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Please respond to this student’s post using two references!
In patients admitted
Please respond to this student’s post using two references!
In patients admitted from the emergency department (ED) to a medical-surgical unit, does implementation of asynchronous electronic nursing handoff, compared with the current practice, decrease the length of stay from admit order to ED departure in 8-10 weeks?
The theoretical model to translate the research to practice selected is the knowledge-to-action (KTA) framework, which includes two distinct components, knowledge creation and the action cycle (Moore et al, 2022). The knowledge creation process of the framework includes inquiry, synthesis as well as tools and products, while the action process is designed to focus on the application of the knowledge defined in seven phases (Ham-Baloyi, 2022). This model allows for a bi-directional flow of information and actions to assist in implementing change.
In terms of activities from the action phase of KTA:
Assess barriers/facilitators to knowledge use – for this area focus groups with nursing staff from the impacted units will take place to determine perceived barriers of adoption. Of note – this phase will include focus groups for other stakeholders as this phase can also serves as an assessment of relevant parties to the practice change (Torres et al., 2023).
Monitor knowledge use – this will be on going after implementation and will be measured in real time feedback on patient admissions
Evaluate outcomes – this will be two-fold, both in data from the exiting dashboard to reduce the length of stay in the ED, and in adverse event tracking to ensure that the new process does not increase patient safety issues.
Sustain knowledge use – data will be shared after implementation bi-weekly via email and posted on goal boards on the units, this will allow for tracking and trending of the process and identify if there are areas where the process is not followed
Ham-Baloyi, W. T. (2022). Assisting nurses with evidence-based practice: A case for the Knowledge-to-Action Framework. Health SA Gesondheid (Online), 27, 1-3.
Moore, J. L., Mbalilaki, J. A., & Graham, I. D. (2022). Knowledge translation in physical medicine and rehabilitation: a citation analysis of the knowledge-to-action literature. Archives of Physical Medicine and Rehabilitation, 103(7), S256-S275.
Torres, C. P., Mendes, F. J., & Barbieri-Figueiredo, M. (2023). Use of “The Knowledge-to-Action Framework” for the implementation of evidence-based nursing in child and family care: Study protocol. Plos one, 18(3), e0283656.
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