you could employ translational research to potentially overcome barriers, which may arise during data collection
References
Coviello, E., Iqbal, S., Kawakita, T., Chornock, R., Cheney, M., Desale, S., & Fries, M. (2019). Effect of implementing quantitative blood loss assessment at the time of delivery. American Journal of Perinatology, 36(13), 1332–1336. https://doi.org/10.1055/s-0039-1688823
Formplus. (2021). 7 Data Collection Methods and Tools for Research. formplus. Retrieved July 2, 2021, from https://www.formpl.us/blog/data-collection-method
Tilter, M. G. (2018). Translation Research in Practice: An Introduction. Online Journal of Issues in Nursing, 23(2). Retrieved June 16, 2021, from
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A data collection tool that I could use for my research would be that of data reporting from using hospital/clinic records as my source of data. This would help give me more accurate information on whether education on cervical cancer and screening options increased
cervical cancer screening rates in my population. This would allow me to not have to use self-reporting as a means of my data. A barrier that could arise would be that of the clinics/hospitals allowing access to the participants health records. I could use translational research to potentially overcome barriers that may arise during data collection by it allowing for opportunities for interdisciplinary collaboration to help with any knowledge gaps there may be (Diptyanusa & Hasanbasri, 2020). With this, it would be explaining to clinics and/or hospitals the importance of the information that is needing to be collected and how the information will be used to translate findings into daily practice so that they understand the reasoning behind the data why the data is needed. It should be explained that the research is to help achieve medical advances. With the lack of involvement and interdisciplinary interactions, it can deplete the translational ability of research (Diptyanusa & Hasanbasri, 2020).
DQ Consider how you could employ translational research to potentially overcome barriers, which may arise during data collection
The best type of translational research to address this barrier would be that of phase 5 or T5 research. The reason I chose this type of translational research is because it involves translation to the community and population level outcomes (Titler,2018). This would be the best type also because my research is based on a population of ethnic minority women in general versus a single ethnic population. Strategies that I would use to provide an understanding of my chosen type of translational research to gather collaborative support would be to explain why cervical cancer screening in important to all women including those of all ethnic minorities in order to decrease the incidence and mortality of cervical cancer among this population. I would also explain that the earlier stage cervical cancer is caught, the better the outcomes would be, and the costs of healthcare would be less than if cervical cancer was found in the later stages. I would also show data of survival rates of this cancer when found in the earlier stages versus the later stages which would show the importance of why this research is needed at a community level versus a single population level.
References:
Diptyanusa, A. & Hasanbasri, M. (2020). Lost in translation: Barriers and progress in harnessing basic medical science into community practice in Indonesia. Translational Medicine Communications, 5, 16. doi:10.1186/s41231-020-00070-1
Titler, M. (2018). Translation research in practice: An introduction. Online Journal of Issues in Nursing, 23(2), 1-1. doi:10.3912/OJIN.Vol23No02Man01
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One collection tool that I would use for my research is observation. This will assist in the data collection process for achieving the desired objective of the research study. Both the participant and non-participant observations are powerful tools for collecting qualitative data, this aids the researcher by giving an opportunity to capture various information, including verbal and non-verbal communication, techniques of providing care through demonstration, and external factors such as the environmental (Barret & Twycross, 2018). Barriers identified in the study could be lack of support from management or the organization in assisting with the research study. Also, other barriers are the heavy workload of the nurses to perform non-pharmacologic interventions, not having enough time, lack of required knowledge and skills, and having limited opportunities for participating in research (Bahadori et al., 2016).
DQ Consider how you could employ translational research to potentially overcome barriers, which may arise during data collection
Overcoming barriers can be done if nursing organization show commitment in aligning the substantial effort being invested in the development of best practice protocols with translational nursing research that aims to verify the validity and reliability of these identified best practices (Weiss et al., 2018). The type of translational research to address this is T2 and T3 research. The rationale behind it is because both can be used to determine how efficient these non-pharmacologic interventions are in managing chronic pain in optimal and real-world scenarios, respectively. T2 can test new interventions in a controlled setting whereas T3 can assist in determining if the interventions work for a wider group of people or the general population.
The first step I would take to gather collaborative support is to present to the organization the significance of conducting this research study. Using latest statistics provided by CDC in relation to the opioid crisis, it will give a clear picture of how non-pharmacologic interventions in addition to non-prescription medications can help with chronic pain management as well as reducing opioid abuse.
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