The Healthcare and Technology Synergy (HATS) Framework for Comparative Effectiveness Research as Part of Evidence-Based Practice in Vascular Access

Abstract

The development of frameworks for nursing research, practice, and education is in its infancy. The focus in clinical research has commonly been on the variables patient and practice, not on the significant variable, technology products. However, in interventional and medical cardiology and orthopedic surgery, for example, products used are significant variables that affect clinical outcomes and subsequent recalls. The purpose of this article is to introduce the Healthcare and Technology Synergy (HATS) framework and discuss its use in comparative effectiveness research on health care-associated infections as well as its usefulness in nursing practice, education, and policy. Research in nursing that focuses on product as a variable has examined intravenous connectors and their association with catheter-related bloodstream infections, but more research specific to technology products is needed. The significance of products in nursing has been underappreciated, and the variable has been underutilized in research. This is a study limitation that can significantly affect research outcomes. Use of the HATS framework in nursing research can facilitate the development of clinically relevant nursing curricula, practice interventions, and policy based on research results. Appropriate development and evaluation of research that uses the HATS framework also has implications for cost-benefit analyses, product evaluation, and implementation of evidence-based practices.

Effectiveness of Educational Interventions to Increase Knowledge of Evidence-Based Practice Among Nurses and Physiotherapists in Primary Health Care: Protocol for a Systematic Review

“…HCPs are expected to use EBP as a standard approach to daily practice [7][8][9], integrating research, patient preferences, clinical expertise, and innovative technologies [10,11]. However, the implementation of EBP remains a controversial process [12,13], and not all HCPs are convinced that it improves the quality of care [14,15].…”

Effectiveness of Educational Interventions to Increase Knowledge of Evidence-Based Practice Among Nurses and Physiotherapists in Primary Health Care: Protocol for a Systematic Review (Preprint)

“…The search strategy retrieved a total of 18,299 references (16,795 from databases and 1504 from other sources), and after removing duplicates, we included 12,948 references (11,469 from databases and 1479 from other sources) that will be analyzed on the titles and abstracts by 2 independent researchers (Table 1). In the second phase, full-text papers will be retrieved from the references and analyzed based on the inclusion and exclusion criteria.…”

https://researchopenworld.com/diagnosis-of-clabsi-from-blood-and-needleless-connector-cultures-in-patients-with-acute-leukemia-a-prospective-cohort-study-2/#

“…On the other side, the homogeneity of the sample could be considered an advantage, being reduced the bias observed in the central elements related to effectiveness of CVC clinical research (product, practice and patient), frequently reported in multicenter studies [18]. Several studies does not report CVC-management dynamics based on the use of chlorohexidine 2% NC hub disinfection 15", CVC-flushing frequency report, positive pressure and push-pause techniques [19]; being the quality of the research limited to the product.…”