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NursingResearch paperTranslational research

DNP 820 Week 5: implementation into practice

Five sections are named and the fifth is the one most papers drop: what the AHRQ site itself offers to help close the gap you have just described.

Editorial process

Last reviewed · August 15, 2026

01

A named gap, not a general lament about translation

Start from the site rather than from a practice you already have in mind, because the assignment specifies the source and because browsing it will show you which practices have documented uptake data — and without that data the second section has nothing to say. Choose a practice where the evidence is settled and adoption is not: that combination is what makes a gap describable. Then the second section, assessing the extent of implementation, is the one that separates a researched paper from an asserted one. Look for actual figures — adoption rates, variation between regions or hospital types, time since the evidence was published — because a paper that says implementation has been slow without a number is describing an impression. A number from a national survey or a registry is worth more here than three paragraphs of argument, and it is usually available if the practice was chosen well.

The barriers section should be organised rather than listed, and the standard levels are clinician, organisation, patient and system. Clinician barriers include awareness, disagreement with the evidence, and habit. Organisational barriers include cost, workflow, training and competing priorities. Patient barriers include preference and access. System barriers include reimbursement that pays for the old practice and regulation that has not caught up. Grouping them that way makes the fourth section straightforward, because a remedy has to act at the level of its barrier — education does not fix a reimbursement problem and a policy change does not fix a workflow one. Then the fifth section, which most papers forget: the AHRQ site publishes clinician and consumer summaries, decision aids and implementation toolkits, and naming the specific ones relevant to your practice is what the requirement is asking for rather than a general remark that resources exist.

Likely learning objectives

Inferred from the brief — check these against your own rubric.

  • 01
    Select a practice with documented uptake data.
  • 02
    Quantify an implementation gap rather than asserting it.
  • 03
    Organise barriers by the level at which they operate.
  • 04
    Match each remedy to the level of its barrier.
Assignment instructionsQuoted verbatim

Read the full question

Review every instruction before using the planning guidance that follows.

Details: The Institute of Medicine set a goal that 90% of health care decisions should be evidence-based by 2020. At best guess, less than 10% of decisions use best evidence. Bridging the gap between research, findings, and practice implementation is one strategy to meet this important goal. This assignment will help you to find gaps that may be used for your project. General Requirements: Use the following information to ensure successful completion of the assignment: Review the Agency for Healthcare Research and Quality (AHRQ) website to complete the assignment. Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please Review the rubric prior to the beginning to become familiar with the expectations for successful completion. Use at least two additional scholarly research sources published within the last 5 years. Provide citations and references for all sources used. You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center. Directions: Select a practice from the AHRQ comparative effectiveness research site and write a 1,000-1,250 word paper that looks at a gap that exists between research findings and the implementation of those findings in practice. Include the following: Discuss the practice. Assess to what extent the practice is being implemented. Evaluate the barriers to implementation into practice. Propose ways to overcome the barriers. Discuss the resources available on the selected site to inform translation. Portfolio Practice Hours: Practice immersion assignments are based on your current course objectives, and are intended to be application-based learning using your real-world practice setting. These assignments earn practice immersion hours, and are indicated in the assignment by a Portfolio Practice Hours statement which reminds you, the learner, to enter in a corresponding case log in Typhon. Actual clock hours are entered, but the average hours associated with each practice immersion assignment is 10. You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. For more information on parameters for practice immersion hours, please refer to DNP resources in the DC Network. To earn portfolio practice hours, enter the following after the references section of your paper: Practice Hours Completion Statement DNP-820 DNP 820 Week 5 Implementation Into Practice I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor. Implementation Into Practice
02

Turn the brief into deliverables

  1. 01
    A practice drawn from the AHRQ comparative effectiveness site.
  2. 02
    An assessment of implementation extent, with figures.
  3. 03
    Barriers organised by level.
  4. 04
    Remedies matched to barrier levels.
  5. 05
    The site's own translation resources, named specifically.
03

Practice, uptake, barriers, remedies, resources

01

The practice

Describe the practice and the evidence behind it.

02

Extent of implementation

Report what is known about uptake, with figures and variation.

03

Barriers by level

Organise clinician, organisational, patient and system barriers.

04

Remedies and site resources

Match a remedy to each barrier level and name the site's translation tools.

04

The site's own resources are part of the answer

Recommended databases

  • AHRQ Effective Health Care Program
  • PubMed Central
  • CINAHL
  • Implementation Science

Search sequence

  1. 1.
    Browse the AHRQ site before choosing, and pick a practice with uptake data available.
  2. 2.
    Search the practice AND adoption or utilisation for figures.
  3. 3.
    Read one implementation framework so the barrier grouping is principled.
  4. 4.
    List the specific summaries, decision aids or toolkits the site offers for your practice.
05

Reference shortlist

These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.

Nothing here is cleared for citation until you have read it.

  1. 01

    Making sense of implementation theories, models and frameworks

    Implementation Science (BMC), Per Nilsen · 2015

    How implementation is theorised, which is what turns a list of barriers into a levelled analysis.

  2. 02

    PARIHS revisited: from heuristic to integrated framework for the successful implementation of knowledge into practice

    Implementation Science (BMC), Gill Harvey and Alison Kitson · 2016

    An implementation framework treating evidence, context and facilitation separately, useful for matching remedies to levels.

  3. 03

    About PCORI | PCORI

    Patient-Centered Outcomes Research Institute · 2024

    The comparative effectiveness field the selected practice comes out of, and what it is intended to inform.

  4. 04

    What can organisational theory offer knowledge translation in healthcare? A thematic and lexical analysis

    BMC Health Services Research · 2018

    Organisational theory applied to knowledge translation, which is where the organisation-level barriers get their vocabulary.

  5. 05

    Nursing managers' perspectives on facilitators of and barriers to evidence-based practice: A cross-sectional study

    Nursing Open (Wiley), via PubMed Central · 2023

    Reported facilitators and barriers to evidence-based practice, evidence for the clinician level rather than assumption.

06

Review before submission

Common mistakes

  • Choosing a practice from elsewhere when the site is specified.
  • Asserting slow implementation with no adoption data.
  • Listing barriers without grouping them by level.
  • Proposing education as the remedy for structural barriers.
  • Omitting the resources section entirely.

Submission checklist

  • Did the practice come from the specified site?
  • Are there adoption figures in the assessment section?
  • Are barriers grouped by level?
  • Does each remedy act at its barrier's level?
  • Have you named specific resources from the site?

Use this guide to plan and review your own work. Follow your institution's rules and read our academic-integrity policy.

Written by

Aaron Bishop

MA, Education

assignment interpretation and research-methods coaching across disciplines

Aaron leads the EssayCrackers editorial desk. He works on how assignment briefs are read — what a rubric is actually asking for, and where students most often answer a different question than the one set.

Reviewed by

Dr. Nathan Cole

PhD, Rhetoric & Composition

Argumentation and thesis development

Nathan teaches first-year composition and directs a university writing center. He reviews EssayCrackers guides for argumentative soundness and citation accuracy.

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