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Nursing Experts: Translating the Evidence - Acute & Ambulatory Care

Translating the Evidence into Practice

Translation - Moving the best evidence into professional practice. The purpose of translation is to provide the best outcomes and value, and lower risks to our patient population.  

Steps involved in Translating the Evidence into Practice:

  • Set the goals
  • Assemble a team
  • Develop a PLAN - determine key stakeholders, expertise & support
  • Anticipate barriers & facilitators
  • Measure/collect data - baseline, process, outcomes, expenses
  • Gain support & approval
  • Implement  - DO - pilot roll-out, educate, support, navigate
  • Monitor - STUDY - observe & measure
  • Manage & Adjust - ACT - Adapt, Adopt or Abandon based on evidence
  • Sustain & Grow - Share the results, get feedback, embed in standards or policies, spread more broadly
  • Celebrate the work you have accomplished!

 

Knowledge to Action (KTA) Framework

The Knowledge to Action (KTA) Framework is used for facilitating the use of research knowledge by several stakeholders, such as practitioners, policymakers, patients and the public. The KTA process has two components: Knowledge Creation and Action. 

The Knowledge to Action process loop encircling a upside down triangle.  Reading from top to bottom the triangle includes "Knowledge Inquiry," "Knowledge Synthesis," and "Knowledge Tools/Products."  "Tailoring Knowledge" is written along both sides of the triangle with an arrow pointing down.  There is a double ended arrow from the triangle to the step "Identify Problem - Determine the Know/Do Gap - Identify, Review, Select Knowledge."  Moving clockwise the other steps in the loop include "Adapt Knowledge to Local Context," "Assess Barriers/Facilitators to Knowledge Use," " Select, Tailor, Implement Interventions," "Monitor Knowledge Use," "Evaluate Outcomes," and "Sustain Knowledge Use."  There are double ended arrows between each of the steps in the loop.

Knowledge Creation includes knowledge inquiry, knowledge synthesis, and knowledge tools/products. Knowledge becomes more refined as it moves through these three steps.

Action includes identifying and appraising the problem and the known research, identifying barriers and successes, planning and executing, and finally monitoring, evaluating, and adjusting.

In summary, KTA is applying knowledge to real life situations. 

Tools for Implementing Evidence and Managing Change

            Plan-Do-Study-Act (PDSA) is a useful tool for documenting a test of change. The PDSA cycle is shorthand for testing a  change by developing a plan to test the change (Plan), carrying out the test (Do), observing and learning from the consequences (Study), and determining what modifications should be made to the test (Act).