Translational Review and evidence based practice

on "Why is there not a uniform nurse-patient ratio in all the states of the U.S.?” could be investigated using the third approach to translational research, namely Implementation and Testing of Systems Change.
Today, there exist several healthcare practices that are based on research-driven evidence for many conditions that include diabetes, asthma and cardiac failure(Titler, 2011). Unfortunately, the implementation of these practices is inconsistent, andvariations in practice are common. In the past, research into patient safety has tended to overemphasize the collection and analysis od data which is then used to demonstrate that there are better ways to ensure patient safety. Not much research has been undertaken on how to implement those findings. Putting into practice evidence from research is an uphill task that requires continued collaboration among various players in healthcare provision. These include government agencies, healthcare providers and individual practitioners among other actors.
Recently, the Agency for Healthcare Research and Quality (AHRQ) developed a conceptual framework for ensuring that research findings are translated into practice as much as possible and also in the shortest time possible(Titler , 2011). The approach of implementation and testing of systems change incorporates ideas and concepts from several disciplines that include scientific transfer of knowledge, organizational innovation, social marketing and behaviour change. The framework is presented as a series of steps, in practice, however, the process of knowledge transfer is never a linear process. Rather, it is a back-and-forth process in which information is shared between researchers, regulators and practitioners.
The process of putting into practice the findings of the research arising out of the above question will entail several stages(Titler , 2011). The first step will entail collecting data from a sample of health facilities across the country. The respondents in