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DQ: What are common barriers for translating research into practice?

NUR 550 Topic 5 DQ 2

DQ: What are common barriers for translating research into practice?

Sepsis remains a significant cause of mortality in the United States because identifying sepsis in its early stages is challenging. Sepsis Alliance (2021) defines sepsis as a life-threatening response to infection that can lead to organ failure, damage, and even death. Therefore, patients with sepsis require close monitoring and assessment. At my workplace, although we had previously adopted a program with the slogan “Recognize, Resuscitate, refer” to reduce the intensive care unit rates and deaths associated with sepsis. The program was proven effective and working at the health facility. However, the implementation of the program was faced with some barriers that hindered complete transition. Among the obstacles that I identified include the technology gap, lack of clarity, and instability leadership. In modern health care practice, technology has influenced the dissemination of information and application of skills. Now that this program was more aligned with technology, some of the older health care providers were not conversant and lacked the know-how to use identified technology to recognize, resuscitate, and refer sepsis patients. Also, lack of clarity contributed to the partial failure of the 3R program. Some people did not clarify specific issues, such as recognizing patients suffering from sepsis and referring such patients. In addition, in less than two months after the 3R program was enrolled, the managing director who was coordinating the program resigned from work. This disrupted the implementation process.

Available evidence shows that translating research into clinical practice is becoming a challenge despite its importance (Curtis et al., 2017). Nevertheless, translating research to clinical practice has led to efficient and effective healthcare responses meeting patient’s expectations. Some of the common barriers include but are not limited to inadequate resources, personal experience, unsupportive leadership, negative organizational culture, and lack of continuing nursing education (Curtis et al., 2017). For instance, disseminating research knowledge requires adequate resources such as training health care providers on best approaches to translate research to clinical practice.

DQ: What are common barriers for translating research into practice?

DQ: What are common barriers for translating research into practice?

Resources

Curtis, K., Fry, M., Shaban, R. Z., & Considine, J. (2017). Translating research findings to

clinical nursing practice. Journal of clinical nursing26(5-6), 862–872. https://doi.org/10.1111/jocn.13586

Sepsis Alliance. (2021). What is Sepsis? https://www.sepsis.org/sepsis-basics/what-is-sepsis/

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I do agree with you that sepsis is a life-threatening condition in US which requires immediate medical intervention measure. The condition affects approximately 1.7 million adults annually in the US, with an annual death toll of about 250, 000 people (Rhee et al.,

DQ What are common barriers for translating research into practice
DQ What are common barriers for translating research into practice

2019). Healthcare organizations need to advance the clinical procedures to have the sepsis recognized early and treated before progressing to a more fatal condition. This calls on quality improvement and effectiveness in the nursing process. Implementation of the measures faces challenges ranging from financial, human resource and leadership that does not recognize the need for promoting quality care. Transformational leadership is crucial in driving change processes in healthcare organization hence improved quality of care, patient satisfaction and general well-being of the public (Asif et al., 2019). Another barrier to implementing the change process on the sepsis treatment and control measure is limited resources which hinder the acquisition of appropriate technological tools and expertise required to speed up the diagnosis and treatment of the condition.

DQ: What are common barriers for translating research into practice?

References

Rhee, C., Jones, T. M., Hamad, Y., Pande, A., Varon, J., O’Brien, C., Anderson, D. J., Warren, D. K., Dantes, R. B., Epstein, L., & Klompas, M. (2019). Prevalence, Underlying Causes, and Preventability of Sepsis-Associated Mortality in US Acute Care Hospitals. JAMA Network Open, 2(2), e187571. https://doi.org/10.1001/jamanetworkopen.2018.7571

Asif, M., Jameel, A., Hussain, A., Hwang, J., & Sahito, N. (2019). Linking Transformational Leadership with Nurse-Assessed Adverse Patient Outcomes and the Quality of Care: Assessing the Role of Job Satisfaction and Structural Empowerment. International Journal of Environmental Research and Public Health, 16(13), 2381. https://doi.org/10.3390/ijerph16132381

Being in Oncology and having a program that is Quality Oncology Practice Initiative (QOPI) certified always gives initiatives for quality to work on. One of the most recent quality initiatives that my center is tackling is that of obtaining actual and not stated heights and weights to meet the QOPI standard 1.3.3 and 1.3.4. Standard 1.3.3 is that weights are measured at least weekly when present in the health care setting and standard 1.3.4 is that heights are measured at least weekly when present in a healthcare setting (ASCO.org., 2018). We were obtaining weights, although not accurate weights as some staff were taking stated weights instead of actual which can really affect the safety of chemotherapy dosing. We were only taking heights on the initial consult and not again after that. When trying to implement a new process for obtaining and documenting heights and weights some barriers that came up was that the EHR does not have an option to document if the height or weight was stated or actual including the inability to document the source of the weight such as a wheelchair scale or a standing scale etc.

DQ: What are common barriers for translating research into practice?

At my facility in order to get any changes in the EHR made, a business case has to be developed through a power point presentation and then submitted to the IT team. From there it then has to go through multiple committees in order to get approval to change. This has created a huge delay in meeting our QOPI standards. When translating research into practice, there are common barriers that can be encountered. These barriers can include clinician behavior, lack of time, lack of continuing education, unsupportive organization, difficulties in developing evidence-based guidelines, individual motivation, and dissemination of evidence (Curtis et al., 2017). These barriers must be addressed in order to promote translation of research into clinical practice (Curtis et al., 2017).

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