I need help responding to the 3 of my peers' posts in 200 words each. Please include references with each.
Discuss the basic principles of data interpretation, including the validity and reliability of the data used to translate outcomes into practice. What are common barriers to translating outcomes into practice? Analyze the importance of critically appraising the findings. Describe any barriers you may anticipate as you plan to translate the results of your own DPI Project into practice.
The basic principles of data interpretation should be understood by the DNP learner to implement the DPI project. This includes the validity and reliability of the data used to translate into practice. Basic principles of data interpretation are vital for nursing leaders today. Data provides the knowledge to identify gaps and process improvement opportunities in nursing. Data interpretation helps to demonstrate if the data is reproducible, adaptable, and transparent (Molder et al., 2021). Validity and reliability are crucial to translate information into daily practice. The validity of a tool or study demonstrates that it measures what it is intended to measure. (Sylvia & Terhaar, 2019). The reliability of a tool or study demonstrates that it will continue to produce the same results (Sylvia & Terhaar, 2019). Common barriers that occur for translating outcomes into practice include the following: lack of time, education, lack of evidence-based practice guidelines or polices at the organizational level, specific clinician behavioral and the culture of the organization (Capobianco, 2020).
Implementation of evidence-based practice requires buy in from the team and effective communication. Establishment that the tools are reliable and valid helps increase the team's buy and understanding for the need to implement the change. It is inherent that the literature be appraised for findings to support the translation into research. Reviewing the level of evidence along with appraising the findings of similar studies is a crucial start to support the translating of evidence into practice. The ability to speak and present the data analysis and evidence supporting the change will increase stakeholder buy-in. A lack of supporting literature from the critical appraisal would encourage one to continue to review the evidence. As one develops a plan for implementation, it is important to consider barriers and challenges that may arise to plan appropriately.
As I plan for my proposed DPI Project of listening to music to reduce numeric self-reported pain scores, I must also anticipate for barriers that may arise. A review of the evidence notes that barriers may include interruptions, noise, equipment that is not working and gaps in education with either the nursing team or the patient and family. I also anticipate that consistency and reminders as it is a new practice will be critical. This may be addressed by celebrating the wins and positive reinforcement. A sign may also be placed on the door when the patient is listening to music to prevent interruptions if this is supported by the team. I have presented the proposed project to the leader and clinical supervisors for buy in and support as they are critical.
Capobianco, E. (2020). Imprecise data and their impact on translational research in medicine. Frontiers.
Mölder, F., Jablonski, K. P., Letcher, B., Hall, M. B., Tomkins-Tinch, C. H., Sochat, V., … & Köster, J. (2021). Sustainable data analysis with Snakemake. F1000Research, 10.
Sylvia, M. L., & Terhaar, M. F. (2018). Clinical analytics and data management for the DNP. Springer. ISBN-13:
Bonnie Flores In 200 Words
Data interpretation is a valuable aspect of nursing research and quality improvement projects. It enables the doctoral learner to analyze the data and make conclusions; therefore, it must be accurate, valid, and reliable. Additionally, it should lend insight to the question that was asked. Thus, it is essential that evidence-based and valid tools are used to collect data and ensure that accurate methods are used (Vadiveloo et al., 2020). Since the goal of our DPI projects is to show clinical significance in the improvement of patient outcomes, it is necessary to consider potential barriers that may arise during this arduous process. As stated in previous discussions, there may be resistance to change from staff who do not see the big picture, or, rather, lack the willingness to put forth additional effort (Melnyk et al., 2018). Another potential barrier could be a staffing shortage that does not allow for extra nurses to perform additional complex interventions (e.g., mobility while on a ventilator) (Melnyk et al., 2018).
Finally, all the data from my DPI will come from the electronic health record (EHR). This will provide this doctoral learner with a wealth of information about the interventions implemented and the patient’s response to the interventions. There are, however, barriers that can arise from this as well. For example, biased results may occur from incorrect interpretation of the medical record (Capobianco, 2020). If providers read the medical records and misinterpret the data or overestimate the effects of treatment, then this may lead to reporting results that are different than what occurred (Capobianco, 2020). Perhaps the biggest barrier that may arise is in the evaluation of the data to determine if the intervention had the intended effect; data evaluation may require as much as one year of data post-implementation, rather than the 8-weeks of data and few months that we will be given (Sylvia & Terhaar, 2018). Thus, as we enter the stage where we are to begin putting our projects into practice, we need to be prepared for all barriers that may lead to delays in intervention implementation and reporting outcomes.
Capobianco, E. (2020). Imprecise data and their impact on translational research in medicine. Frontiers in Medicine, 7. 82. https://doi.org/10.3389/fmed.2020.00082
Melnyk, B. M., Gallagher-Ford, L., Long, L. E. & Fineout-Overholt, E. (2018). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 15(1), 5-15. https://doi.org/10.1111/wvn.12244
Sylvia, M. L. & Terhaar, M. F. (Eds). (2018). Clinical analytics and data management for the DNP (2nd ed.). Springer Publishing Company.
Vadiveloo, M., Lichtenstein, A. H., Anderson, C., Aspry, K., Foraker, R., Griggs, S., … & American Heart Association Council on Lifestyle and Cardiometabolic Health; Council on Arteriosclerosis, Thrombosis and Vascular Biology; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; and Stroke Council. (2020). Rapid diet assessment screening tools for cardiovascular disease risk reduction across healthcare settings: a scientific statement from the American Heart Association. Circulation: Cardiovascular Quality and Outcomes, 13(9), e000094.
Read the Bible verses listed in the topic Resources. What does the Bible have to say about how one should view work in general? How does this Christian worldview of work affect the approach to the DPI Project?
Bonnie Flores In 200 Words
The Bible verses in this week’s reading resonated with me and the work that I am doing in this class, this program, and in my work life as a nurse. Colossians 3:23-24 hit home as it speaks to loving what you do and giving your life’s work everything, not for us, but for Jesus; it speaks about our reward for serving the Lord (New International Version (NIV), n.d.). I often speak to my Priest about how I feel that my work with patients, working to improve their health, is the Lord’s work, and this verse essentially validates how I feel about the work that nurses do each day. 2 Timothy 2:5-6 is similar in that is speaks about how the person who works hard is the first to reap the benefit (NIV, n.d.). It is not for benefit nor reward that I choose to persevere and work through the DPI, but it is for the patient's benefit. Having a Christian Worldview impacts the DPI, particularly when the focus is on improving outcomes and the quality of life for the patient. Taking to heart the readings from Proverbs 6:6-8 and Proverbs 13:2-4, if we work tirelessly and diligently, like the ant, then we are wise, and our greatest reward will be the satisfaction that we did a good job for others (NIV, n.d.). As doctoral learners, nearing the commencement of our project courses, it would serve us well to keep these verses at the forefront of our thoughts, particularly when we become weary and start having doubts about the road ahead.
There are many nurses with whom I work who do not have a passion for their work, they are doing a job and clocking in without keeping the patient at the center of their care. During our education on our DPI, we can try to affect change in nurses such as these and show them how the patient will improve if we show caring attitudes. These Bible verses align with my project, my worldview, and with my theoretical model, Duffy’s Quality Caring Model. The model underscores the nurse-patient relationship and how we act for the good of the patient (Duffy, 2005). Evidence shows that when nurses stay focused on the patient, build rapport, and show caring attitudes, then patients feel that love and caring, and improve faster (Duffy, 2005). Thus, we must stay true to our goal and purpose and channel this love and care to the patient as we work hard to improve their life. A change in one person’s life will be our reward.
Duffy, J. R. (2005). Implementing the Quality-Caring Model in acute care. JONA, 35(1), 4-6. https://oce-ovid-com.lopes.idm.oclc.org/article/00005110-200501000-00002/HTML
New International Version (NIV). (n.d.). Colossians 3:23-24. The Bible. Retrieved on May 12, 2023, from https://www.biblegateway.com/passage/?search=Colossians +3%3A23-24&version=NIV
New International Version (NIV). (n.d.). Proverbs 6:6-8. The Bible. Retrieved on May 12, 2023, from https://www.biblegateway.com/passage/?search=Proverbs +6%3A6-8&version=NIV
New International Version (NIV). (n.d.). Proverbs 13:2-4. The Bible. Retrieved on May 12, 2023, from https://www.biblegateway.com/passage/?search=Proverbs +13%3A2-4&version=NIV
New International Version (NIV). (n.d.). 2 Timothy 2:5-6. The Bible. Retrieved on May 12, 2023, from https://www.biblegateway.com/passage/?search=2 +Timothy+2%3A5-6&version=NIV
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