Nursing
- Compare evidence-based practice, research, and translational science. How are they related? How do they impact and/or improve patient outcomes?
- How can/has translational science influence nursing practice and improve patient outcomes in your workplace setting? Summarize an example of translational science that has occurred in your workplace or discuss an area for improvement in your workplace setting.
- Create a PPAARE (Problem/patient/population/action/alternative/result/evidence)
| 4. PPAARE Component | Fill in this Column |
| Identify the problem related to the disease or condition (e.g., diabetes, rheumatoid arthritis, pregnancy). | |
| Identify the person related to his or her demographics (e.g., age, ethnicity, gender) and risk factors (e.g., smoking, unhealthy eating practices). | |
| Identify the action related to the person’s diagnosis or diagnostic tests, etiology, prognosis, treatment or therapy, harm, prevention, patient education, follow-up care, or evaluation | |
| Identify the alternative action when there is one (not a required component). | |
| Identify the result of the action to produce, improve, or reduce the outcome for the patient. | |
| Identify the level of evidence available after searching (use the evidence hierarchy-or simply state ‘highest level available’). |
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Compare Evidence-Based Practice, Research, and Translational Science
Evidence-Based Practice (EBP):
EBP integrates the best available research evidence with clinical expertise and patient values to make decisions about the care of individual patients. It emphasizes the use of high-quality research studies to inform practice, aiming to improve patient outcomes by applying proven interventions and treatments.
Research:
Research involves the systematic investigation of phenomena to generate new knowledge or validate existing knowledge. In nursing, research often focuses on understanding health, illness, and care processes, as well as developing new interventions or evaluating existing practices.
Translational Science:
Translational science focuses on bridging the gap between research and clinical practice. It involves taking the findings from research (bench science) and applying them to patient care (bedside) to improve outcomes. This field aims to ensure that research discoveries are quickly and effectively translated into practical applications that benefit patients.
Relationship and Impact on Patient Outcomes:
- EBP relies on research to identify the best evidence, and translational science ensures that this evidence is applied in clinical settings.
- Together, these three concepts form a continuum: research generates new knowledge, translational science brings that knowledge into practice, and EBP ensures that the practice is based on the best available evidence.
- By ensuring that clinical practices are grounded in solid research and effectively implemented, patient outcomes can be significantly improved, leading to higher quality care, reduced complications, and better overall health outcomes.
2. Translational Science in Nursing Practice
Influence of Translational Science on Nursing Practice:
Translational science plays a critical role in ensuring that nursing practice is grounded in the latest research findings. It accelerates the integration of innovative therapies and interventions into clinical practice, leading to improved patient outcomes. By bridging the gap between research and practice, translational science ensures that patients benefit from the latest advancements in healthcare.
Example in the Workplace:
In a hospital setting, translational science may have led to the implementation of a new protocol for early detection and management of sepsis. For example, if research identifies a new biomarker for early sepsis, translational science facilitates the development of screening tools and protocols to detect sepsis earlier in patients. This change, implemented in the workplace, could lead to a reduction in sepsis-related mortality rates.
Area for Improvement:
One area for improvement might be in the implementation of evidence-based guidelines for pain management. While research has identified effective multimodal pain management strategies, these may not be fully implemented in all settings. Translational science can help in developing protocols and training programs to ensure that these strategies are consistently applied, leading to better pain control and improved patient satisfaction.
3. PPAARE Framework
| PPAARE Component | Details |
|---|---|
| Problem | Chronic pain management in patients with osteoarthritis. |
| Person | Middle-aged adults (ages 40-60) with osteoarthritis, particularly those with obesity and sedentary lifestyles. |
| Action | Implementation of a multimodal pain management approach, including physical therapy, weight management, pharmacological treatments, and patient education. |
| Alternative | Use of traditional single-modality pain management (e.g., pharmacological treatment alone). |
| Result | Improved pain control, enhanced mobility, and increased quality of life. |
| Evidence | Highest level available: Systematic reviews and meta-analyses of randomized controlled trials supporting multimodal pain management. |
Complete PPAARE Question:
In middle-aged adults with osteoarthritis, how does a multimodal pain management approach, compared to traditional single-modality treatment, impact pain control, mobility, and quality of life?