Knowledge Translation: Evidence-Based Practice in Healthcare

This report provides a comprehensive overview of translating evidence-based knowledge into clinical practice. It details the eight stages of integrating evidence-based practice (EBP), including cultivating a spirit of inquiry, formulating answerable queries, researching evidence, integrating research with clinical skills, evaluating information, disseminating results, and implementing evidence. The report also identifies common barriers to implementing new practices, such as complexity in shifting current models, criticism from colleagues, lack of knowledge, poor communication, cultural barriers, and financing issues. Strategies for overcoming these barriers are discussed, including providing resources, promoting evidence-based traditions, creating conducive learning environments, and improving communication. Furthermore, the report explores sources of internal evidence, such as consensus views, clinical proficiency, patient preferences, investigational ideas from healthcare professionals, and improving health population. The document concludes by emphasizing the importance of integrating clinical expertise and patient preferences with the best available scientific evidence to improve patient outcomes.

TRANSLATING EVIDENCE-BASED KNOWLEDGE INTO CLINICAL PRACTICE 1
Translating Evidence-Based Knowledge into Clinical Practice
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TRANSLATING EVIDENCE-BASED KNOWLEDGE INTO CLINICAL PRACTICE 2
Translating Evidence-Based Knowledge into Clinical Practice
Introduction
Evidence Based-Practice (EBP) may be defined as using a mechanism that supports how
professional nurses carry out with the Description of EBP as a combination of clinical
proficiency with the best presentable external clinical research.
PART 1:
8 STAGES OF INTEGRATING EBP
Cultivate a spirit of inquiry
In this case may be determined a sense of interest that shows both learning and
performing (Saunders & Vehviläinen-Julkunen, 2016). A nurse infused by a spirit of inquiry
might lift up several questions on matters challenging traditional and open practices in the beliefs
and seek a resourceful and move towards to solve the problem in a clear way.
Formulate an answerable query
In this scenario formulating an answerable question is a key point of starting tip in the
explore progression (Hartmann, Zaki, Feldmann & Neely, 2016). When we converse about
formulating answerable questions, it signifies development of breaking down a topic of concern
into focused question that we can be able to know and give out the meaning through searching
them within the academic doors (Richmond et al., 2018). Without paying attention to the
question, the correct solution might not clearly be seen as a result.
Scientifically research for the research evidence
Reviewers have described it to be the basic unit of knowledge translation by methodical
searching for the whole available evidence on a given topic, they are potentially prevailing tools
on which to consider clinical decisions. It is important because they give an appropriate,
efficient, and reproducible strategy.
The Oxford Bodleian Library explains the progression of identifying studies that are relevant to a
given clinical question as being made up of two wide stages, which are:
Development of structured explored strategy that is relevant to all databases.
An iterative process for finding further learning by hand searching applicable publications,
reviewing references lists that are available with you, citation searching which include looking at

TRANSLATING EVIDENCE-BASED KNOWLEDGE INTO CLINICAL PRACTICE 3
what an article has referenced and who has since used that article as a reference, contacts with
authors and location of continuing studies.
A number of resources, which provides more detailed guidance, are available to bear support in
this process (Ainul Azyan, Pulakanam & Pons, 2017). A recent review gives nine guidance
documents, featured in UK systematic reviewing practice. They include: Systematic Reviews:
CRD’S guidance for carry out reviews in health care, The Cochrane Handbook, Collaboration
for environmental facts: strategy for systematic review in environmental Management, Joanna
Briggs Institute Review rs’ guidebook, Institute for quality and competence in Health care
methods, Systematic review in the social sciences: A practical channel, in the process of
information recovery for systematic reviews and health technology. The Campbell Handbook:
searching for studies: a guide to information recovery for Campbell system reviews, developing
a pleasant guiding principle:
Assess the legality, significance, plus applicability of the explore facts
Integrate the research evidence with the clinical skills-It means integrating personality
clinical expertise with the paramount available peripheral clinical evidence from methodical
research.EBP is the combination of clinical proficiency, patient ethics, and the most excellent
research or comes out greatly in the decision making a channel for the patient concern.
Evaluate
This is where Judgment is made after enough consideration is done. An example is seen
when a clinician’s often by pass the bedsides assessment for urgent testing (Aasekjær, Waehle,
Ciliska, Nordtvedt & Hjälmhult, 2016). After assessment, it will be very easy for them to come
up to judgment.
Critically evaluate the information
This is the process where cautiously and steadily assessing the results of the methodical
investigation or facts to judge its honesty in a particular circumstance.
Integrate appraised evidence with own clinical expertise and patient’s preferences
Using the finest accessible scientific or methodical facts by itself is not sufficient to mind for
our patients in an evidence-based environment (Sherman et al., 2016). For instance, we need to
fit in our clinical expertise and patient favorites and ethics to include in the skill with the
knowledge to see the patient outcomes get better.

TRANSLATING EVIDENCE-BASED KNOWLEDGE INTO CLINICAL PRACTICE 4
Disseminate the results
Disseminate facts to the workmates that are in the organization and those who are beyond. In
addition, the results in the dissemination may be carried out by intra-and inter-departmental in
online media and manuscript.
Implementing the evidence
In this scenario, ones have to integrate the facts with clinical proficiency and patient
requirements. In conclusion, after practicing the above procedures, clinicians have to implement
them in their daily duties in a clinical environment. This might improve effective communication
between the patients and the nurses in the hospital.
BARRIERS
The most common obstacles to implementing a new practice are complexity in shifting current
practice model- in this case, a few of the more general change practice can be determined with
examples consist of: Kurt Lewin’s three-step” unfreeze –change-refreeze”
Model, proposed across the world acknowledged the founder of social psychology in the 1950s.
It is still extremely relevant up to- date and still used as the main source for numerous change
management strategies.
Criticism and confrontation from workmates
In this case, people of the same professionalism do encounter disapproval of someone or
something on the basis of alleged faults or mistakes. One may feel embarrassed and unwanted by
his seniors, Example a senior Doctor confronting to his juniors.
Lack of knowledge on the use of evidence-based practice- this is another big problem that one
encounter in implementing anew practice in the clinical environment. It is observed that greater
clinical experience seem to be a significant obstacle in providing patients with the right
information that is required by EBP, for example, a nurse giving the wrong prescription of
medicine to a patient. This may end up of losing patients life if not keenly observed.
Poor communication strategies-in this case language barrier appears to be the most basic and
simplistic use of the term. It is the lack of a common language that stops one or more groups of
people from getting to understanding each other accordingly (Youngstrom, Choukas-Bradley,

TRANSLATING EVIDENCE-BASED KNOWLEDGE INTO CLINICAL PRACTICE 5
Calhoun & Jensen-Doss, 2015). Examples of a language barrier are therefore seen between a
nurse and patients increasingly affecting attention performance, despite where care is delivered.
Cultural barrier-In this case it applies when people of different cultures and beliefs find it
difficult to be convinced on other people’s norms, this brings about difficulties and
inconveniences.
Assessing hindrance and resolutions to financing in this case a problem of financing is observed.
Funding becomes a problem and hinders the implantation of a new practice in EBP
STRATEGIES
Providing the best environment and accessing resources that would be used in doing more of
researches, this means financial providing, equipment, resources of Human. This boosts the
achievement and it does away with the barrier.
Promotion of the traditions of evidence- in this case educating people to do away with n their
norms and to come up with a most excellent decision making in a clinical field.
Creation 0f a conducive learning environment, scheming and delivering series like EBP journal
clubs of which that increases the EBP understanding in their specialization field.
Research investigations, consulting and designing of advance communication between clinicians
and research institutions.
Identifying barriers of EBP in the organization and come up with strategies that do away with the
barriers which hinder the implementation of a new practice in the EBP arena.
Increased use of the clinical plan and coming up with high health care standards. This case gives
workers morale of working.
PART 2
SOURCE OF INTERNAL EVIDENCE
Consensus views
This all about a general opinion shared among all the people in a given group. Therefore
according to this, consensus can be harmonized with ’view’ with no redundancy. This
combination of words has been broadly shunned by many habits conducts over years, based on

TRANSLATING EVIDENCE-BASED KNOWLEDGE INTO CLINICAL PRACTICE 6
the concept that consensus transmits the actual sense “combined view “ consequently the world
view is not essential or compulsory.
Clinical proficiency
this refers to the clinician’s cumulated knowledge, experience, skills and clinical proficiency
(Williamson, Almaskari, Lester, & Maguire, 2015). The Patient comes across his or her
individual personal favorite and sole concerns, hope together with morals.
Investigational ideas from healthcare professionals
An investigational health ideas processing model is proposed that can be considered as an
explore structure (Alawadi et al., 2016). Future explores or investigations guidelines, which may
improve data to demonstrate improvement in outcomes.
Customarily, patients’ safety investigation has been paying attention to information examination
to recognize patient wellbeing issues and to express that the innovative practice will guide to
superior or better quality or wellbeing (Quartz et al., 2017). Consider this into practice from the
research done makes care secured.
Improve health population
Increase in population around clinical environment might help the clinicians in collecting data.
This technique may help in identifying various issues that affect the population and be able to
come up with answers in problem-solving.

TRANSLATING EVIDENCE-BASED KNOWLEDGE INTO CLINICAL PRACTICE 7
In this case it
References
Saunders, H., & Vehviläinen-Julkunen, K. (2016). The state of readiness for evidence-based
practice among nurses: An integrative review. International Journal of Nursing Studies, 56, 128-
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Youngstrom, E. A., Choukas-Bradley, S., Calhoun, C. D., & Jensen-Doss, A. (2015). Clinical
guide to the evidence-based assessment approach to diagnosis and treatment. Cognitive and
Behavioral Practice, 22(1), 20-35.
Williamson, K. M., Almaskari, M., Lester, Z., & Maguire, D. (2015). Utilization of evidence-
based practice knowledge, attitude, and skill of clinical nurses in the planning of professional
development programming. Journal for nurses in professional development, 31(2), 73-80.
Aasekjær, K., Waehle, H. V., Ciliska, D., Nordtvedt, M. W., & Hjälmhult, E. (2016).
Management involvement—a decisive condition when implementing evidence‐based practice.
Worldviews on Evidence
‐Based Nursing, 13(1), 32-41.
Hartmann, P. M., Zaki, M., Feldmann, N., & Neely, A. (2016). Capturing value from big data–a
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Operations & Production Management, 36(10), 1382-1406.
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