Models and Frameworks for Implementing

The Evidence-Based Nursing Series is co-published with Sigma Theta Tau International (STTI). The series focuses on implementing evidence-based practice in nursing and mirrors the remit of Worldviews on Evidence-Based Nursing, encompassing clinical practice, administration, research and public policy. Models and Frameworks for Implementing Evidence- Based Practice: Linking Evidence to Action, looks at ways of implementing evidence gained through research and factors that influence successful implementation. It acknowledges the gap that exists between obtaining evidence and the practicalities of putting it into practice and provides direction to help to close this gap. This, the first book in the series, helps the reader to make decisions about the appropriateness of using various models and frameworks. A selection of models and frameworks are examined in detail including examples of their use in practice. The book concludes with an analysis and synthesis of the included models and frameworks. The Models and frameworks that have been included are based on a number of criteria: that they are internationally recognised, have undergone widespread evaluation and testing, are transferable across different settings, and can be used by different disciplines. Models and frameworks include: Stetler Model Ottowa Model of Research Use IOWA model of evidence-based practice Advancing Research and Clinical Practice through Close Collaboration (ARCC) model Dobbins' dissemination and use of research evidence for policy and practice framework Joanna Briggs Institute model Knowledge to Action framework Promoting Action on Research Implementation in Health Services (PARIHS)Key Points: There are chapters that provide an overview of implementation issues and the use of theory and frameworks in implementing evidence into practice Chapters are written by the developers of the model or framework Each chapter provides background on an implementation model or framework, suitable applications, underlying theory and examples of use. Each chapter examines strengths and weaknesses of each model alongside barriers and facilitators for its implementation

Jo Rycroft-Malone is Professor of Health Services Implementation Research at Bangor University and Editor, Worldviews on Evidence-Based Nursing. Tracey Bucknall is Professor of Nursing, at Deakin University and Cabrini Health and Associate Editor, Worldviews on Evidence-Based Nursing.

Notes on Contributors	p. ix
Foreword	p. xiv
Preface	p. xvii
Evidence-based practice: doing the right thing for patients	p. 1
Introduction	p. 1
What is evidence-based practice?	p. 2
What does implementation of evidence into practice mean?	p. 5
Attributes influencing successful implementation	p. 9
Why this book?	p. 14
References	p. 18
Theory, frameworks, and models: laying down the groundwork	p. 23
Introduction	p. 23
Theory informed evidence-based practice	p. 23
Using theory and frameworks for implementing evidence-based practice	p. 30
Models and frameworks	p. 39
Models and frameworks included in this book	p. 44
Summary	p. 47
References	p. 47
Stetler model	p. 51
Introduction and purpose of the model	p. 51
Background and context	p. 56
Intended audience and actual users of the model	p. 61
Hypotheses and propositions	p. 64
Use and related evaluation of the Stetler model	p. 64
Perceived strengths and weaknesses of the model	p. 72
Information on barriers and facilitators to implementing the model	p. 74
The future	p. 76
Summary	p. 76
References	p. 77
The Ottawa Model of Research Use	p. 83
Purpose and assumptions	p. 84
Background and context	p. 84
Intended audience/users	p. 97
Hypotheses and research possibilities	p. 97
Critique (strengths and limitations of OMRU)	p. 98
Future possibilities	p. 100
Conclusion	p. 101
Summary: How the model can be used/applied	p. 101
References	p. 102
Promoting Action on Research Implementation in Health Services (PARIHS)	p. 109
Background	p. 110
Purpose and assumptions	p. 110
Background to PARIHS' development	p. 111
Intended users	p. 120
Hypotheses and propositions	p. 126
Others' use of PARIHS	p. 127
Critique (strengths and weaknesses) of PARIHS	p. 130
Future plans	p. 131
Conclusion	p. 132
Summary: How PARIHS could be used	p. 132
References	p. 133
Iowa model of evidence-based practice	p. 137
Overview and purpose	p. 137
Development of the model	p. 140
Intended users	p. 141
Hypothesis generation	p. 142
Critique (strengths and weaknesses) of the Iowa model	p. 143
Barriers and facilitators to model implementation	p. 143
Future plans for model revisions	p. 144
Summary: How the model can be used/applied	p. 144
References	p. 144
Dissemination and use of research evidence for policy and practice: a framework for developing, implementing, and evaluating strategies	p. 147
Introduction	p. 148
Purpose of the framework	p. 149
Model development	p. 150
Intended audience	p. 154
Hypothesis generation	p. 155
Examples of framework's use	p. 157
Perceived strengths and weaknesses	p. 159
Future plans for framework modifications	p. 161
Summary: How the model can be used/applied	p. 161
References	p. 163
ARCC (Advancing Research and Clinical practice through close Collaboration): a model for system-wide implementation and sustainability of evidence-based practice	p. 169
Purpose of and assumptions in the ARCC model	p. 170
Background to the ARCC model	p. 171
Intended users	p. 177
Hypotheses generated from the ARCC model	p. 177
Use and implementation of the ARCC model and implications for future research	p. 179
Critique (strengths and weaknesses) of the ARCC model	p. 181
Summary: How the model can be used/applied	p. 182
References	p. 182
The Joanna Briggs Institute model of evidence-based health care as a framework for implementing evidence	p. 185
Purpose and assumptions	p. 186
Background to the JBI model's development	p. 186
Intended users of the model	p. 192
Hypotheses and propositions	p. 193
Others' use of the JBI model for implementing evidence	p. 198
Critique (strengths and weaknesses) of the JBI model for implementing evidence	p. 200
Future plans	p. 201
Summary: How the model can be used/applied	p. 202
References	p. 203
The Knowledge To Action framework	p. 207
Purpose of the framework	p. 208
Background and context	p. 210
Framework description	p. 212
Intended audiences/users	p. 215
Hypotheses and research possibilities - Has the framework generated hypotheses or propositions that the developers and others can and/or have been testing?	p. 215
Evaluation and use of the KTA framework	p. 216
Strengths and limitations	p. 217
Future plans for the development of the framework	p. 218
Summary: How the model can be used/applied	p. 218
References	p. 219
Analysis and synthesis of models and frameworks	p. 223
Background	p. 223
Synthesis	p. 226
Conclusion	p. 244
References	p. 244
Summary and concluding comments	p. 247
A note about implementation	p. 247
A note about impact	p. 250
Applying models and frameworks to guide implementation	p. 251
Concluding remarks	p. 255
References	p. 257
Appendix	p. 259
Index	p. 261
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Models and Frameworks for Implementing Evidence-Based Practice Linking Evidence to Action

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