Respond to at least two colleagues on 2 different days, with preference to colleagues who selected different translation science frameworks or models from the one you chose. Recommend another framework/model they might consider and/or clarify their explanation of translation science. Cite sources to support your posts.
1.Explanation of Theory of Reasoned Action (TRA)
This theory has been used to describe an individual’s intention to perform certain behaviors. The theory assumes that individuals are rational and links the individual’s behavior to beliefs, attitudes, and intentions (White et al., 2021). The individual must have a positive attitude towards change and feel that he/she has control over the difference and that change is perceived as positive by the social group (White et al., 2021). According to this model, intention to perform a behavior is determined by attitude, which is opinion toward the behavior, and subjective norm, which is perceived social pressure about the behavior (Boudreau & Mah, 2020).
Explanation of why it is most relevant to my practice problem.
My passion for caring for the mental and emotional well-being of patients with psychiatric disorders and emotional challenges has helped me view clinical issues with a different lens. Utilizing evidence-based best practices to improve patient outcomes is my goal as an advanced practitioner. Implementing strategies to decrease restraints and seclusions and how they are conducted at the organization will only be met with challenges. This will require support from top management, the readiness of the organization to embrace change, and the allocation of resources. The willingness of the individuals to change their behavior will be accomplished partially by utilizing pharmacological and non-pharmacological interventions. Collaboration of all disciplines will be vital to helping these individuals attain their optimum level of function without causing harm to themselves or others.
Restraints and seclusions are used as the last resort only after the failure of less restrictive alternatives to prevent harm to individuals and others. Various triggers can cause behavioral dysregulation. Qualified and authorized professionals oversee that restraints or seclusion are only used when an emergency exists or is imminent. Training of all clinical staff on legal requirements for restraints/seclusion, assessment, proper use of the procedure, and documentation is essential to promote the safety of patients and staff. On admission, all patients are oriented to the possibility that restraint or seclusion may be used as an emergency intervention.
The theory of reasoned action is applicable in the de-escalation assessment, a structured interview designed to elicit data regarding the coping strategies used by individual patients to minimize the use of restraints or seclusion. The behavior that led to restraint/seclusion is addressed. The patient’s intention is handled; for example, some patients act out to be sent back to jail. In the jail system, they can have a predicted release date, whereas the discharge process is very lengthy at the hospital. Studies indicate that TRA integrates behavioral and normative beliefs and holds that intention is the most significant factor behind behaviors (Goodarzi et al., 2019). The attitude, an individual’s positive or negative feelings towards performing the behavior, is also addressed. Depending on their stage of recovery, most patients report negative emotions related to being restrained. The attitude, in this case, is the knowledge about mental health disorders and the need for treatment. Behavior is medication adherence to manage symptoms. Subjective norm is the stigma about mental health.
Conclusion
It is paramount for healthcare organizations to embrace research and implement findings that support evidence-based practice to improve patient care and safe outcomes. Organizational readiness to create a research culture where knowledge is valued and shared is crucial for successful implementation (Minogue et al., 2021).
2. Week 5 Discussion Initial post
Translation Models and Frameworks
In this discussion, the goal is to look into translation models and frameworks and how they relate to the selected practice issue; in-patient falls. The three translation models and frameworks that one is expected to select from are Roger’s diffusion of innovations, knowledge-to-action and theory of reasoned action. After reviewing the three models and frameworks, the ne selected to be addressed in this piece is the knowledge-to-action model.
Knowledge-to-Action Model (KTA)
The knowledge-to-action model was developed by graham and others in Canada in the early 2000s to help in the integration of knowledge creation and application (White et al., 2019). for one, the model uses the word “action” in place for “practice” as it can be applied by different professional fields and settings not limited to clinical and healthcare (White et al., 2019). The model is divided into two phases; the knowledge creation cycle and the action cycle where knowledge ids translated to practice (Xu et al., 2020). Reports show that this model assumes the shape of a funnel where one of the wide mouth of the funnel acts as the base of knowledge through research and inquiry (White et al., 2019). From the mouth, knowledge moves through the funnel as it is synthesized and then tools and products are implemented into practice as interventions (White et al., 2019). The base process surrounds identifying a problem, adopting knowledge attained from research and inquiry, identifying barriers of translating knowledge to action/practice and implementing interventions that promote the utilization of the developed knowledge (White et al., 2019).
KTA and Practice Problem
The goal of this section is to demonstrate how the knowledge-to-action model is relevant to the identified practice problem; in-patient falls. Falls remain a public health concern due to their negative impacts. Research notes that falls are a safety concern known to result in minor and major injuries, fear of falling, increased costs of care and in some cases death (Morris et al., 2022). Evidence-based practice is a valuable component that can help address this practice issue which introduces the relevance of the knowledge-to-practice model. The first step strives to identify a practice issue; that way, knowledge can be developed through research. In this case, the issue lies under in-patient falls. Research notes that some of the best interventions that can be used are clinician education, physical activity, patient education, fall mitigation policies and environmental adaptations among others (Morris et al., 2022). With this information, the goal is to developed evidence-based knowledge that will be synthesized and then adopted as tools of fall prevention in clinical practice.