TRANSLATION FRAMEWORKS/MODELS

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.

Resources

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

Required Readings

· White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2024). 
Translation of evidence into nursing and healthcare (4th ed.). Springer. 

·

· Chapter 2, “The Science of Translation and Major Frameworks” (pp. 25–53) 

· Chapter 3, “Change Theories for Translation” (pp. 53–67) 

· Jones-Schenk, J., & Bleich, M. R. (2019). 
Implementation science as a leadership and doctor of nursing practice competencyLinks to an external site.. 
The Journal of Continuing Education in Nursing, 50(11), 491–492. https://doi.org/10.3928/00220124-20191015-03

PowerPoint Resources

Note: These resources were previously presented in Week 4.

·
Document: 
College of Nursing PowerPoint Template (PowerPoint presentation) 
Download College of Nursing PowerPoint Template (PowerPoint presentation) 

· Microsoft. (n.d.). 

Microsoft 365 for Mac quick startsLinks to an external site.
. https://support.office.com/en-us/article/office-for-mac-quick-starts-5bccb480-0e5b-4b51-b072-66d3793ccad8

Note: If you are a Mac user and have never experienced PowerPoint before, this source will guide you through the basics of how to use PowerPoint. The time estimate for this resource is approximately 20 minutes. 

· Microsoft. (n.d.). 

PowerPoint for Windows trainingLinks to an external site.
. https://support.office.com/en-us/article/powerpoint-for-windows-training-40e8c930-cb0b-40d8-82c4-bd53d3398787

Note: If you are a PC user and have never experienced PowerPoint before, this source will guide you through the basics of how to use PowerPoint. The time estimate for this resource is approximately 20 minutes.   

· Walden University Academic Skills Center. (n.d.). 

How do I create a strong PowerPoint presentation?Links to an external site.
 https://academicanswers.waldenu.edu/faq/72804

· Walden University Academic Skills Center. (n.d.). 

MS PowerPoint resources: Getting startedLinks to an external site.
. https://academicanswers.waldenu.edu/faq/330533 

Required Media

· IRL – Research and Science Course. (2019, August 30). 

What is implementation science?Links to an external site.
 [Video]. YouTube. https://www.youtube.com/watch?v=Cvk-cpDptOc

Note: This resource was previously presented in Week 4.

· IRL – Research and Science Course. (2019, August 30). 

Theories and frameworks in implementation scienceLinks to an external site.
 [Video]. YouTube. https://www.youtube.com/watch?v=fdaTFgX0II0

Note: This resource was previously presented in Week 4.

· Walden University. (2021). 

DNP glossaryLinks to an external site.
 [Interactive media]. Walden University Canvas. https://waldenu.instructure.com 

Note: This resource was previously presented in Week 4.

· 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.

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.

· 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 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. 

Read a selection of your colleagues’ posts.

By Day 6 of Week 5

Respond to at least 
two of your colleagues, on different days, who selected translation frameworks or models different than you did, by suggesting an additional framework or model that they might consider and explaining why you think it might be a good fit for their EBP, IS, and QI Assignment.

Note: Your responses to colleagues should be substantial 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 response but cannot stand alone as a response. Your responses should enrich the initial post by supporting and/or adding a fresh viewpoint and be constructive, enhancing the learning experience for all students.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights that you have gained because of your colleagues’ comments.

RESPOND TO THIS DISCUSSION POST

WE MA

Knowledge-to-Action (KTA) Model

I will focus on the Knowledge-to-Action (KTA) model. The KTA Model bridges the gap between research and practice by systematically guiding how evidence is identified, adapted, and implemented in real-world settings. It addresses two key processes: knowledge creation and the action cycle, ensuring practice changes are actionable and sustainable (White et al., 2024).

The KTA Model is considerably flexible. It starts with identifying a problem, reviewing research evidence, and adapting findings to the local context (White et al., 2024). For example, in working with the aging population, high rates of patient falls have prompted a review of evidence-based fall prevention strategies. This process ensured that recommendations, such as implementing hourly rounding and bed alarms, were tailored to our unique patient population and resources.

The action cycle also highlights assessing barriers, monitoring progress, and refining interventions. I observed that successful changes required ongoing staff training and consistent feedback loops. Studies support this approach, with Fontaine et al. (2024) showing that staff engagement, including continuous training and feedback, significantly improves adherence to evidence-based protocols.

By systematically addressing each step, the KTA Model fosters buy-in from stakeholders and ensures measurable outcomes.  Its clear structure prevents common pitfalls like poor staff engagement or unclear goals. Ultimately, this model transforms evidence into practice, improving patient care and organizational outcomes. The KTA Model provides clarity and adaptability for my project, making it an ideal choice for leading change.

Relevance of the KTA Model

This model is relevant to my work because it fills the gap between evidence and its application in clinical settings. Due to its structured, stepwise approach, KTA ensures that evidence is adapted to real-world practice while addressing common implementation barriers.

The model has several strengths that make it the most relevant and applicable framework for my EBP, IS, and QI assignment. First, KTA identifies a problem and tailors evidence to the local context (White et al., 2024). In my current organization, frequent hospital readmissions among heart failure patients highlighted the need for improved discharge planning. Evidence supported the implementation of structured follow-up calls and patient education programs (Connors et al., 2015).We adapted the intervention by assessing our unit’s unique needs to include personalized discharge summaries and scheduling follow-ups before discharge. This approach improved adherence to care plans and reduced readmission rates.

Another advantage of KTA is its emphasis on stakeholder engagement and barrier assessment. For example, during the previous initiative to implement hourly rounding for fall prevention, initial resistance came from staff workload concerns. Using the KTA Model, we engaged frontline nurses to identify barriers and collaboratively adjusted rounding schedules. The result was increased compliance and a noticeable reduction in fall rates. Evidence supports this step, as addressing barriers early increases the adoption and sustainability of EBP initiatives (Fontaine et al., 2024).

Finally, the KTA Model prioritizes monitoring and sustaining change. Integrating performance audits and regular feedback loops ensures that interventions are effective over time. For my current EBP project, collecting patient outcome data and sharing progress with staff has built momentum and accountability.

Conclusion

The practicality and flexibility of the KTA Model make it the perfect framework for aiding me in achieving meaningful change. The systematic steps of identifying problems, tailoring evidence, engaging stakeholders, and tracking outcomes create a clear pathway to translating research into practice. Using this model, I can confidently implement evidence-based solutions that improve patient outcomes and organizational performance.

References

Connors, L., Gardiner, E., Davrener, R., Rn, G., Hall, S., & Watts, S. (2015). Preventing 30-Day Readmission for Patients with Heart Failure. In 
University of Maryland Baltimore Washington Medical Center. https://www.hopkinsmedicine.org/-/media/evidence-based-practice/documents/ebp-exemplar-posters/pcu-tcc-ver3-final.pdf

Fontaine, G., Vinette, B., Weight, C., MaheuCadotte, M., Lavallée, A., Deschênes, M., Lapierre, A., Castiglione, S. A., Chicoine, G., Rouleau, G., Argiropoulos, N., Konnyu, K., Mooney, M., Cassidy, C. E., Mailhot, T., Lavoie, P., Pépin, C., Cossette, S., Gagnon, M., & Semenic, S. (2024). Effects of implementation strategies on nursing practice and patient outcomes: a comprehensive systematic review and meta-analysis. 
Implementation Science, 
19(1), 68. https://doi.org/10.1186/s13012024013980

White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2024). 
Translation of evidence into nursing and healthcare (4th ed.). Springer.

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