NUR 550 Discussion:Translational Research Graphic Organizer
Use the “Translational Research Graphic Organizer Template” to compare three types of translational research with traditional (qualitative or quantitative) research. Make sure to include methodology, goals, and data collection in your organizer.
You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
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While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
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Cardiovascular Disease (CVDs) Disparities in African Americans
The high prevalence of cardiovascular diseases (CVDs) among African Americans can be attributed to a historical lack of equal healthcare access and unhealthy lifestyle choices. To gain a comprehensive understanding of the health trends within the African American community, we have created a translational research graphic organizer. This tool aims to shed light on various studies investigating the occurrences of CVDs within this population.
| Clinical practice issue of translational Research in cardiovascular diseases (CVDs) | The distinction between structured (practical) and unstructured (theoretical) research in clinical trials | Observations (Similarities/Differences) | |
| Methodology | Basically, the three major types of translational research; translational research 1 (T1) translational research 2 (T2), and translation research (T3) demand the researchers to be directly involved in the study variables in order to achieve the anticipated goal of the project (Spring et al., 2013). In this context, researchers initiate activities by taking full control of the dependent variables of the project during the entire study. The methodologies are thus; T1: Observational studies, Phase I and Phase II clinical trials, Case studies and Randomized Control Studies (RCTs) (Al-Bayan et al., 2017) T2: Phase III clinical trials, evidence synthesis, observational studies, and CVDs clinical guidelines (Spring et al., 2013). T3: Phase IV clinical trials, implementation research, dissemination research and diffusion research. | Methodology as per traditional practices for clinical research vary as per the following; Qualitative: Group discussions, focus groups, observation and individual depth interviews. Quantitative: Population surveys, Audits and Laboratory Simulations | In each of the cases, researches are complex since all are considered hypothesis-oriented in order to formulate the desired clinical decision. Either of the studies require researchers to develop and design methodology by actively taking part in the research process. Contrary to traditional research, translational research are based on experiments that are closely monitored so to answer sets of biomedical questions related to clinical findings on the prevalence of CVDs among black-Americans (Brown et al., 2017). |
| Goals | T1: CVDs screening, diagnosis, developing treatments and interventions. T2: Testing the effectiveness and efficacy of the established treatment protocols and interventions T3: Dissemination together with the implementation of research for the selected system-wide change (Spring et al., 2013). | Qualitative: To assess and develop an understanding about the underlying causes as well as reasons and motivations. In addition, the goal is to uncover prevalent as well as trends in thought and opinion about CVDs among African Americans (Shabani et al., 2018) Quantitative: To establish sources of data so as to generalize results as per the given sample to the African American population diagnosed with CVDs. | Traditional research is based on the analysis of human behavior with regard to selected population as well as the discovery of facts related to a given social phenomenon predominant among African Americans. On the contrary, translational research focuses on a health policy that determines health patterns among African Americans with the main aim of implementing an evidence-based practice in a given clinical setting (Al-Bayan et al., 2017). |
| Data Collection | Data obtained from population surveys clinical trials, practice-based research networks and population-based interventions. | Qualitative: Data collected through interviews, focused group discussion and the observation of the African American participants (Carnethon et al., 2017). Quantitative: Data collected by measuring the selected variables. | Traditional research is based on data analysis by the use of various tools whereas translational research relates to an interpretation of evidence-based research that can be implemented ins clinical practice. |
Title: NUR 550 – Exploring Medication Errors in Nursing due to Staffing Shortages: A Translational Research Graphic Organizer
The nursing issue chosen for our evidence-based practice (EBP) project centers around medication errors, a significant concern in the healthcare field. This problem is particularly acute in the current climate of nursing shortages and high nurse turnover rates. With fewer nurses available to care for patients, the risk of medication errors rises, including adverse drug events that can have severe consequences such as extended hospital stays and even fatalities (Buerhaus et al., 2017).
Our project aims to investigate the effectiveness of implementing health information technology as opposed to traditional medication management methods in reducing medication errors, especially in critically ill patients. The choice of critically ill patients as our target population is grounded in their heightened vulnerability to injuries that necessitate high-risk medications and the frequent use of intravenous infusions, which increases the likelihood of medication errors. Health information technology has the potential to enhance nursing efficiency, deliver the required care, and diminish the occurrence of medication errors.
To gain a more comprehensive understanding of research designs and their application, we will compare a translational study to a quantitative study and another translational study to a qualitative study using a translational research graphic organizer. This comparative analysis will help nurses better apply evidence-based research in their clinical practices to address issues and provide improved patient care.
Comparison 1: Translational Research vs. Qualitative Research
| Criteria | Peer-Reviewed Translational Article and Permalink/Working Link:
Härkänen, M., Vehviläinen-Julkunen, K., Murrells, T., Rafferty, A. M., & Franklin, B. D. (2019). Medication administration errors and mortality: incidents reported in England and Wales between 2007 ̶ 2016. Research in Social and Administrative Pharmacy, 15(7), 858-863. https://doi.org/10.1016/j.sapharm.2018.11.010 Translational Research Type: T2
|
Peer-Reviewed Traditional Article and Permalink/Working Link:
Barakat, S. & Franklin, B. D. (2020). An Evaluation of the Impact of Barcode Patient and Medication Scanning on Nursing Workflow at a UK Teaching Hospital. Pharmacy (Basel), 8(3):148. doi: 10.3390/pharmacy8030148 Traditional Qualitative Research Type: Observational Research |
Observations (Similarities/Differences) |
| Methodology | The researchers reported cases between 2007 and 2016 from the National Reporting and Learning System for England and Wales. The article also analyzes the deaths reported and categorizes drugs based on various parameters that include, year, age, location, and category of error using incidents’ initial classification. | The study was a comparative research with direct observation approach used in the two settings within acute surgical wards in UK hospital. | In both studies, the researchers use hypotheses to understand the phenomena under study. In both studies, the researchers actively participate in the research process.
However, researchers can manipulate the outcomes and research design in qualitative study but cannot in translational research. |
| Goals | The study’s goals include analysis of medication administration errors reported in acute care that led to death, know the involved drugs, and offer a description of administration error features like location type of error and patient age. | The authors assert that little is known about the use of barcode medication administration. Therefore, the researchers sought to evaluate the effects of barcode patient and medication scanning on nursing flow at a teaching hospital in the UK. | In both studies, the researchers’ focus is to improve practice interventions on the issue of medication administration errors.
Conversely, the translational research’s main focus is to enhance practice and not produce new knowledge. In this case, the translational research article seeks to improve reporting and knowledge about the effects of medication errors. However, the qualitative research seeks new knowledge about the use barcode scanning. |
| Data Collection | The authors collected data from incident reporting in acute care setting. The data came from the National Reporting and Learning System of England and Wales. | The researchers collected data on drug rounds through observation on different parameters that include duration, timelines of medication administration, identity of patients, verification of medications and the overall workflow patterns in the two facilities. | Both collect data from different sources. However, qualitative study uses primary data collected through observation while the translational study uses secondary data from the reporting mechanism used in England and Wales. |
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Comparison 2: Translational Research vs. Quantitative Research
| Criteria | Peer-Reviewed Translational Article and Permalink/Working Link:
Flott, K., Nelson, D., Moorcroft, T., Mayer, E. K., Gage, W., Redhead, J. & Darzi, A. W. (2018). Enhancing Safety Culture Through Improved Incident Reporting: A Case Study in Translational Research, Health Affairs, 37(11). https://doi.org/10.1377/hlthaff.2018.0706 Translational Research Type: |
Peer-Reviewed Traditional Article and Permalink/Working Link:
Alomari, A., Sheppard-Law, S., Lewis, J. & Wilson, V. (2020). Effectiveness of Clinical Nurses’ interventions in reducing medication errors in a pediatric ward. The Journal of Clinical Nursing, 29(17-18): 3403-3413. https://doi.org/10.1111/jocn.15374 Traditional Quantitative Research Type: Action Research (AR) three-phase study. |
Observations (Similarities/Differences) |
| Methodology | The article uses a case study approach to report on an initiative by two large healthcare organizations and providers on the effects of using a learning health systems cycle of interventions. | The article used a quantitative research method comprising of three phases of action research. The first phase focused on developing an overview of the medication practice while the second developed and implemented targeted interventions. The third phase evaluated the implemented interventions. | Both studies use unique methodologies based on the interests of the researchers. Both do not involve the researchers in designing the methodology and its implementation. |
| Goals | The goals of the study are enhancement of patient safety culture using improved reporting of incidents and learning to shape a more just organization culture. | The aims and objectives of the study was to evaluate the effects of bundle interventions that nurses can develop and implement to reduce medication administration error rates. The article also focused on enhancing nurses’ medication administration practice. | The translational study’s focus is to enhance patient safety culture through effective reporting. However, the quantitative study seeks developing new knowledge for nurses to reduce medication administration errors. The quantitative study also focuses on improving nurses’ understanding of the medication administration practice |
| Data Collection | The authors collected data from frontline-staff who implemented seven evidence-based interventions. Through observation, the researchers monitored and recorded reported incidents based on several indicators, including reported harms. | The researchers collected data from the six recruited clinical pediatric nurses as part of the action research team. Data collection comprised of medication incident data, medical policy audits using a questionnaire. | Both collect data from participants in different patient settings. Both show that data is an important part of any research as it validates the developed hypotheses. |
Conclusion
In summary, the articles stemming from both translational research and traditional research methodologies highlight the impact of these distinct approaches in the acquisition of data and evidence pertaining to medication errors. These articles underscore the importance of selecting research designs that can yield superior and high-quality findings, which can subsequently be applied to develop evidence-based interventions in clinical practice.
It’s evident that translational and traditional research approaches exhibit variances, yet they also converge on specific facets of the research process. This highlights the complexity of healthcare research and the value of considering a spectrum of approaches to gain a comprehensive understanding of medication errors and ultimately enhance patient care in the clinical setting.
References
Alomari, A., Sheppard-Law, S., Lewis, J. & Wilson, V. (2020). Effectiveness of Clinical Nurses’ interventions in reducing medication
errors in a pediatric ward. The Journal of Clinical Nursing, 29(17-18): 3403-3413.
https://doi.org/10.1111/jocn.15374
Barakat, S. & Franklin, B. D. (2020). An Evaluation of the Impact of Barcode Patient and Medication Scanning on Nursing Workflow
at a UK Teaching Hospital. Pharmacy (Basel), 8(3):148. doi: 10.3390/pharmacy8030148
Flott, K., Nelson, D., Moorcroft, T., Mayer, E. K., Gage, W., Redhead, J. & Darzi, A. W. (2018). Enhancing Safety Culture Through
Improved Incident Reporting: A Case Study in Translational Research, Health Affairs, 37(11).
https://doi.org/10.1377/hlthaff.2018.0706
Härkänen, M., Vehviläinen-Julkunen, K., Murrells, T., Rafferty, A. M., & Franklin, B. D. (2019). Medication administration errors
and mortality: incidents reported in England and Wales between 2007 ̶ 2016. Research in Social and Administrative Pharmacy, 15(7), 858-863.
https://doi.org/10.1016/j.sapharm.2018.11.010
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