Application of Theories to Research and Practice

Adrian Juarez, PhD, RNNGC 501

University at Buffalo

Objectives

• Define evidence-based practice• List frameworks or models used in

translational science • Describe strategies to apply theory in nursing

practice.

EBP Trajectory

Takes 17 to 20 years for research to be incorporated at the bedside. (Translation)

Five phases

The future of nursing

• Beyond EBP and nursing leadership• Convergence

• Knowledge• Quality• New Functions

Clinical Research Continuum

Translational Blocks Lack of Willing Participants Career Disincentives Regulatory Burden Practice Limitations Fragmented Infrastructure High Research Costs Incompatible Databases Lack of Funding Lack of Qualified Investigators

Basic Biomedical

Research

Translation from Basic Science to Human Studies

Clinical Science and Knowledge

Translation of New Knowledge Into Clinical Practice and Health Decision Making

Improved Health

1 2

Translational Research

• Categories of translational research

• Duties of the APN translational researcher

• APN Leader

Integrating EBP in clinical nursing practice

• Strategies

• Barriers

Nursing Theory

• Theory versus concept versus constructs

• Benefits

• Relevance to nursing practice

Theoretical Frameworks

• Systematic analysis• Perspective development• Macro to micro

• Feminist theoretical frameworks• Legal theory• Bio-ethics

PICOT

• EBP and PICO(T)• Malpractice

Components of APN

• Liability• Duty• Breach of duty• Causation• Damages

• Bio-ethics• Autonomy• Non-maleficence• Beneficence• Justice

The Future of Nursing

• Scopes of practice• Education• Equitable partnerships• Policy improvements

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