Translational Research Graphic Organizer
Translational Research Graphic Organizer NUR 550
Translational Research Graphic Organizer
Nursing Practice Problem: For outpatient primary care nurses (P), does the use of barcode medication administration (BCMA) (I) improve the prevention of medication errors (O)?
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Comparison 1: Translational Research vs. Qualitative Research
| Criteria | Peer-Reviewed Translational Article and Permalink/Working Link:Thompson, K. M., Swanson, K. M., Cox, D. L., Kirchner, R. B., Russell, J. J., Wermers, R. A., … & Naessens, J. M. (2018). Implementation of bar-code medication administration to reduce patient harm. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 2(4), 342-351. https://doi.org/10.1016%2Fj.mayocpiqo.2018.09.001Translational Research Type: T2 (Testing the efficacy of interventions) | Peer-Reviewed Traditional Article and Permalink/Working Link:Rishoej, R. M., Lai Nielsen, H., Strzelec, S. M., Fritsdal Refer, J., Allermann Beck, S., Gramstrup, H. M., … & Almarsdóttir, A. B. (2018). Qualitative exploration of practices to prevent medication errors in neonatal intensive care units: a focus group study. Therapeutic Advances in Drug Safety, 9(7), 343-353. https://doi.org/10.1177/2042098618771541Traditional Qualitative Research Type: a focus group study. | Observations (Similarities/Differences)Both studies used a qualitative approach to collect data and evaluate outcomes. However, the settings and study populations differ. |
| Methodology | A pre-post study on the implementation of barcode medication administration (BCMA) to reduce patient harm. | This study was a focus group interview of physicians and nurses to explore their practices to prevent medication errors. | Both studies explored the effectiveness of technology/barcode scanning in preventing medication errors. However, Rishoej et al. (2018) focused on other practices besides barcode medication administration. |
| Goals | The study’s primary goal was to assess the impact of BCMA technology on medication administration errors’ rates in an inpatient setting. | The study explored current and future practices for preventing medication errors in neonatal intensive care units. | |
| Data Collection | Thompson et al. (2018) tracked and compared the number of adverse events pre-implementation period through follow-up after implementing the BCMA technology in an inpatient setting. | The researchers used a semi-structured interview guide to question physicians and nurses on the methods they use to prevent medication errors and their effectiveness. Technology-driven practices such as BCMA were among the focus areas. | Thompson et al. (2018) tracked and compared events while Rishoej et al. (2018) interviewed healthcare professionals. |
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Comparison 2: Translational Research vs. Quantitative Research
| Criteria | Peer-Reviewed Translational 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, 8(3), 148. https://doi.org/10.3390/pharmacy8030148Translational Research Type: T2 (Testing the efficacy of interventions) | Peer-Reviewed Traditional Article and Permalink/Working Link:Jessurun, J. G., Hunfeld, N. G. M., Van Rosmalen, J., Van Dijk, M., & Van Den Bemt, P. M. L. A. (2021). Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study. International Journal for Quality in Health Care, 33(4), mzab142. https://doi.org/10.1093/intqhc/mzab142Traditional Quantitative Research Type: a prospective uncontrolled before-and-after study. | Observations (Similarities/Differences)Both studies are quantitative. However, Barakat and Franklin (2020) conducted T2 research while Jessurun et al.’s (2021) article is traditional peer-reviewed research. |
| Methodology | A comparative study on two surgical wards in an acute UK hospital. The study was conducted on a non-BCMA ward and a BCMA ward.
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Jessurun et al. (2021) conducted a prospective uncontrolled before-and-after study in a Dutch university hospital. The primary outcome was the number of medication administrations with one or more errors. | Barakat and Franklin (2020) conducted a comparative study while Jessurun et al. (2021) conducted a prospective uncontrolled before-and-after study. Despite the difference in the methodical approach, both studies hypothesized that BCMA influence medication administration and related outcomes positively. |
| Goals | The purpose of the study was to evaluate the impact of BCMA on nursing activity and workflow (factors leading to medication errors).
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The aim of the study was to assess the impact of automated barcode-assisted medication administration on the prevalence of medication-associated errors (MAEs) in a Dutch university hospital. | While Barakat and Franklin (2020) focused on the impact of BCMA on activities leading to errors, Jessurun et al. (2021) focused on the link between BCMA and medical errors reduction.Both studies explored the impact of BCMA on medical errors. |
| Data Collection | Barakat and Franklin (2020) observed nurses during drug rounds on the two sites. Data were collected on drug round duration, medication administration timeliness, medication verification, and patient identification. | Jessurun et al. (2021) collected MAE data via the disguised observation method. Eight observers, seven nursing students, and one pharmacist recorded details of every medication administration. | Both studies applied the observation method. However, Jessurun et al. (2021) used the disguised observation method to collect data. Barakat and Franklin (2020) collected data on multiple elements that influence medication errors. |
References
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, 8(3), 148. https://doi.org/10.3390/pharmacy8030148
Jessurun, J. G., Hunfeld, N. G. M., Van Rosmalen, J., Van Dijk, M., & Van Den Bemt, P. M. L. A. (2021). Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study. International Journal for Quality in Health Care, 33(4), mzab142. https://doi.org/10.1093/intqhc/mzab142
Rishoej, R. M., Lai Nielsen, H., Strzelec, S. M., Fritsdal Refer, J., Allermann Beck, S., Gramstrup, H. M., … & Almarsdóttir, A. B. (2018). Qualitative exploration of practices to prevent medication errors in neonatal intensive care units: a focus group study. Therapeutic Advances in Drug Safety, 9(7), 343-353. https://doi.org/10.1177/2042098618771541
Thompson, K. M., Swanson, K. M., Cox, D. L., Kirchner, R. B., Russell, J. J., Wermers, R. A., … & Naessens, J. M. (2018). Implementation of bar-code medication administration to reduce patient harm. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 2(4), 342-351. https://doi.org/10.1016%2Fj.mayocpiqo.2018.09.001
Translational Research Graphic Organizer
The purpose of this assignment is to conduct a comparison on different research designs to better understand their designs and application. Understanding the different types of research design is important so that nurses can effectively apply evidence-based research into practice to address issues and offer better patient care.
You will utilize your approved nursing practice problem to complete the evidence-based practice project proposal assignments for this course and NUR-590, during which you will synthesize all of the sections
into a final written paper detailing your evidence-based practice project proposal.
Review feedback from your instructor on your “Evidence-Based Practice Project Proposal: Identification of Nursing Practice Problem,” submitted in Topic 1. If your original proposed nursing problem was outside the scope of nursing practice or not conducive to an evidence-based practice project proposal, work with your instructor to identify a new topic prior to beginning this assignment. If your proposed topic requires revision, complete this prior to beginning this assignment.
Conduct a literature search on your approved nursing practice problem. Find two translational research articles, one quantitative article, and one qualitative article. Using the “Translational Research Graphic Organizer,” present your proposed topic and, in the tables provided, compare one translational study to the quantitative study, and one translational study to the qualitative study.
Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.
You are required to cite four peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
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.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
Attempt Start Date: 24-Jun-2021 at 12:00:00 AM
Maximum Points: 100.0
Translational Research Graphic Organizer ORDER NOW FOR INSTRUCTIONS-COMPLIANT, ORIGINAL PAPER on
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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Translational Research Graphic Organizer
T1 research
T2 research
T3 research
Quantitative Research
Observations (Similarities/Differences)
Methodology
Tests clinical effects and applicability of findings derived from basic research like social science, psychometrics, research epidemiology, and laboratory tests (Felege, Hahn & Hunter, 2016).
The research is demonstrated using human physiology, proof of concept, fist in humans and phase 1 clinical trials.
Investigators use controlled environments to test new interventions and come up with evidence-based guidelines and clinical applications (Kemp, 2019).
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Investigators explore how one can apply recommendations or guidelines in general practice.
Use delivery dissemination and diffusion research to move evidence-based guidelines into health practice (Kemp, 2019).
.It offers numerical data that has been synthesized using statistical and mathematical methods (Barnham, 2015).
The produced numerical data helps one predict the future expectations and make the required changes.
Both quantitative and translational research are applicable to human subjects and clinical studies. Quantitative research tests diagnosis, prevention, and treatment of illness while translational research bridges science and practice (Barnham, 2015; Kemp, 2019).
Goals
To yield knowledge of human physiology and potential for intervention (Kemp, 2019).
To develop treatments and interventions.
To translate basic research into research with humans.
As an interface between basic research and clinical settings, it aims at understanding disease mechanisms and developing them into clinically relevant treatment regimens, diagnostics, and understandings that can be tested in humans (Kemp, 2019).
To provide information on interventions efficacy in optimal settings.
To test the effectiveness and efficacy of interventions and treatments.
To foster routine clinical practice and health decision making by translating new clinical science and knowledge (Robert, 2017).
To use information and insights obtained from basic, clinical and population health research to offer health services.
To generate information about the application of interventions in real-world settings.
To disseminate and implement research to generate a system-wide change.
To use evidence derived from clinical trials to come up with guidelines that are applied in patients seen routinely in practice (Robert, 2017).
To transform numerical data into usable statistics.
To come up with facts in research and uncover patterns from measurable data (Barnham, 2015).
Quantitative research carefully and pragmatically test a mature hypothesis in a controlled environment which aids in making discoveries and exploring ideas. It acts as a foundation for translational research and makes problems solvable.
T1, T2, and T3 aim at coming up with clinical and scientific findings that enhance community health, patient outcome and healthcare delivery (Parajuli, Bhattarai & Heera, 2018). The three are interlinked where T1 translates lab tests to clinical trials whereas T2 and T3 apply the clinical trials to the population.
Data Collection
Data is collected using case studied, observational studies as well as phase I and II clinical trials (Choi, Tubbs & Oskouian, 2018).
Data is obtained through activities like guidelines development, evidence synthesis, observational studies, and phase III clinical trials (Robert, 2017).
Activities include phase IV clinical trials, diffusion research, implementation research and dissemination research (Kemp, 2019).
Use of systematic observation, longitudinal studies, interviews, surveys, website interceptors, and online polls (Barnham, 2015).
A method of data collection used across is observation. It is used in T1 and T2 research as well as in quantitative research. Both translational and quantitative research tries to quantify data into substantial results (Parajuli, Bhattarai & Heera, 2018). The two features methods like clinical trials, interviews, and surveys that provide testable real data.
References
Barnham, C. (2015). Quantitative and qualitative research: Perceptual foundations. International Journal of Market Research, 57(6), 837-854.
Choi, P. J., Tubbs, R. S., & Oskouian, R. J. (2018). The current trend of the translational research paradigm. Cureus, 10(3).
Felege, C., Hahn, E., & Hunter, C. (2016). Bench, bedside, curbside, and home: Translational research to include transformative change using educational research. Journal of Research Practice, 12(2), P1.
Kemp, L. (2019). Translational research: Bridging the chasm between new knowledge and useful knowledge. Handbook of Research Methods in Health Social Sciences, 367-389.
Parajuli, S. B., Bhattarai, P., & Heera, K. C. (2018). Translational research: Current status, challenges and future strategies in Nepal. Nepalese Heart Journal, 15(2), 3-8.
Robert, J. S. (2017). Is there a role for communication studies in translational research?. Review of Communication, 17(3), 214-223.
Researchers intending to conduct their studies using human participants must obtain approvals from institutional review boards. Institutional review boards are independent bodies that are established to review and approve any research targeting human subjects. The body ensures that researchers conduct their investigations in a manner that protect the rights of the human subjects. The committee assesses the different aspects of a proposed study such as methodologies to ensure that the subjects will not be predisposed to any adverse events. The review board also ensures justice in research (Lynch & Rosenfeld, 2020). Accordingly, it ensures that informed consent and protection of data integrity are considered in the research process.
Research related to population health is associated with several ethical research considerations. One of the considerations is the clinical and social value of the research. The proposed study in population health should enhance the scientific understanding of crucial health issues. The research should inform decision-making in the provision of patient care in clinical settings. The other consideration is fairness in subject selection. Researchers should not consider aspects such as privilege or vulnerability in conducting their studies but focus on the goals of their investigation. The other consideration is a favorable risk-to-benefit ratio. The focus should be on minimizing any harm to the participants while optimizing the research benefits. The researchers should also minimize conflicts of interest. They achieve this by ensuring that their investigations are ethical before starting them. They may also consider independent review panels that critique the different methods proposed in a study. Researchers should also respect the study subjects (Holland, 2022; Wiggins & Wilbanks, 2019). This includes respecting their privacy, confidentiality, their right to make informed decisions, and informing them about changes that may be necessary if the investigation does not match their interests.
Researchers must balance respect for persons, potential benefits, burdens of the research, and justice in their investigations. First, they balance by respecting the participants’ right to justice and informed decision-making. They do not coerce or manipulate the participants in the study. They also give them the freedom to withdraw at any point of the investigation, as a way of respecting their justice. Researchers also ensure that the research will not overburden the subjects in any way. For example, the subjects have the right to ignore any question they are uncomfortable with during research. The researchers also inform the subjects about the potential benefits of the research before undertaking it to ensure they make informed decisions. For example, a study exploring lived experiences of people who have lost their loved ones may arouse painful memories (Holland, 2022). As a result, researchers give them the freedom to avoid any question that they deem uncomfortable in responding to during research.
Nursing Practice Problem: The nursing practice problem is obesity among school-age children.
Comparison 1: Translational Research vs. Qualitative Research
| Criteria | Peer-Reviewed Translational Article and Permalink/Working Link:Joseph, E. D., Kracht, C. L., St. Romain, J., Allen, A. T., Barbaree, C., Martin, C. K., & Staiano, A. E. (2019). Young children’s screen time and physical activity: Perspectives of parents and early care and education center providers. Global Pediatric Health, 6, 2333794X19865856. https://doi.org/10.1177%2F2333794X19865856Translational Research Type: Translation to practice (T3) | Peer-Reviewed Traditional Article and Permalink/Working Link:Stiglic, N., & Viner, R. M. (2019). Effects of screentime on the health and well-being of children and adolescents: A systematic review of reviews. BMJ Open, 9(1), e023191. http://dx.doi.org/10.1136/bmjopen-2018-023191Traditional Qualitative Research Type: systematic review of past literature. | Observations (Similarities/Differences) |
| Methodology | Four focus groups (3 parents and 1 ECE provider) were conducted and thematic analysis performed to identify themes and subthemes on children’s screen time and physical activity.Twenty-eight caregivers (21 parents and 7 ECE providers) participated in the research. | A systematic review of past studies on the evidence for health and well-being effects of screen time in children and adolescents was conducted. 13 reviews were identified. | Joseph et al. (2019) used focus groups while Stiglic and Viner (2019) did a literature review. |
| Goals | The primary goal was to seek input from caregivers on barriers and facilitators of physical activity and screen time to comprehensively address them and promote children’s health. | The study systematically examined the evidence of harms and benefits relating to screen time for children and young people’s health and well-being. | Joseph et al. (2019) examined how caregivers’ input regarding physical activity and screen time can be used to promote children’s health while Stiglic and Viner (2019) examined what past studies concluded regarding harms and benefits of screen time and children’s health and well-being. |
| Data Collection | Data for the study was obtained from focus groups containing twenty-eight caregivers. Focus groups were held between January and March 2017. | Stiglic and Viner (2019) searched electronic databases (Medline, Embase, PsycINFO and CINAHL) in February 2018. | Joseph et al. (2019) collected data from participants while Stiglic and Viner (2019) collected from peer-reviewed articles. |
Thank you for your research and input. I think I have decided on my PICOT after some discussion with Professor Gallagher. The P is going to be patients who are getting a total knee arthroplasty and how an adductor canal nerve block (ACB) influences patient’s usage of pain medication in the immediate postoperative period. I have a lot more research to do but have found a few articles relating to my PICOT, one of which is actually the one that you cited. A lot of the articles seem to compare ACBs and femoral nerve blocks (FNB) and how they affect pain medication usage. The article does show that ACBs can allow the patient to ambulate sooner versus FNBs due to FNBs causing a decrease in quadricep strength but there isn’t a difference in medication usage between the two blocks (Hasabo et al., 2022).
References
Hasabo, E. A., Assar, A., Mahmoud, M. M., Abdalrahman, H. A., Ibrahim, E. A., Hasanin, M. A., Emam, A. K., AbdelQadir, Y. H., AbdelAzim, A. A., & Ali, A. S. (2022). Adductor canal block versus femoral nerve block for pain control after total knee arthroplasty: A systematic review and Meta-analysis. Medicine, 101(34), e30110. https://doi.org/10.1097/MD.0000000000030110
Comparison 2: Translational Research vs. Quantitative Research
| Criteria | Peer-Reviewed Translational Article and Permalink/Working Link:Schwarzfischer, P., Gruszfeld, D., Socha, P., Luque, V., Closa-Monasterolo, R., Rousseaux, D., … & Grote, V. (2020). Effects of screen time and playing outside on anthropometric measures in preschool aged children. PloS One, 15(3), e0229708. https://doi.org/10.1371/journal.pone.0229708Translational Research Type: research focused on outcomes in populations (T4) | Peer-Reviewed Traditional Article and Permalink/Working Link:Goncalves, W. S. F., Byrne, R., Viana, M. T., & Trost, S. G. (2019). Parental influences on screen time and weight status among preschool children from Brazil: a cross-sectional study. International Journal of Behavioral Nutrition and Physical Activity, 16(1), 1-8. doi: 10.1186/s12966-019-
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