• Review the readings in the White, Dudley-Brown, and Terhaar text. With your current health care organization (psychiatric behavioral hospital), or an organization you are targeting for your DNP Project, in mind, consider the area(s) of greatest challenge with regard to translating and applying evidence for a practice change initiative, e.g., leadership, technology, collaboration, stakeholder buy-in. Focus on the relevant text chapter(s) in your Discussion preparation.
• Consider theories and best practice recommendations for addressing your identified challenges and barriers to translating and applying evidence that would support practice change initiatives.
• Reflect on the philosophy of nursing practice that you developed. Consider your role as a DNP in creating an organizational culture that embraces evidence-based practice and quality improvement. 

With these thoughts in mind …

Post an explanation of the challenges and barriers to translating and applying evidence for practice change in your target health care organization (Behavioral health hospital). Briefly explain your issue(s) of concern and describe specific approaches for addressing these challenges. Explain how you view your role as a DNP in creating a health care culture that promotes translation of evidence for quality improvement and explain why. Then, recommend actions and activities you could model and lead, including through an EBP QI project, to advocate for quality improvement and social change in nursing. Be specific and provide examples and at least 3 references.

• White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2019). Translation of evidence into nursing and healthcare (3rd ed.). Springer.
  • Chapter 15, “Interprofessional Collaboration and Teamwork for Translation” (pp. 299–314)
  • Chapter 16, “Creating a Culture That Promotes Translation” (pp. 315–334)
  • Chapter 17, “Best Practices in Translation: Challenges and Barriers in Translation” (pp. 337–346)

Student expresses empathy and awareness of personal role in the solution and makes a connection to the bigger picture.

Original Work, No Plagiarism, Cite and Reference

You (a research assistant) are administering an electronic survey about chemotherapy-induced peripheral neuropathy to Edith, a participant receiving chemotherapy, in the infusion suite. The survey is administered using software on a iPad. You hand Edith the iPad and while she is clicking around to answer the survey, she accidentally navigates to the main page of the survey administration software, revealing the first and last names of everyone on the study. This is not the first time that a data privacy incident has occurred during the conduct of this study.

Discussion Questions

1. What security steps could you take in the future to prevent participants from navigating to the home page of the survey administration software when they complete the survey on the iPad? 

2. If you were the PI of this study, how would you explain to your research assistant the importance of data privacy/security?

3. If you were the PI of this study, should you report this incident to the IRB? Why or why not? 

4. In an alternate scenario, when you approach Edith to administer the survey, Edith says that she does not remember being apart of a research study. How would you respond in this situation? Should you still administer the survey? 

1. What was your biggest “take away” from any/all of the simulations?
2. What did you find most challenging from the simulations? 
3. How is what you learned from the assignments applicable to the medical field?
4. Give examples of how such knowledge can affect your direct patient care. 

Compare vulnerable populations. Describe an example of one of these groups in the United States or from another country. Explain why the population is designated as “vulnerable.” Include the number of individuals belonging to this group and the specific challenges or issues involved. Discuss why these populations are unable to advocate for themselves, the ethical issues that must be considered when working with these groups, and how nursing advocacy would be beneficial.