Stetler Model of Research Utilization2121 Stetler CB. Refinement of the Stetler/Marram model for application of research findings to practice. Nurs Outlook. 1994; 42(1):15-25.-2222 Stetler CB. Updating the Stetler modelo f research utilization to facilitate evidence-based practice. Nurs Outlook. 2001; 49(6):272-8. (1976, USA) |
Establish purposes for literature review; to carefully evaluate the research findings; comparing the results of the studies with the practice of care; make a decision (use, expect to use, reject or not use); detail and justify the steps for the implementation of the new procedure and evaluate formally. |
Individual Scientific evidence |
Conduct and Utilization of Research in Nursing (CURN)2323 Horsley JA, Crane G, Bingle JD. Research utilization as an organizatiom process. J Nurs Adm. 1978; 8(7):4-6.
24 Goode CJ, Lovett MK, Hayes JE, Butcher LA. Use of research based knowledge in clinical practice. J Nurs Adm. 1987; 17(12):11-8.-2525 Goode CJ, Piedalue F. Evidence-based clinical practice. J Nurs Adm. 1999; 29(6):15-21. (1978, USA) |
Concern about changes in Nursing practice; define and evaluate a problem in patient care; seek solutions; selecting a potential solution; perform experiments or test the proposed solution; evaluate satisfaction or dissatisfaction with the solution, therefore repeat the steps. |
Individual Organizational Scientific evidence |
Quality Assurance Model Using Research (QAMUR)2626 Leske JS, Whiteman K, Freichels TA, Pearcy JM. Using clinical innovations for research practice. AACN Adv Crit Care. 1994; 5(2):103-14. (1987, USA) |
Ask questions or identify problems; seek solutions, review and evaluate literature (conducting research); plan to change; implement innovation (protocols, procedures and policies); evaluate the expected results; formulate care standards (ensure quality improvement). |
Organizational Scientific evidence |
Iowa Model2727 Titler MG, Kleiber C, Steelman VJ, Rakel BA, Budreau G, Everett LQ, et al. The Iowa model of evidence-based practice to promote quality care. AACN Adv Crit Care North Am. 2001; 13(4):497-509.-2828 Titler MG. Nursing Science and evidence-based practice. West J Nurs Res. 2011; 33(3):291-5. (1994, USA) |
Identify practical problems and formulate research questions; determine how much of a problem the priority topic is for the organization; identify terms for searching for evidence, critically analyze and synthesize this evidence; determine if the evidence is sufficient - otherwise conduct a search; if evidence is sufficient and the changes are appropriate, conduct a pilot study to change the practice; evaluate pilot results, disseminate results and implement change. |
Organizational Scientific evidence |
Ottawa Model of Research Use (OMRU)2929 Kitson AL, Harvey G, Mccormack B. Enabling the implementation of evidence-based practice: a conceptual framework. Qual Health Care. 1998; 7(3):149-58.-3030 Kitson AL, Malone JR, Harvey G, McCormack B, Seers K, Titchen A. Evaluating the successful implementation of evidence into practice using the PARIHS framework: Theoretical and practical challenges. Implement Sci. 2008; 3(1):1-12. (1999, Canada) |
Identify people with authority to legitimize the change process and the required resources; clearly specify what innovation need to be implemented; evaluate innovation: potential actors that can adopt it, barriers and facilities implementation; select strategies to sensitize those involved about the value of innovation, its diffusion in the organization until reaching the direct care to the patient; evaluate the impact and disseminate the results. |
Individual Organizational Scientific evidences |
Promoting Action on Research Implementation in Health Services Framework (PARIHS)3131 Ricroft-Malone J. The PARIHS framework - A framework for guiding the implementation of evidence practice. J Nurs Care Qual. 2004; 19(4):297-304. (1998, United Kingdom) |
Seek evidence from scientific research, clinical experience, patient experiences, institution data and reports; adopt innovation in order to influence organizational culture by supporting leadership and reviewing practices; incorporate people into the organization whose knowledge and skills can support change in practice according to the evidence. |
Organizational Scientific evidence |
The Rosswurm and Larrabee Model3232 Rosswurm MA, Larrabee J. A model for change to evidence-based practice. J Nurs Scholarsh. 1999; 31(4):317-22. (1999, USA) |
Identify the need to change practice; approximate the problem with outcome indicators; summarize the best scientific evidence (systematic review) considering feasibility, benefits and risks for its implementation; develop a plan for changing the practice, including the necessary resources; implement and evaluate change (inform if a pilot study is conducted); integrate and maintain change in practice (communicate results to strategic leaders); monitor implementation (evaluate process and results). |
Individual Best scientific evidence |
Advancing Research and Clinical Practice Through Close Collaboration (ARCC)3333 Melnyk BM, Fineout-Overholt E. Putting research into practice. Reflect. Nurs Leadersh. 2002; 28(2):22-5.-3434 Melnyk BM, Fineout-Overholt E, Gallagher Lynn, Stillwell SB. Sustaining Evidence-Based Practice Through Organizational Policies and an Innovative Model. AJN September. 2011; 111(9):57-60. (1999, USA) |
Understand organizational culture and readiness to change; identify strengths and barriers for the implantation of EBP in the organization; identify the professionals specialized in the organization to assist in the implementation of the EBP with the assistance teams in the clinical units; implement the evidence in practice and evaluate the results. |
Organizational best evidence |
The Tyler Collaborative Model3535 Olade RA. Strategic collaborative model for Evidence-Based Nursing Practice. Worldviews Evid. Based Nurs. 2004:1(1):60-8. (2004, USA) |
Breaking the ice: identifying forces in the organization that can affect change; building collaborative relationships among strategic leaders to adopt change; diagnose the problem: identify areas to implement EBP; acquiring resources: raising financial and human requirements for the implementation of change; move: engage nursing assistants to identify solutions to their demands based on EBP (organize working group); choose a solution: rigorous review of scientific production; gain acceptance and followers: implement the evidence through a pilot study, in which they can evaluate the care given to the adoption of the evidence regarding their non-adoption; Stabilize: include evidence in the organization's rules and routines; evaluate results in the organization against the incorporation of evidence into work routines, and prepare reports that evaluate the results. |
Organizational Scientific and non scientific evidence |
Johns Hopkins Nursing Evidencebased Practice Model (JHNEBP)3636 Newhouse R, Dearholt SL, Poe SS, Pugh LC, White KMW. Johns Hopkins nursing Evidence-Based Practice: Model and Guidelines. Indianopolis (US): Sigma Theta Tau International; 2007.-3737 Newhouse RP, Johnson K. A case study in evaluating infrastructure for EBP and selecting a model. J Nurs Adm. 2009; 39(10):409-11. (2007, USA) |
Identify a question of practice, formulate the research question using terms appropriate to the search for evidence; search, critically evaluate, summarize and classify levels of evidence; use "non-scientific" evidence (financial data, professional experience and patient preferences) for decision making; determine the feasibility of applying the evidence, draw up an action plan for its translation, implement the change, evaluate and communicate the results. |
Individual Scientific and non scientific evidence |
Academic Center for Evidence-Based Practice (ACE)3838 Kring DL. Practice domains and Evidence-Based Practice compentencies: a matrix domains of influence. Clin Nurs Spec. 2008; 22(4):179-83.-3939 Stevens KR. ACE Star Modelo f EBP: knowledge transformation. Academic Center for evidence practice. San Antonio (US): The University of Texas Health Science Center at San Antonio; 2004. (2004, USA) |
To seek new knowledge through research; to carry out a rigorous review of multiple primary studies (in view of the different designs) to formulate new knowledge; prepare a document or guide to translate the evidence into practice; integrate evidence into practice by influencing changes in people and organization; evaluate the impact of the change in practice and its increase in the quality of care provided. |
Individual Scientific evidence |
The Clinical Scholar Model4040 Strout T, Lancaster K, Schultz AA. Development and implementation of an inductive Model for Evidence-based Practice: A grassroots approach for building evidence-based practice capacity in staff nurses. Nurs Clin North Am. 2009; 44(1):93-102. (2009, USA) |
Identify opportunities to implement change in the organization; review internal evidence (information and service data) and external evidence (search results); determine the strength of the evidence and conduct a plan for its implementation. If they are not safe enough, conduct a search; to simulate its application with different means; apply them and obtain the results in context; disseminate the results to the internal and external community of the organization. |
Individual Organizational Scientific and non scientific evidence |
Model in an Academic Medical Center4141 Balakas K, Potter P, Pratt E, Rea G,Williams J. Evidence equals excellence: the application of an evidence-based practice model in an academic medical center. Nurs Clin North Am. 2009; 44(1):1-10. (2009, USA) |
Formulate a clinical question; search for the best evidence (systematic review of primary experimental studies); critically review the evidence; integrate evidence into practice; communicate the results. |
Individual Organizational Best evidence |
The Colorado Model4242 Goode CJ, Fink RM, Krugman M, Oman KS, Tradili LK. The Colorado Patient-Centered Interprofessional Evidence-Based Practice Model: a framework for transformation. Worldviews Evid Based Nurs. 2011; 8(2):96-105. (2011, USA) |
Identify factors that facilitate organizational change; elaborate a clinical question using the PICO strategy; identify the patient's needs; evaluate patient's values and preferences; seek scientific evidence according to a protocol (if the hospital has a protocol for EBP) or to carry out a rigorous review of the literature (in the absence of an institutional EBP protocol). In the absence of scientific evidence, use evidence from other sources: infection control data, cost-effectiveness analyzes, and clinical expertise; summarize the evidence considering their level of classification; use them according to the context and decisions of the patient; evaluate the results. |
Individual Organizational Scientific and non scientific evidence |
The Multisystem Model of Knowledge Integration and Translation (MKIT)4343 Palmer D, Kramlich D. An introduction to the multisystem model of knowledge integration and translation. Adv Nurs Sci. 2011; 34(1):29-38. (2011, USA) |
Induce the development of research that can be applied in practice; identify transformational leadership in organizations; perform a search, critical evaluation and synthesis of the evidence by the actions of nurses with specialty for the action; to promote the translation of evidence through meetings between nurse researchers and nursing assistants; prepare a pilot study and intervention plan with the support of specialized nurses; integrate evidence into the work process and organize normative documents (protocols and clinical guidelines); monitor the results achieved by the implementation; to disseminate implementation results. |
Organizational Scientific and non scientific evidence |
The Research Appreciation, Acessibility and Application Model (RAAAM)4444 Edward KL. A model for increasing appreciation, accessibility and application of research in nursing. J Prof Nurs. 2015; 31(2):119-23. (2015, Australia) |
To value research in the hospital context (through partnerships between universities and hospitals); access research results that can support the improvement of the quality of practice (organization of committees or specific groups and inclusion of specialist tutors in the hospital context); apply research (the development of research is an integral activity of the role of nurses in the hospital context); ensure the sustainability of the model (the development of communication strategies for dissemination and reporting to evaluate EBP). |
Organizational Scientific and non scientific evidence |