Chapter 20

Translating Research into Practice

Research Translation

Translating research into practice is the final and most important step in the research process

Why incorporate research into practice?

• Consumer demands

• Pursuit of Magnet designation

• Cost implications

• Effectiveness of interventions

• Regulatory requirements

• Healthy policy

Evidence from Research can be applied to….

• Assessment processes

• Nursing diagnosis of patient problems

• Planning effective nursing care

• Implementing effective nursing interventions

• Evaluating nursing care

Ways to Aggregate Evidence

• Systematic review

• Integrative review

• Meta-analysis

• Meta-synthesis

• Practice Guideline

Characteristics of Reviews

• Use of objective criteria reduces bias

• Multiple studies enhance the credibility of recommendations

• Structured approach to the selection and evaluation of studies

• Produces a practice recommendation as an outcome

Steps of a Review

• Determine the background for the review• State the main review question• Develop inclusion and exclusion criteria for

populations, conditions, settings• Devise a search strategy• Develop study selection criteria• Determine study quality criteria• Carry out the review

Models of Research Utilization

• The Iowa Model of EBP– Identify a nursing problem and search the

literature– Determine the organizational priority of the

problem– Form a team to develop, implement and

evaluate the project– Assemble the relevant literature– Critique the literature and formulate

recommendations

The Johns Hopkins Model

• Practice question phase

• Evidence phase

• Translation phase

Integrating EBP in Magnet

• Establish a foundation for EBP

• Identify areas of concern

• Create internal expertise

• Implement evidence-based practice

• Contribute to a research study