NURS 8114 Translation Models and Frameworks
The chosen framework for translating knowledge into action in the field of nursing is the Knowledge to Action (KTA) framework. This framework is a valuable tool in the realm of translation science. It serves to help various stakeholders, including healthcare practitioners, policymakers, and the general public, in effectively using research knowledge. The KTA framework provides a structured approach to the process of taking research findings and putting them into practice. This process involves several key stages, from discovering and generating research-based knowledge to implementing and applying it (White et al., 2019).
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The KTA framework is comprised of two main components: Knowledge Creation and Action. Knowledge Creation involves three steps: knowledge inquiry, knowledge synthesis, and knowledge tools or products. Knowledge inquiry represents the initial stage, where primary studies are conducted, forming the foundation of research knowledge. Knowledge synthesis is the second stage, where results from individual studies are combined and interpreted in the context of global evidence (White et al., 2020). The third stage, knowledge tools and products, results in practical resources like decision aids, clinical practice guidelines, and videos.
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The Action component of the KTA framework involves a series of steps, including identifying and appraising the problem and existing research, identifying barriers and successes, planning and executing interventions, and finally, monitoring, evaluating, and making necessary adjustments.
In the context of managing hypertension, the KTA framework is highly relevant. It serves as a guiding framework for translating evidence-based knowledge into the practice of managing patients with hypertension or those at risk of developing it. This framework facilitates the application of evidence-based knowledge to prevent and manage hypertension in clinical settings. Additionally, it provides a structured roadmap for interventions related to hypertension and enhances their validity and rigor (Lee & Ho, 2019). The KTA framework also supports the seamless integration of evidence-based literature into the ever-expanding field of implementation literature.
References:
– Lee, C., & Ho, K. (2019, July). Knowledge to action framework for home health monitoring. In Healthcare management forum (Vol. 32, No. 4, pp. 183-187). Sage CA: Los Angeles, CA: SAGE Publications. https://doi.org/10.1177/0840470419855364
– White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2019). Translation of evidence into nursing and healthcare (3rd ed.). Springer.
– White, M. C., Daya, L., Karel, F. K. B., White, G., Abid, S., Fitzgerald, A., … & Leather, A. J. (2020). Using the Knowledge to Action Framework to Describe a Nationwide Implementation of the WHO Surgical Safety Checklist in Cameroon. Anesthesia and analgesia, 130(5), 1425. https://doi.org/10.1213/ANE.0000000000004586
NURS 8114 Translation Models and Frameworks:
Hi Florence, your selection of the Knowledge to Action (KTA) framework is a suitable choice, especially when dealing with patients with chronic diseases like hypertension. The framework is designed to help various stakeholders, including healthcare practitioners, policymakers, and the general public, effectively utilize research knowledge. The KTA framework offers a structured approach to translating research findings into practical application, encompassing multiple key stages, from discovering and generating research-based knowledge to implementing and applying it (White et al., 2019).
The KTA framework consists of two essential components: Knowledge Creation and Action. Knowledge Creation involves three stages: knowledge inquiry, knowledge synthesis, and knowledge tools or products. Knowledge inquiry represents the initial stage, encompassing primary studies that lay the foundation for research knowledge. Knowledge synthesis, the second stage, involves the amalgamation and interpretation of results from individual studies within the context of global evidence (White et al., 2020). The third stage, knowledge tools and products, results in practical resources such as decision aids, clinical practice guidelines, and videos.
The Action component of the KTA framework involves a series of steps, including identifying and appraising the problem and existing research, identifying barriers and successes, planning and executing interventions, and finally, monitoring, evaluating, and making necessary adjustments.
In the context of managing hypertension, the KTA framework is highly relevant as it serves as a guiding framework for translating evidence-based knowledge into the practice of managing patients with hypertension or those at risk of developing it. This framework facilitates the application of evidence-based knowledge to prevent and manage hypertension in clinical settings. Additionally, it provides a structured roadmap for interventions related to hypertension, enhancing their validity and rigor (Lee & Ho, 2019). The KTA framework also supports the seamless integration of evidence-based literature into the ever-expanding field of implementation literature.
References:
– Lee, C., & Ho, K. (2019, July). Knowledge to action framework for home health monitoring. In Healthcare management forum (Vol. 32, No. 4, pp. 183-187). Sage CA: Los Angeles, CA: SAGE Publications. https://doi.org/10.1177/0840470419855364
– White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2019). Translation of evidence into nursing and healthcare (3rd ed.). Springer.
– White, M. C., Daya, L., Karel, F. K. B., White, G., Abid, S., Fitzgerald, A., … & Leather, A. J. (2020). Using the Knowledge to Action Framework to Describe a Nationwide Implementation of the WHO Surgical Safety Checklist in Cameroon. Anesthesia and analgesia, 130(5), 1425. https://doi.org/10.1213/ANE.0000000000004586
In your case, the Theory of Reasoned Action (TRA) is a suitable choice as a translation science framework for enhancing medication adherence among patients with chronic diseases. This is particularly relevant because adherence to prescribed medications is a critical factor in improving patient care, especially for those with chronic illnesses. The TRA helps to explain the factors influencing patient behavior, and in the case of chronic patients, it can be a key factor in their medication adherence (Kasahun et al., 2022). It aligns with the understanding that patient satisfaction with medication is linked to their beliefs about the potential outcomes related to the medication (Shikiar & Rentz, 2004). The TRA guides nurses to consider all the relevant factors that impact medication adherence from the patient’s perspective. It also offers guidance on how to match the behavior in focus to the degree of specificity of the underlying beliefs and values (Shikiar & Rentz, 2004). For example, if the behavior in focus is medication adherence, the inquiry should delve into the patient’s outcomes associated with taking the prescription and the value they attach to those outcomes. Therefore, the TRA is a valuable framework for nurses in promoting medication adherence among patients with chronic diseases.
NURS 8114 Translation Models and Frameworks
The Theory of Planned Behavior is another translation science model that can be considered for improving medication adherence among patients with chronic diseases. This framework is widely used in health-related and non-health-related studies and is known for providing a more accurate representation of the constructs necessary to understand patient behavior (Alhamad & Donyai, 2021). It is a suitable choice as it accounts for factors beyond health behaviors, offering a comprehensive understanding of what influences patients’ medication adherence.
References
Alhamad, H., & Donyai, P. (2021). The validity of the theory of planned behavior for understanding people’s beliefs and intentions toward reusing medicines. Pharmacy, 9(1), 58. https://doi.org/10.3390/pharmacy9010058
De Sousa, M. M., Almeida, T. de, Andrade, S. S., Gouveia, B. D., & Oliveira, S. H. (2018). Teoria da ação racional e suas características em pesquisas na enfermagem. Enfermería Global, 17(3), 575. https://doi.org/10.6018/eglobal.17.3.305911
Shikiar, R., & Rentz, A. M. (2004). Satisfaction with medication: An overview of conceptual, Methodologic, and regulatory issues. Value in Health, 7(2), 204–215. https://doi.org/10.1111/j.1524-4733.2004.72252.x
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