Translation of Evidence Into Nursing and Healthcare

Kathleen (Kathi) M. White, PhD, RN, NEA-BC, FAAN, served as director of the MSN (Entry into Nursing), Doctor of Nursing Practice (DNP), and Master's programs at the Johns Hopkins School of Nursing and coordinated the MSN Health Systems Management Track and the MSN/MBA dual degree option. She continues to hold an adjunct faculty appointment at the Johns Hopkins School of Education, where she teaches in the Masters in Education for the Health Professions program, a collaboration of the Johns Hopkins Schools of Nursing, Medicine, Public Health, Business, and Education. Dr. White is recognized for her leadership in evidence-based practice. She was an original member of the School of Nursing/Johns Hopkins Hospital collaborative team that developed the widely published, award-winning Johns Hopkins Nursing Evidence-based Practice Model and Guidelines. Dr. White served as a senior adviser to the Center for Health Workforce Analysis, the Division of Nursing, and the Office of Performance Management in the Bureau of Health Professions at the Health Resources and Services Administration from 2010--2013. Her numerous practice leadership roles have included consulting with Parkway Group Healthcare in Singapore and the primary health care reform project in Armenia; as a member of the Hopkins-Healthways Advisory Group; as a member of the Maryland Health Care Commission's Hospital Performance Evaluation Guide Advisory Committee; as chairperson of the American Nursing Association Congress on Nursing Practice and Economics from 2006--2010; as the inaugural chairperson of the Maryland Patient Safety Center's Board of Directors; and as the chairperson of the Johns Hopkins Howard County Medical Center Board of Trustees from 2021--2023 (Board member, 2015--present). Sharon Dudley-Brown, PhD, RN, FNP-BC, FAAN, is a Professor at the University of Delaware. She also holds a faculty appointment at the Johns Hopkins University School of Medicine, where she sees patients as well as conducts research on patients with inflammatory bowel disease. Dr. Dudley-Brown has held several academic appointments, both nationally and internationally, and has worked as a nurse practitioner at several institutions over the past 25+ years. She has published numerous peer-reviewed papers and abstracts in the fields of nursing, inflammatory bowel disease, Crohn's disease, and ulcerative colitis, and is currently a member of several editorial boards, including that of Gastroenterology Nursing, where she is the international editor. She was instrumental in the formation of and is on the Board of Trustees of GHAPP: Gastroenterology and Hepatology Advanced Practice Providers, an organization dedicated to the education of APPs in gastroenterology and hepatology. Mary F. Terhaar, PhD, RN, ANEF, FAAN, is Associate Dean for Graduate Programs at the Fitzpatrick College of Nursing at Villanova University. She is a respected leader in translation, education, and team collaboration. Across 40 years of leadership spanning diverse systems, roles, and clinical services; she has framed problems as challenges, built high-functioning teams with diverse talents, and led development and execution of replicable solutions. Dr. Terhaar has authored or co-authored more than 70 manuscripts and chapters, as well as two broadly adopted texts on translation, evaluation, and DNP education. She is sought as a consultant on curriculum design and continuous improvement in nursing education and provides support to programs working to deliver high impact, rigorous education. She is an active site visitor and team leader for the Commission on Collegiate Nursing Education. Dr. Terhaar has advanced DNP education by creating processes, curricula, and resources which guide faculty and students across the nation and in five countries to produce outcomes. The pioneering work of teams she has led provides guidance for IRB submission, scholarly writing, data management, translation, multiple significant practice challenges, and now entry and success in doctoral education for nurses on the rise. All are increasingly included in curricula which prepare graduates to meet the Quadruple Aim. Dr. Terhaar has led a series of programs to increase diversity in the workforce by increasing diversity in graduate and undergraduate education. Most recently, she developed and lead an innovative program to increase diversity and belonging among undergraduate nursing students in collaboration with the Independence Blue Cross Foundation, and North Philadelphia high schools. Dr. Terhaar is co-founder of an innovative program that helps prospective students remove barriers to entering doctoral study, which has increased successful applications across diverse groups of nurses. She also developed a post-doctoral program for DNPs which increased dissemination, socialization, collaboration, and impact. She has helped to increase the caliber and rigor of scholarship produced by DNPs, appropriate submissions to IRBs, reliability of data and means testing, successful publications, and outcomes from DNP projects.

This book is dedicated to our students, who embrace the tremendous challenge of exploring the issues, weighing the evidence, and transforming practice.

It is essential that each and every one of us question the status quo, expect better ways to care, and collaborate always. Society demands better outcomes: Together, we have the ability and the responsibility to deliver.

Contents

Contributors

Preface

Acknowledgments

Introduction

PART I: TRANSLATION OF EVIDENCE

1. Evidence-Based Practice

2. The Science of Translation and Major Frameworks

3. Change Theory and Models: Framework for Translation

PART II: USE OF TRANSLATION

4. Translation of Evidence to Improve Clinical Outcomes

5. Translation of Evidence for Improving Safety and Quality

6. Translation of Evidence for Leadership

7. Translation of Evidence for Health Policy

PART III: METHODS AND PROCESS FOR TRANSLATION

8. Methods for Translation

9. Project Management for Translation

10. Ethical Responsibilities of Translation of Evidence and Evaluation of Outcomes

11. Data Management and Evaluation of Translation

12. Dissemination of Evidence

PART IV: ENABLERS OF TRANSLATION

13. Education: An Enabler of Translation

14. Information Technology: A Foundation for Translation

15. Interprofessional Collaboration and Teamwork for Translation

16. Creating a Culture That Promotes Translation

PART V: ISSUES IN TRANSLATION

17. Best Practices in Translation: Challenges and Barriers in Translation

18. Legal Issues in Translation

PART VI: TRANSLATION EXEMPLARS

19. Population Health Exemplars

20. Specialty Practice Exemplars

21. Healthcare System Exemplars

Index