KTA Framework
Discuss your DNP project as it relates to the Knowledge into Products section of the KTA Framework. Using the KTA Resource, use the questions listed on page 10 of the pdf to guide your discussion post.
Note: My project is guided by the following PICOT; For post-acute patients (P) residing in a Skilled Nursing Facility, what is the effect of introducing the INTERACT-SBAR Tool (I) in comparison to the current non-standardized telephone reporting by LPN/RN staff to providers on (C) the 30-day rehospitalization rate (O) within an 8-week period (T)?
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Title: Applying the KTA Framework to a DNP Project on Reducing Rehospitalization Rates in Skilled Nursing Facilities
Introduction
The Knowledge-to-Action (KTA) Framework is a widely used model for translating research knowledge into practice. This framework consists of two main components: knowledge creation and action cycle (Graham et al., 2006). The Knowledge into Products section of the KTA Framework focuses on synthesizing and tailoring knowledge to meet the needs of knowledge users (Straus, Tetroe and Graham, 2009). This discussion post will examine a DNP project aimed at reducing 30-day rehospitalization rates in Skilled Nursing Facilities (SNFs) through the lens of the Knowledge into Products section of the KTA Framework.
PICOT Question
The DNP project is guided by the following PICOT question: For post-acute patients (P) residing in a Skilled Nursing Facility, what is the effect of introducing the INTERACT-SBAR Tool (I) in comparison to the current non-standardized telephone reporting by LPN/RN staff to providers on (C) the 30-day rehospitalization rate (O) within an 8-week period (T)?
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Knowledge into Products
The Knowledge into Products section of the KTA Framework involves three key steps: knowledge synthesis, knowledge tools/products, and tailoring knowledge (Straus, Tetroe and Graham, 2009). The following questions from the KTA Resource (page 10) will guide the discussion of the DNP project in relation to these steps.
1. What is the purpose of the product, and who is the intended audience?
The purpose of introducing the INTERACT-SBAR Tool in SNFs is to reduce 30-day rehospitalization rates among post-acute patients. The intended audience includes LPN/RN staff, providers, and other healthcare professionals involved in the care of post-acute patients in SNFs.
2. What evidence, knowledge and/or theory is to be put into the product?
The INTERACT-SBAR Tool is based on evidence from studies demonstrating the effectiveness of structured communication tools in improving patient outcomes and reducing rehospitalization rates (Ouslander et al., 2018; Vasilevskis et al., 2017). The tool incorporates the Situation, Background, Assessment, and Recommendation (SBAR) framework, which has been shown to enhance communication between healthcare providers (Müller et al., 2018).
3. What is the format or vehicle of the product to be developed (e.g., brochure, poster)?
The INTERACT-SBAR Tool will be implemented as a standardized telephone reporting template for LPN/RN staff to use when communicating with providers about post-acute patients in SNFs.
4. What resources are required to develop the product?
Developing the INTERACT-SBAR Tool for this DNP project requires collaboration among stakeholders, including LPN/RN staff, providers, and facility administrators. Training materials and sessions will be necessary to ensure proper implementation and use of the tool.
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Conclusion
By applying the Knowledge into Products section of the KTA Framework, this DNP project aims to effectively translate evidence-based knowledge into practice through the implementation of the INTERACT-SBAR Tool in SNFs. Tailoring the tool to meet the needs of knowledge users and providing the necessary resources for its implementation will be crucial in achieving the goal of reducing 30-day rehospitalization rates among post-acute patients.
References
Graham, I.D., Logan, J., Harrison, M.B., Straus, S.E., Tetroe, J., Caswell, W. and Robinson, N., 2006. Lost in knowledge translation: time for a map?. Journal of continuing education in the health professions, 26(1), pp.13-24.
Müller, M., Jürgens, J., Redaèlli, M., Klingberg, K., Hautz, W.E. and Stock, S., 2018. Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. BMJ open, 8(8), p.e022202.
Ouslander, J.G., Naharci, I., Engstrom, G., Shutes, J., Wolf, D.G., Rojido, M., Tappen, R. and Newman, D., 2018. Hospital Transfers of Skilled Nursing Facility (SNF) Patients within 48 Hours and 30 Days after SNF Admission. Journal of the American Medical Directors Association, 19(10), pp.839-845.
Straus, S.E., Tetroe, J. and Graham, I., 2009. Defining knowledge translation. Canadian Medical Association Journal, 181(3-4), pp.165-168.
Vasilevskis, E.E., Ouslander, J.G., Mixon, A.S., Bell, S.P., Jacobsen, J.M.L., Saraf, A.A., Markley, D., Sponsler, K.C., Shutes, J., Long, E.A. and Schnelle, J.F., 2017. Potentially avoidable readmissions of patients discharged to post-acute care: perspectives of hospital and skilled nursing facility staff. Journal of the American Geriatrics Society, 65(2), pp.269-276.