Translation Frameworks/Models

Translation frameworks are essential for synthesizing corporate investigation and executing healthcare practices. In the case of my Evidence-Based Practice (EBP), Informatics Solution (IS), and Quality Improvement (QI) initiative, which aims to alleviate 30-day heart failure readmissions at Jackson North Medical Center (JNMC), the use of a proper framework will facilitate the successful execution and maintenance of interventions. Upon a critical examination, I chose the Iowa Model of Evidence-Based Practice to inform the translation of research into practice: Translation Frameworks/Models.

The Selected Translation Model

The model I chose to translate evidence-based practice into for this initiative is the Iowa Model of Evidence-Based Practice. This model, in particular, is developed to support practice-based decision-making and process improvement within healthcare facilities. It commences with the identification of a clinical trigger, either problem-focused or knowledge-focused, that initiates a change process (Chiwaula et al., 2021).

The trigger here is that the rate of heart failure readmissions in less than 30 days at JNMC is unacceptable. The development of a multidisciplinary team involves the following steps: critical appraisal of other research, implementation of intervention pilots, and evaluation of the results, culminating in the general implementation.

The central strength of the Iowa Model lies in its foundation in nursing practice and its step-by-step approach, which facilitates feasibility and sustainability in real-life situations. At JNMC, nurses will spearhead the initiative, backed by discharge planners, case managers, and educators. The model employs a joint structure, enabling all involved parties to participate in the development, implementation, and evaluation of the intervention (Cullen et al., 2022).

An example is the pilot of a nurse-led transitional care model, which involves structured discharge teaching and telephone follow-up, directly reflecting the model’s focus on small-scale feasibility studies prior to large-scale implementation. It is essential in a facility such as JNMC, which employs a diverse patient population that is financially vulnerable, and misaligned interventions may prove costly due to limited resources.

Relevance and Applicability of the Iowa Model

The Iowa Model is exceptionally applicable to this initiative, as it combines evidence-based appraisal, clinical expertise, and patient-specific care in a manner that finds support among front-line nursing leadership. The issue of preventing hospital readmissions is complex and involves the participation of multiple clinical departments, considering the social factors related to patient health.

The Iowa Model proposes the involvement of interdisciplinary stakeholders at the early stage, when they can identify barriers, finalize outcomes, and significantly impact interventions based on the peculiarities of the patient population served in JNMC (Duff et al., 2021). There is also the ownership that comes with the stakeholder’s role in the model, which enhances the possibility of practical implementation and sustainability.

Additionally, the Iowa Model shares the same infrastructure and goals as JNMC. The hospital has an Office of Clinical Transformation that is ready to promote cross-departmental activities and is already supporting both EBP and QI activities. In contrast to the Knowledge-to-Action (KTA) Framework, which encompasses a broader scope of the policy world, or the Johns Hopkins EBP Model, which is more focused on intellectual rigor, the Iowa Model is pragmatic in its orientation to changes in the direct care environment.

It can be continuously improved through outcome measurement, which is an essential quality in a chronic disease such as heart failure, where complex care is coordinated and follow-up is performed (Chiwaula & Jere, 2022). For example, measuring readmission rates, adherence to medication, and patient satisfaction can be used to fine-tune the intervention in the long term, thereby generating long-term benefits.

Conclusively, the Iowa Model of Evidence-Based Practice is the most viable and strategic planning system that will steer the EBP, IS, and QI initiatives at Jackson North Medical Center. It enhances nursing leadership, stakeholder relationships, and sustainable change; therefore, it is appropriate to establish a nurse-led transitional care programme aimed at decreasing heart failure readmissions. This model will enable the initiative to excel in aspects of patient outcomes and the prevention of avoidable readmissions while also aligning with the institution’s goals to achieve quality and equitable care.

References

Chiwaula, C. H., & Jere, D. L. (2022). Experiences of nurse managers and practitioners on implementation of an evidence-based practice intervention. Health SA Gesondheid, 27(1). https://doi.org/10.4102/hsag.v27i0.1597

Chiwaula, C. H., Kanjakaya, P., Chipeta, D., Chikatipwa, A., Kalimbuka, T., Zyambo, L., Nkata, S., & Jere, D. L. (2021). Introducing evidence-based practice in nursing care delivery, utilizing the Iowa model in the intensive care unit at Kamuzu Central Hospital, Malawi. International Journal of Africa Nursing Sciences, 14(14), 100272. https://doi.org/10.1016/j.ijans.2020.100272

Cullen, L., Hanrahan, K., Edmonds, S. W., Reisinger, H. S., & Wagner, M. (2022). Iowa implementation for sustainability framework. Implementation Science, 17(1), 1–20. https://doi.org/10.1186/s13012-021-01157-5

Duff, J., Cullen, L., Hanrahan, K., & Steelman, V. (2021). Determinants of an evidence-based practice environment: An interpretive description. Implementation Science Communications, 1(1), 1–9. https://doi.org/10.1186/s43058-020-00070-0

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Collaboration offers the advantage of incorporating other experiences and viewpoints to confirm or challenge your own. Discussions can do the same, and for some topics, getting early feedback is especially valuable. This Discussion is one such example. As you dig into the science of translation and select a framework or model for your proposed EBP, IS, and QI Assignment, you can look to your colleagues for valuable advice and feedback.

To Prepare

• Review the Week 5 Learning Resources, paying particular attention to the featured frameworks and models described in the White, Dudley-Brown, and Terhaar chapters.
• Identify the translation framework or model that is most relevant to the practice or organization issue you selected for your EBP, IS, and QI Assignment.
• Assess your understanding of translation science and consider how you would explain it in the context of EBP and QI.
  

  Translation Frameworks/Models

By Day 3 Of Week 5
Post the following:

• Describe the translation framework or model that you selected for your EBP, IS, and QI Assignment. (Order 60508 – ATTACHED)
• Explain why you think it is the most relevant and applicable translation framework or model to use for your EBP, IS, and QI Assignment. Be specific and provide examples.

Note: Your posts should be substantial (500 words minimum), supported with scholarly evidence from your research and/or the Learning Resources, and properly cited using APA Style. Personal anecdotes are acceptable as part of a meaningful post but cannot stand alone as the entire post.